Loading...
Health care professionals implementing a smoke-free policy at inpatient psychiatric units
Grant, Lyle Oliffe, John Johnson, Joy Bottorff, Joan
Grant, Lyle
Oliffe, John
Johnson, Joy
Bottorff, Joan
Abstract
Smoke-free grounds policies (SFGPs) were introduced to inpatient psychiatric hospital settings to improve health among patients, staff, and visitors. We conducted an ethnographic study in Northern British Columbia, Canada, to describe how the implementation of SFGPs is affected by institutional cultures. Data reported here included participant observation, document review, informal discussions (n = 11), and interviews with health care professionals (HCPs; n = 19) and staff (n = 2) at two hospitals. We used iterative and inductive processes to derive thematic findings. Findings related to HCPs illustrate how local contexts and cultural factors affect SFGP implementation. These factors included individual beliefs and attitudes, the influence of group norms, leadership and consensus building, and locale-specific norms. Strong, consultative leadership, in which leaders solicited input from and long-term support of people most directly responsible for policy implementation, was key to success.
Keywords
Date
2014
Type
Journal article
Journal
Qualitative Health Research
Book
Volume
24
Issue
12
Page Range
1732-1744
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled