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Implementation of a smoke-free policy in an inpatient psychiatric facility: patient-reported adherence, support, and receipt of nicotine-dependence treatment

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posted on 2025-05-11, 23:25 authored by Emily A. Stockings, Jennifer BowmanJennifer Bowman, John WiggersJohn Wiggers, Kate BartlemKate Bartlem, Kathleen McElwaineKathleen McElwaine, Amanda L. Baker, Margarett Terry, Richard ClancyRichard Clancy, Jenny Knight, Paula M. Wye, Kim ColyvasKim Colyvas
The implementation of smoke-free policies in inpatient psychiatric facilities, including patient adherence, mental health nursing staff support, and provision of nicotine-dependence treatment to patients, has been reported to be poor. The extent to which the quality of smoke-free policy implementation is associated with patient views of a policy is unknown. We conducted a cross-sectional survey of 181 patients (53.6%, n = 97 smokers; and 46.4%, n = 84 non-smokers) in an Australian inpatient psychiatric facility with a total smoke-free policy. Smokers' adherence to the policy was poor (83.5% smoked). Only half (53.6%) perceived staff to be supportive of the policy. Most smokers used nicotine-replacement therapy (75.3%); although few received optimal nicotine-dependence treatment (19.6%). Overall, 45.9% of patients viewed the smoke-free policy in the unit as positive (29.9% smokers; 64.3% non-smokers). For smokers, adhering to the ban, perceiving staff to be supportive, and reporting that the nicotine-replacement therapy reduced cravings to smoke were associated with a more positive view towards the smoke-free policy. These findings support the importance of patient adherence, mental health nursing staff support, and adequate provision of nicotine-dependence treatment in strengthening smoke-free policy implementation in inpatient psychiatric settings.

History

Journal title

International Journal of Mental Health Nursing

Volume

24

Issue

4

Pagination

342-349

Publisher

Wiley-Blackwell Publishing Asia

Language

  • en, English

College/Research Centre

Faculty of Science and Information Technology

School

School of Psychology

Rights statement

This is the peer reviewed version of the following article: Stockings, Emily A.; Bowman, Jenny A.; Wiggers, John H.; Bartlem, Kate M.; McElwaine, Kathleen M.; Baker, Amanda L.; Terry, Margarett; Clancy, Richard; Knight, Jenny; Wye, Paula M.; Colyvas, Kim “Implementation of a smoke-free policy in an inpatient psychiatric facility: patient-reported adherence, support, and receipt of nicotine-dependence treatment” (2015) International Journal of Mental Health Nursing Vol. 24, Issue 4, p. 342-349, which has been published in final form at http://dx.doi.org/10.1111/inm.12128 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

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