Hospital as a smoke-free workplace

Hospital as a smoke-free workplace

Objectives: The primary aim of a hospital is to promote/improve and restore health, thus smoking, whether in its passive or active form, should be banned in all hospital premises for the benefit of employees and patients alike. The Global Network for Tobacco Free Healthcare Services (GNTH) is an int...

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Published in:Central European journal of public health Vol. 28; no. Supplement; pp. S26 - S30
Main Authors: Štěpánková, Lenka, Kostelecká, Lenka, Stejskalová, Veronika, Kalvachová, Milena, Králíková, Eva
Format: Journal Article
Language:English
Published: Prague National Institute of Public Health 01-10-2020
Subjects:
Audits
Caregivers
Certification
Cigarette smoking
Communication
Dependence
Drug addiction
Drug therapy
Education
Employee benefits
Gold
Health care
Health facilities
Health services
Hospitals
Medical personnel
Medical treatment
Networks
Nurses
Patients
Physicians
Policies
Professionals
Quality of care
Questionnaires
Silver
Smoking
Smoking cessation
Tobacco
Working conditions
Workplaces
Czech Republic
France
Taiwan
Spain
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Summary:Objectives: The primary aim of a hospital is to promote/improve and restore health, thus smoking, whether in its passive or active form, should be banned in all hospital premises for the benefit of employees and patients alike. The Global Network for Tobacco Free Healthcare Services (GNTH) is an international non-profit association formed in 1999. The GNTH's mission is to implement tobacco-free policies to create a healthy workplace and patients' environment; help physicians, nurses and other healthcare workers to stop smoking; and educate all caregivers about tobacco dependence treatment and support them in providing smoking cessation interventions. Methods: Implementation standards and a system of their self-audit for all participating hospitals were developed by the GNTH. We describe both the international and Czech networks, recommended methods for programme implementation and results of self-audit questionnaires completed by Czech participating hospitals. Results: Worldwide, there are 19 national networks with 1,672 members including 56 gold forum members. To date, the largest network has been formed in France (670 members), followed by Spain (580) and Taiwan (209). After the first Czech institution (Prague-based General University Hospital) joined GNTH in 2010, the Czech Republic established its national network in 2017 currently comprising 10 members, of this number 1 gold, 3 silver and 6 bronze national certification level members. The main barriers to better outcomes in the Czech Republic include smoking on outdoor hospital grounds, lack of pharmacotherapy reimbursement and time, and inadequate staff education in the field of tobacco dependence treatment. Conclusions: The Global Network's mission is to advocate, recruit and enable healthcare services and professionals to implement and sustain effective tobacco management and cessation policies in accordance with the WHO Framework Convention on Tobacco Control (FCTC). A systematic approach supports the quality of care and treatment outcomes for patients as well as healthy workplace conditions for the staff.
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ISSN:1210-7778
1803-1048
DOI:10.21101/cejph.a6172