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Impact of staffs smoking status on attitude changes following a smoking ban in a Swiss psychiatric hospital

Published online by Cambridge University Press:  16 April 2020

D.F. Zullino ,
R. Bilancioni ,
N. Kaufmann ,
D. Knoble ,
Y.A. Kaufmann ,
B. Broers  and
Y. Khazaal
D.F. Zullino
Affiliation:
Division of Substance Abuse, Department of Psychiatry, University Hospital of Geneva, Geneva, Switzerland
R. Bilancioni
Affiliation:
Department of Psychiatry, University Hospital of Lausanne, Lausanne, Switzerland
N. Kaufmann
Affiliation:
Department of Psychiatry, University Hospital of Lausanne, Lausanne, Switzerland
D. Knoble
Affiliation:
Division of Substance Abuse, Department of Psychiatry, University Hospital of Geneva, Geneva, Switzerland
Y.A. Kaufmann
Affiliation:
Division of Substance Abuse, Department of Psychiatry, University Hospital of Geneva, Geneva, Switzerland
B. Broers
Affiliation:
Division of Substance Abuse, Department of Psychiatry, University Hospital of Geneva, Geneva, Switzerland
Y. Khazaal
Affiliation:
Department of Psychiatry, University Hospital of Lausanne, Lausanne, Switzerland

Abstract

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The implementation of non-smoking policies in psychiatric hospitals is often a more challenging and controversial issue than in other settings. This may be particularly true in Switzerland, a country with a still rather permissive general attitude regarding tobacco smoking. Only recently general hospitals, and subsequently psychiatric hospitals, have begun to implement smoking bans.

Method:

Setting: Two 16-bed inpatient units. Mean length of stay for patients: 10 days. Twenty-four members of the staff responded twice to an interview on cigarettes role in the psychiatric setting, two months before smoking ban implementation, and 3 month after the implementation. Participants' attitudes with regard to the role of cigarettes in the psychiatric setting were investigated.

Results:

GLM models with repeated measures revealed that a general progression towards more restrictive attitudes was observed for both smokers and non-smokers. Non-smokers and ex-smokers, who, as could be expected, had in general more prohibitive attitudes than smokers, showed also a larger progression for most items toward more negative attitudes regarding cigarettes role in the treatment setting.

Conclusion:

The implementation of a smoking ban reinforced the negative attitudes of non-smoking staff towards cigarettes role in the psychiatric setting, while smokers maintained their attitudes until 3 month after the implementation.

Type
Poster Session 1: Antipsychotic Medications
Information
European Psychiatry , Volume 22 , Issue S1: 15th AEP Congress - Abstract book - 15th AEP Congress , March 2007 , pp. S172
Copyright
Copyright © European Psychiatric Association 2007
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