Magor-Blatch L E, Rugendyke A R
School of Psychology, University of Wollongong, Wollongong, NSW, Australia.
Centre for Applied Psychology, Faculty of Health, University of Canberra, Canberra, Australia.
J Psychiatr Ment Health Nurs. 2016 Jun;23(5):290-302. doi: 10.1111/jpm.12309. Epub 2016 Jun 9.
WHAT IS KNOWN ON THE SUBJECT?: While smoking rates within the general population in Australia are dropping, 32% of Australians with a mental illness smoke, increasing to 73% among those with severe or chronic mental illness. In Australia and elsewhere, smoking bans within mental health facilities have been implemented. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: We surveyed 98 mental health professionals in Australia to gather information on attitudes toward smoke-free policies in mental health/psychiatric units within Australia. While previous research has sought information on agreement or disagreement with smoking-bans, very little research has been conducted focusing on attitudes held by mental health professionals towards smoke-free policies. This study utilized a mixed-methods approach in which the qualitative data provides a rich source of information to assist in developing programmes or interventions to influence attitudes and therefore change behaviours of mental health professionals. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This paper can be useful in providing a better understanding of the theories linking smoking and mental illness, and the common 'myths' which influence attitudes to smoking cessation in clinical populations. Results will influence the development of training and education resources for mental health practitioners, and particularly for nursing staff working within psychiatric facilities, in relation to smoking cessation. Importantly, this issue has implications in the areas of policy planning and development, education relating to smoking behaviour and smoking cessation programmes, together with holistic health care.
Introduction Mental health units in Australia and internationally are increasingly implementing smoke-free policies. Due to the high prevalence of smoking among clinical populations, this has become an important research area. Purpose of study This study explored the attitudes of mental health professionals toward smoke-free policies in mental health units within Australia. Method Using an online survey design, 98 Australian mental health professionals participated in the study. Results Results indicated that only 25.5% agreed with a total smoking ban. Although supporting smoke-free initiatives within the wider community, participants commonly held attitudes that were unsupportive of smoking bans, and indicated beliefs inconsistent with a smoke-free policy for clinical populations. Discussion Results suggest the need for appropriate staff education and training regarding smoking behaviours and risks, and smoking cessation treatments for clinical populations if smoke-free policies are to be successfully implemented. Implications for practice Findings suggest important implications for holistic mental health care, staff education and training, as well as policy, planning and development, particularly in relation to this treatment group, who are likely to have entered a psychiatric unit in crisis.
关于该主题已知的信息有哪些？：虽然澳大利亚普通人群的吸烟率在下降，但患有精神疾病的澳大利亚人中有32%吸烟，在患有严重或慢性精神疾病的人群中这一比例增至73%。在澳大利亚和其他地方，精神卫生机构已实施了禁烟令。本文对现有知识的补充是什么？：我们对澳大利亚的98名精神卫生专业人员进行了调查，以收集他们对澳大利亚精神卫生/精神病科无烟政策的态度信息。虽然之前的研究一直在寻求关于是否同意禁烟令的信息，但很少有研究关注精神卫生专业人员对无烟政策的态度。本研究采用了混合方法，其中定性数据提供了丰富的信息来源，有助于制定方案或干预措施，以影响态度，从而改变精神卫生专业人员的行为。对实践有何影响？：本文有助于更好地理解吸烟与精神疾病之间的联系理论，以及影响临床人群戒烟态度的常见“误区”。研究结果将影响针对精神卫生从业者，特别是在精神病设施工作的护理人员的戒烟培训和教育资源的开发。重要的是，这个问题在政策规划与制定、与吸烟行为及戒烟计划相关的教育以及整体医疗保健等领域都有影响。
引言 澳大利亚和国际上的精神卫生单位越来越多地实施无烟政策。由于临床人群中吸烟率很高，这已成为一个重要的研究领域。研究目的 本研究探讨了澳大利亚精神卫生专业人员对精神卫生单位无烟政策的态度。方法 采用在线调查设计，98名澳大利亚精神卫生专业人员参与了研究。结果 结果表明，只有25.5%的人同意全面禁烟。尽管参与者支持更广泛社区内的无烟倡议，但他们普遍持有不支持禁烟令的态度，并表示其信念与针对临床人群的无烟政策不一致。讨论 结果表明，如果要成功实施无烟政策，需要对员工进行关于吸烟行为和风险以及针对临床人群的戒烟治疗的适当教育和培训。对实践的影响 研究结果表明对整体精神卫生保健、员工教育和培训以及政策、规划与制定具有重要意义，特别是对于这个可能在危机中进入精神病科的治疗群体。
