Brief smoking cessation in acute Welsh hospitals: a realist approach.
This implementation study sought to determine what works to support brief smoking cessation (BSC) in acute hospital settings, through exploration of organizational delivery and the role of healthcare professionals (HCPs). We used a realist approach, with embedded stakeholder engagement, within a lar...
| Publicado en: | Health Promotion International Vol. 35; no. 2; pp. 244 - 255 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Apr2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143433355&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143433355 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09574824 F9Y jtl: Health Promotion International issn: 09574824 maglogo: N pubinfo: dt: Apr2020 vid: 35 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 143433355 143433355 143433355 10.1093/heapro/daz020 143433355 ppf: 244 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Brief smoking cessation in acute Welsh hospitals: a realist approach. aug: au: Davies, Siân Burton, Christopher R Williams, Lynne Tinkler, Angela affil: School of Health Sciences, College of Health and Behavioural Sciences, Bangor University, Bangor, UK sug: subj: Smoking Cessation Acute Care Human Interviews Data Analysis Software Confidence Intervals Descriptive Statistics ab: This implementation study sought to determine what works to support brief smoking cessation (BSC) in acute hospital settings, through exploration of organizational delivery and the role of healthcare professionals (HCPs). We used a realist approach, with embedded stakeholder engagement, within a large health organization. We conducted interviews (n = 27), a survey (n = 279) and organization documentation review (n = 44). The final programme theory suggests HCPs implement BSC when they value it as part of their role in contributing to improved patient outcomes; this is due to personal and professional influences, such as knowledge or experience. Organizational support, training and working in an environment where BSC is visible as standard care, positively influences implementation. However, the context exerts a strong influence on whether BSC is implemented, or not. HCPs make nuanced judgements on whether to implement BSC based on their assessment of the patient's responses, the patient's condition and other acute care demands. HCPs are less likely to implement BSC in dynamic and uncertain environments, as they are concerned about adversely impacting on the clinician–patient relationship and prioritize other acute care requirements. Organizations should actively promote BSC as a core function of the acute hospital setting and improve professional practice through leadership, training, feedback and visible indicators of organizational commitment. HCPs can be persuaded that implementing BSC is an acute care priority and an expectation of standard practice for improving patient outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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