Effects of a smoke-free policy on healthcare staff attitudes and aggression in psychiatry
<span class="Bold">Background</span> The prevalence of smoking among patients with psychiatric disorders is 3-4 times higher than the general population. However, smoking is still permitted in many psychiatric clinics. The National Prevention Agreement (2018) mandates that all psychiatric wards be smoke-free by 2025. The UMC Utrecht clinics have been smoke-free since November 2020. <span class="Bold">Aim</span> To examine healthcare workers’ attitudes before and after implementing the smoke-free policy. <span class="Bold">Method</span> In an observational study with quantitative data analysis, data were collected in one center from healthcare workers in psychiatry departments with surveys. We collected demographic information, smoking status, attitudes towards the smoke-free policy, and its impact on patients and care. Incidents of aggression were prospectively recorded and reported in the MAP (aggression incidents in patient care). <span class="Bold">Results</span> Out of 172 healthcare workers invited to participate, 30% (n = 52) completed the pre-implementation survey, and 20% (n = 34) completed the post-implementation survey. Prior to implementation, 62% (n = 32/52) of healthcare workers had a positive attitude towards the smoke-free policy, which increased to 77% (n = 26/34) post-implementation. Expectations of increased aggression incidents were reported by 62% (n = 32/52) during the pre-implementation phase. The number of aggression incidents was 46 in the one-year period before implementation (November 2019 – February 2020) and 45 incidents after implementation (November 2020 – February 2021). <span class="Bold">Conclusion</span> This study supports the implementation of a smoke-free policy in psychiatric clinics due to the lack of a significant increase in aggression incidents. Healthcare workers perceived this outcome and observed quicker granting of ‘green’ freedoms.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:66 |
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| Enthalten in: |
Tijdschrift voor psychiatrie - 66(2024), 2 vom: 31., Seite 70-75 |
| Sprache: |
Niederländisch |
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| Weiterer Titel: |
Effecten van een rookvrijbeleid op attitudes zorgpersoneel en agressie in de psychiatrie |
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| Beteiligte Personen: |
van den Berg, C [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 22.03.2024 Date Revised 22.03.2024 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM370017161 |
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| 245 | 1 | 0 | |a Effects of a smoke-free policy on healthcare staff attitudes and aggression in psychiatry |
| 246 | 3 | 3 | |a Effecten van een rookvrijbeleid op attitudes zorgpersoneel en agressie in de psychiatrie |
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| 520 | |a <span class="Bold">Background</span> The prevalence of smoking among patients with psychiatric disorders is 3-4 times higher than the general population. However, smoking is still permitted in many psychiatric clinics. The National Prevention Agreement (2018) mandates that all psychiatric wards be smoke-free by 2025. The UMC Utrecht clinics have been smoke-free since November 2020. <span class="Bold">Aim</span> To examine healthcare workers’ attitudes before and after implementing the smoke-free policy. <span class="Bold">Method</span> In an observational study with quantitative data analysis, data were collected in one center from healthcare workers in psychiatry departments with surveys. We collected demographic information, smoking status, attitudes towards the smoke-free policy, and its impact on patients and care. Incidents of aggression were prospectively recorded and reported in the MAP (aggression incidents in patient care). <span class="Bold">Results</span> Out of 172 healthcare workers invited to participate, 30% (n = 52) completed the pre-implementation survey, and 20% (n = 34) completed the post-implementation survey. Prior to implementation, 62% (n = 32/52) of healthcare workers had a positive attitude towards the smoke-free policy, which increased to 77% (n = 26/34) post-implementation. Expectations of increased aggression incidents were reported by 62% (n = 32/52) during the pre-implementation phase. The number of aggression incidents was 46 in the one-year period before implementation (November 2019 – February 2020) and 45 incidents after implementation (November 2020 – February 2021). <span class="Bold">Conclusion</span> This study supports the implementation of a smoke-free policy in psychiatric clinics due to the lack of a significant increase in aggression incidents. Healthcare workers perceived this outcome and observed quicker granting of ‘green’ freedoms | ||
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a van Berkel, C J M |e verfasserin |4 aut | |
| 700 | 1 | |a van der Meer, P B |e verfasserin |4 aut | |
| 700 | 1 | |a Tijsterman, B W A |e verfasserin |4 aut | |
| 700 | 1 | |a van Balkom, A W M |e verfasserin |4 aut | |
| 700 | 1 | |a Scheepers, F E |e verfasserin |4 aut | |
| 700 | 1 | |a Batalla, A |e verfasserin |4 aut | |
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