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Staff attitudes to completely smoke-free policies and smoking cessation practices in a mental health setting

Ratier-Cruz, A; Smith, JG; Firn, M; Rinaldi, M (2020) Staff attitudes to completely smoke-free policies and smoking cessation practices in a mental health setting. JOURNAL OF PUBLIC HEALTH. ISSN 1741-3842 https://doi.org/10.1093/pubmed/fdaa033
SGUL Authors: Smith, Jared Grant

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Abstract

Background Mental health trusts in England were expected to become completely smoke-free and embed smoking cessation practices by 2018. Such policies are fraught with concerns and have received mixed support from mental health staff. Understanding staff attitudes to these practices prior to enforcement of the policy could help design an effective implementation strategy. Methods A cross-sectional survey was conducted with clinical and non-clinical staff in a Mental Health Trust to understand smoking cessation practices and attitudes to the implementation of a completely smoke-free policy. Results There were 631 responses. Most participants disagreed with the policy on wards (59.6%) and throughout all mental health settings (57.4%). Clinicians expressed significantly lower organizational policy support (P = 0.001) than non-clinicians (P = 0.001). Psychiatrists were more supportive of the organizational items than nurses and allied health professionals. Clinicians’ attitudes towards smoking cessation practices were less positive for those who were current smokers (P < 0.001), but more positive for clinicians who had received or were interested in attending smoking cessation training (P < 0.001). Conclusions Partial and completely smoke-free policies remain unsupported by staff in mental health settings. Smoking cessation training appears to reinforce rather than alter attitudes towards smoking cessation.

Item Type: Article
Additional Information: This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Health following peer review. The version of record Ratier-Cruz, J G Smith, M Firn, M Rinaldi, Staff attitudes to completely smoke-free policies and smoking cessation practices in a mental health setting, Journal of Public Health, , fdaa033 is available online at: https://doi.org/10.1093/pubmed/fdaa033
Keywords: Public Health, 1117 Public Health and Health Services
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: JOURNAL OF PUBLIC HEALTH
ISSN: 1741-3842
Dates:
DateEvent
4 March 2020Published Online
14 February 2020Accepted
Publisher License: Publisher's own licence
URI: http://openaccess.sgul.ac.uk/id/eprint/111735
Publisher's version: https://doi.org/10.1093/pubmed/fdaa033

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