Abstract
Background
The Irish Health Service Executive (HSE) had set a target that all HSE facilities should implement the HSE Tobacco Free Campus (TFC) policy by 2015.
Aim
The aims of this study are to examine hospital staff awareness and to assess the progress of selected HSE health care facilities towards a TFC policy.
Methods
Three health care facilities that were conveniently located were self-selected in County Cork, namely, an acute hospital, a mental health service and an older person’s facility. Three different types of quantitative data were collected between May and September 2016 drawn on Standards 3, 4 and 5 of the European Network for Tobacco Free Health Care Services (ENSH-Global) tools: (1) face-to-face consultation with health care facility managers on their progress towards the HSE TFC policy, (2) self-administered questionnaire to a purposive sample of 153 staff members across three health care facilities and (3) physical observation of signs of smoking and smoking-related information across each health care facility for objective verification of compliance.
Results
Of the 153 staff who completed the questionnaire, 64% were females, 39% were nurses, 20% were smokers and 76% agreed with the TFC policy. However, only 26% of the 153 staff had received training on motivational and tobacco cessation techniques. Seventy-seven percent of the 153 staff stated that the campus was not tobacco-free. Physical observation suggested signs of smoking within the campus across all three health care facilities surveyed.
Conclusion
Staff awareness of the HSE TFC policy across selected health care facilities in Ireland is positive but is not sufficient. There are gaps in the implementation process of the HSE TFC policy in the health care facilities. Therefore, proper communication on the importance of the ENSH-Global standards and cessation training to all staff is necessary to help reduce smoking rates across the health care facilities and also to move towards a Tobacco Free Campus in Ireland.
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Notes
A medical card is issued by the HSE following a mean test, whereby persons who are deemed eligible for a medical card are entitled to a range of health services free of charge.
References
World Health Organisation (2012) Tobacco Free Initiative: 2012 global progress report on implementation of the WHO Framework Convention on Tobacco Control. WHO, Geneva
Department of Health (2016) An assessment of the economic cost of smoking in Ireland, Technical Annex, March 2016, ICF Consulting Services, Available at http://health.gov.ie/wp-content/uploads/2016/08/Technical-Annex_An-assessment-of-the-economic-cost-of-smoking-in-Ireland.pdf. Accessed 24 May 2017
World Health Organisation (2012) WHO report of the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion and sponsorship. WHO, Geneva
Allwright S, Paul G, Greiner B et al (2005) Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study. Br Med J 331:1117–1122
Goodman P, Agnew M, McCaffrey M et al (2007) Effects of the Irish smoking ban on respiratory health of bar workers and air quality in Dublin pubs. Am J Respir Crit Care Med 175:840–845
Health Service Executive (2014). Health Service Executive service plan 2015: Health Service Executive
Health Service Executive (2012) National Tobacco Free Campus Policy, Available at: http://www.hse.ie/tobaccofreecampus. Accessed Jul 14 2015
Frazer K, Callinan JE, McHugh J, van Baarsel S, Clarke A, Doherty K, Kelleher C (2016) Legislative smoking bans for reducing harms from secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev 2:CD005992
Global Network for Tobacco Free Health Care Services (2015) Available at: http://www.ensh.org/. Accessed 20 Sept 2015
Rigotto N, Clair C, Munafo M et al (2012) Intervention for smoking cessation in hospitalised patients. Cochrane Database of Systematic Reviews 5:CD001837 http://www.ncbi.nlm.nih.gov/pubmed/22592676. Accessed 14 Aug 2015
Bains M, Britton J, Marsh J et al (2014) Patients and professionals views on a specialist smoking cessation service delivered in a United Kingdom hospital: a qualitative study. Tob Induc Dis 12:1–8
Department of Health (2016) Healthy Ireland Survey 2016 summary of findings Available at: http://health.gov.ie/wp-content/uploads/2016/10/Healthy-Ireland-Survey-2016-Summary-Findings.pdf. Accessed 24 May 2017
Lungo D, Johnson J, Kruse R et al (2001) A prospective investigation of the impact of smoking bans on tobacco cessation and relapse. Tob Control 10(3):267–272
OhAiseadha C, Killeen M, Howell F, Saunders J (2014) An audit of smoking prevalence and awareness of HSE smoking cessation services among HSE staff. Ir Med J 107(4):115–116
Health Service Executive (2010) Tobacco control framework 2010–2015. Available at: http://www.ensh.org/docs/103-Tobacco%20control%20framework%202010-%202015.pdf. Accessed 14 Jul 2015
Kabir Z, Ward B, Clancy L (2011) Attitudes, training and smoking profile of European Respiratory Society members. Eur Respir J 38(1):225–227
Aveyard P, Begh R, Parsons A et al (2012) Brief opportunistic smoking cessation interventions: a systematic review and meta-analysis to compare advice to quit and offer assistance. Addiction 107:1066–1073
Michie S, van Stralen M, West R (2011) The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 6:1–11
Royal College of Physicians (2000). Nicotine addiction in Britain: a report of the Tobacco Advisory Group of the Royal College of Physicians. London
Queensland Health (2014) Health Legislation Amendment Bill 2014. Available at: https://www.legislation.qld.gov.au/Bills/54PDF/2014/HealthLAB14.pdf. Accessed 2 Oct 2015
Centres for Disease Control and Prevention (2014) CDC’s best practices for comprehensive tobacco control programs—2014 Available at: http://www.cdc.gov/tobacco/stateandcommunity/best_practices/. Accessed 25 Apr 2016
Thomson G, Wilson N, Edwards R (2009) At the frontier of tobacco control: a brief review of public attitudes towards smoke free outdoor places. Nicotine Tob Res 11:584–590
Gallus S, Rosato V, Zuccaro P et al (2012) Attitudes towards the extension of smoking restrictions to selected outdoor areas in Italy. Tob Control 21:59–62
Roszkowski M, Neubauer L, Zelikovsky N (2014) Perceived benefits of a designated smoking area policy on a college campus: views of smokers and non-smokers. N Y J Stud Aff 14(1)
Nagle A, Schofield J, Redman S (1996) Smoking on hospital grounds and the impact of outdoor smoke free zones. Tob Control 5:199–204
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Ethical approval for this study was obtained from the Clinical Ethics Committee of the Cork Teaching Hospitals (Appendix).
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McArdle, D., Kabir, Z. Implementing a tobacco-free hospital campus in Ireland: lessons learned. Ir J Med Sci 187, 287–296 (2018). https://doi.org/10.1007/s11845-017-1659-z
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DOI: https://doi.org/10.1007/s11845-017-1659-z