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Evaluation of a totally smoke-free forensic psychiatry in-patient facility: practice and policy implications.
- Source :
-
Australian Health Review . 2014, Vol. 38 Issue 4, p476-482. 7p. - Publication Year :
- 2014
-
Abstract
- Objective. To evaluate the impact of implementing a smoke-free policy in an Australian high-security forensic psychiatry in-patient hospital. Methods. Focus groups (n = 21) and surveys with both patients (n = 45) and staff (n = 111, 53.2% nurses) elicited participants' experience of and attitudes towards an introduced smoke-free policy. A follow-up survey elicited the impact of the policy on 15 patients' smoking practice after discharge. Results. Eighty-five per cent of patients stated it was easier to quit smoking when no one else smoked. Over half the discharged patients surveyed (58%) continued to not smoke after discharge, despite almost half the staff (41%) perceiving that patients were unlikely to quit long-term. Smoking staff were significantly more pessimistic than non-smoking staff. Many patients (69%) perceived that their health had improved as a result of not smoking. Most staff (80%) viewed nicotine dependence treatment as important, but fewer (66%) felt confident to support patients to stop smoking. Increased patient violence and management difficulties expected by staff were not realised. Conclusions. A smoke-free policy can be successfully implemented in forensic psychiatry in-patient units. Nursing staff are a large and important group who need particular support to implement a smoke-free policy into practice effectively, particularly those who are smokers. Continuity of care as part of a coordinated policy and service response is needed. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SMOKING prevention
*SMOKING cessation
*ATTITUDE (Psychology)
*CHI-squared test
*CORRECTIONAL institutions
*DRUG addiction
*FOCUS groups
*FORENSIC psychiatry
*HEALTH facility administration
*MEDICAL care research
*MEDICAL personnel
*METROPOLITAN areas
*PEER pressure
*PSYCHIATRIC hospitals
*QUESTIONNAIRES
*SECURITY systems
*SMOKING
*STATISTICAL hypothesis testing
*DISEASE prevalence
*CROSS-sectional method
*DATA analysis software
*PATIENTS' attitudes
*PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 01565788
- Volume :
- 38
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Australian Health Review
- Publication Type :
- Academic Journal
- Accession number :
- 97867916
- Full Text :
- https://doi.org/10.1071/AH13200