Evaluation of a totally smoke-free forensic psychiatry inpatient facility: practice and policy implications

dc.contributor.author Lawn, Sharon Joy
dc.contributor.author Hehir, Angela
dc.contributor.author Indig, Devon
dc.contributor.author Prosser, Shani
dc.contributor.author Macleod, Shona
dc.contributor.author Keller, Adrian
dc.date.accessioned 2015-06-16T04:58:09Z
dc.date.available 2015-06-16T04:58:09Z
dc.date.issued 2014-07-08
dc.description Author version made available in accordance with the publisher's policy en
dc.description.abstract Objective: To evaluate the impact of implementing smoke-free policy in an Australian high security forensic psychiatry inpatient hospital. Methods: Focus groups (N=21) and surveys with patients (N=45) and surveys with staff (N=111, 53.2% nurses) elicited their experience and attitudes towards smoke-free policy. A follow-up survey elicited the impact of the policy on 15 patients’ smoking practice post discharge. Results: Eighty-five percent of patients stated it was easier quitting when no-one else smoked. Over half of discharged patients surveyed (58%) continued to not smoke post-discharge, despite almost half of staff (41%) perceiving that patients were unlikely to quit long-term. Smoking staff were significantly more pessimistic than non-smoking staff. Many patients (69%) perceived that their health had improved as a result of not smoking. Most staff (80%) viewed nicotine dependence treatment as important, but fewer (66%) felt confident to support patients to stop smoking. Increased patient violence and management difficulties expected by staff were not realized. Conclusions: Smoke-free policy can be successfully implemented in forensic psychiatry inpatient units. Nursing staff are a large and important group who need particular support to implement smoke-free policy into practice effectively, particularly those who are smokers. Continuity of care as part of a coordinated policy and service response is needed. en
dc.identifier.citation Lawn S, Hehir A, Indig D, Prosser S, Macleod S and Keller A (2014 ) Evaluation of a totally smoke-free forensic psychiatry inpatient facility: practice and policy implications. Australian Health Review 38(4): 476-482 en
dc.identifier.doi https://doi.org/10.1071/AH13200 en
dc.identifier.issn 0156-5788
dc.identifier.uri http://hdl.handle.net/2328/35398
dc.language.iso en
dc.publisher CSIRO Publishing en
dc.rights Journal compilation © the Australian Healthcare & Hospitals Association 2014 en
dc.rights.holder the Australian Healthcare & Hospitals Association en
dc.rights.license In Copyright
dc.title Evaluation of a totally smoke-free forensic psychiatry inpatient facility: practice and policy implications en
dc.type Article en
local.contributor.authorOrcidLookup Lawn, Sharon Joy: https://orcid.org/0000-0002-5464-8887 en_US
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