South West London & St George's Mental Health NHS Trust, Springfield University Hospital, London SW17 7DJ, UK.
Population Health Research Institute, St George's, University of London, London SW17 0RE, UK.
J Public Health (Oxf). 2020 May 26;42(2):403-411. doi: 10.1093/pubmed/fdaa033.
Mental health trusts in England were expected to become completely smoke-free and embed smoking cessation practices by 2018. Such policies are fraught with concerns and have received mixed support from mental health staff. Understanding staff attitudes to these practices prior to enforcement of the policy could help design an effective implementation strategy.
A cross-sectional survey was conducted with clinical and non-clinical staff in a Mental Health Trust to understand smoking cessation practices and attitudes to the implementation of a completely smoke-free policy.
There were 631 responses. Most participants disagreed with the policy on wards (59.6%) and throughout all mental health settings (57.4%). Clinicians expressed significantly lower organizational policy support (P = 0.001) than non-clinicians (P = 0.001). Psychiatrists were more supportive of the organizational items than nurses and allied health professionals. Clinicians' attitudes towards smoking cessation practices were less positive for those who were current smokers (P < 0.001), but more positive for clinicians who had received or were interested in attending smoking cessation training (P < 0.001).
Partial and completely smoke-free policies remain unsupported by staff in mental health settings. Smoking cessation training appears to reinforce rather than alter attitudes towards smoking cessation.
英格兰的精神健康信托机构预计将在 2018 年全面禁烟，并实施戒烟措施。这些政策充满了担忧，并且得到了精神健康工作人员的不同程度的支持。在执行政策之前了解工作人员对这些措施的态度，可以帮助制定有效的实施策略。
在一家精神健康信托机构对临床和非临床工作人员进行了横断面调查，以了解戒烟措施和对全面禁烟政策实施的态度。
共收到 631 份回复。大多数参与者不同意病房（59.6%）和所有精神健康场所（57.4%）的禁烟政策。与非临床人员相比，临床医生对组织政策的支持度明显较低（P=0.001）（P=0.001）。精神科医生比护士和联合健康专业人员更支持组织项目。对于目前吸烟的临床医生来说，他们对戒烟措施的态度不那么积极（P<0.001），但对于那些已经接受或有兴趣参加戒烟培训的临床医生来说，他们的态度则更为积极（P<0.001）。
在精神健康环境中，部分和全面禁烟政策仍然得不到工作人员的支持。戒烟培训似乎强化了而不是改变了对戒烟的态度。
