Ineke Keizer, MA.
Staff representations and tobacco-related practices in a psychiatric hospital with an indoor smoking ban
Article first published online: 16 JUN 2013
© 2013 Australian College of Mental Health Nurses Inc.
International Journal of Mental Health Nursing
Volume 23, Issue 2, pages 171–182, April 2014
How to Cite
Keizer, I., Gex-Fabry, M., Bruegger, A., Croquette, P. and Khan, A. N. (2014), Staff representations and tobacco-related practices in a psychiatric hospital with an indoor smoking ban. International Journal of Mental Health Nursing, 23: 171–182. doi: 10.1111/inm.12030
Marianne Gex-Fabry, PhD.
Aurélia Bruegger, MA.
Patrice Croquette, MA.
Aqal Nawaz Khan, MD.
- Issue published online: 10 MAR 2014
- Article first published online: 16 JUN 2013
- Manuscript Accepted: MAY 2013
- cigarette smoking;
- health-care professional;
- psychiatric inpatient;
- staff practice;
- staff beliefs
The present study describes representations about smoking and practices related to patient smoking among staff of a large public psychiatric hospital. A survey was performed using a specially designed questionnaire. The return rate was 72.4% (n = 155). A large proportion of staff recognized the importance of both smoking status and mental health for patient's well-being (46.9%), and believed that smoking cessation was possible for psychiatric patients (58.6%). However, the role of the psychiatric hospital was perceived as providing information (85.3%) and helping to diminish cigarette consumption (51%), rather than proposing smoking cessation (29.5%). Staff daily practice included reminding patients of smoking restrictions (43.9%), managing cigarettes (46.5%), and nicotine replacement therapy (24.3%). A principal component analysis of tobacco-related practices revealed two main factors (59.8% of variance): basic hospital actions (factor 1) and more specialized interventions (factor 2), which were significantly associated with higher worries about personally developing smoke-related illnesses (Spearman r = 0.38, P < 0.0001). Compared with non-smokers, smokers reported higher perceived vulnerability to develop an illness due to tobacco and a higher level of worry about this. The discussion highlights the need to redefine roles and expectancies of mental health staff, and improve training and collaboration with experts, in order to improve efficiency concerning tobacco issues.