RT Journal Article
SR Electronic
T1 Understanding the enablers and barriers to implementing smoke-free NHS sites across acute care trusts in Greater Manchester: results of a hospital staff survey
JF Future Healthcare Journal
JO Future Healthc J
FD Royal College of Physicians
SP e676
OP e682
DO 10.7861/fhj.2020-0243
VO 8
IS 3
A1 Hannah Clegg
A1 Freya Howle
A1 Kathryn Groom
A1 Ryan Moore
A1 Lynn Hryhorskyj
A1 Seamus Grundy
A1 Alex Tempowski
A1 Beth Turnpenny
A1 Hou Law
A1 Ram Sundar
A1 Al-Tahoor Butt
A1 Muntasir Abdelaziz
A1 Sanjay Agrawal
A1 Jane Coyne
A1 Andrea Crossfield
A1 Matthew Evison
YR 2021
UL http://www.rcpjournals.org/content/8/3/e676.abstract
AB Introduction The current study aims to identify enablers and barriers to implementing smoke-free NHS hospital grounds through a hospital staff survey.Methods Staff members from eight acute care NHS trusts in Greater Manchester were invited to complete a 15-minute web-based questionnaire.Results Five-hundred and eighty-eight participants completed the questionnaire. Nineteen per cent (114/588) of respondents were current smokers and 10% (61/588) were currently vaping. Sixty per cent (68/114) smoked at work and 66% (40/61) vaped at work. Sixty-seven per cent (314/468) supported dedicated on-site tobacco addiction treatment services for hospital staff with specific support for drop-in clinics and free pharmacotherapy for staff. Sixty-one per cent (290/477) and 67% (318/477) strongly agreed / agreed that patients/visitors and staff, respectively, should not smoke on hospital grounds. Seventeen per cent (83/484) had received training in very brief advice. Thirty-five per cent (190/547) felt vaping was less harmful than smoking, 19% (92/472) felt exhaled vapour was likely to be safe to bystanders, 36% (172/475) would support vaping-friendly hospital grounds and 31% (37/120) felt confident in discussing vaping.Discussion Enablers to a smoke-free NHS site include dedicated tobacco addiction services for staff and empowering staff through appropriate training to support smokers on the hospital grounds. Barriers include the lack of awareness and support for the harm reduction benefits of vaping.