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A mountain not too high to climb : a qualitative study exploring facilitators and barriers to smoking cessation in a regional mental health service

journal contribution
posted on 06.12.2017, 00:00 by Margaret McallisterMargaret Mcallister, L Halliday, H Jobson, T Jacobs, Trudi FlynnTrudi Flynn, Christine KargillisChristine Kargillis, F Oprescu, J Lowe
Tobacco smoking is the largest single preventable cause of death and disease in Australia. Reports suggest that up to 88% of people who have mental health problems of any kind continue to smoke, even when in acute mental health units. Some organisations have adopted smoking free policies; however, implementation of smoking cessation programs in acute mental health units has had varied levels of success. This qualitative study examined the second attempt to implement a smoke-free policy in an acute mental health service in Queensland, Australia, to explore the facilitators and barriers to change. Post-process interviews conducted with ten clinicians and consumers revealed facilitators and barriers within themes of Culture, Wellbeing and Strategy. Key barriers included a negative institutional culture, fear and inconsistent application of the policy (associated with staff attrition, workloads, policy loopholes and resistance). Key facilitators were positive leadership, adequate resources, staff and consumer engagement, supportive formal policy, and staff unity. Analysis also suggested benefits in cultivating a non-restrictive, healthy and respectful environment, and deploying a clear, consistent strategy that includes planning, preparation, implementation and maintenance phases.

Funding

Category 3 - Industry and Other Research Income

History

Issue

2015

Start Page

26

End Page

37

Number of Pages

12

eISSN

1837-4905

ISSN

1838-7357

Publisher

Taylor and Francis Australasia

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Not affiliated to a Research Institute; School of Nursing and Midwifery (2013- ); Sunshine Coast Hospital and Health Service; University of the Sunshine;

Era Eligible

Yes

Journal

Advances in mental health.

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