在药物使用治疗中心实施无烟工作场所计划:一个案例研究
Anastasia Rogova1,2, Isabel Martinez Leal3,4, Maggie Britton3,4
1The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, 77230-1402, Houston, TX, Unit 1444, P.O. Box 301402, United States of America. arogova@mdanderson.org.
BMC health services research
|February 14, 2024
概括
在物质使用治疗中心实施无烟工作场所计划是可行的. 工作人员的支持和资源促进了戒烟服务的整合,改善了客户的护理,尽管存在挑战.
科学领域:
- 公共卫生 公共卫生
- 行为健康 行为健康
- 成 药物 药物 药物 药物
背景情况:
- 患有物质使用障碍 (SUD) 的人吸烟率和与烟草有关的疾病负担较高.
- 吸毒治疗中心往往缺乏基于证据的戒烟支持和全面的无烟政策.
- 本研究探讨了在SUD治疗环境中实施无烟工作场所计划的障碍和促进因素.
研究的目的:
- 确定在物质使用治疗中心实施可持续无烟工作场所计划的障碍和促进因素.
- 了解员工和客户对治疗环境中的烟草使用和戒烟的看法.
主要方法:
- 采用民族学方法的定性案例研究.
- 通过对员工 (n=6) 和客户 (n=16) 的采访和现场访问 (n=8) 收集数据.
- 以扩展的规范化过程理论为指导的主题分析.
主要成果:
- 工作人员普遍支持该计划,了解它的好处.
- 挑战包括客户吸烟率高和员工对客户兴趣/戒烟能力低的看法.
- 促进者包括员工培训,领导力支持,员工吸烟率低,以及获得尼古丁替代品等资源的机会.
- 计划的实施和执行逐渐改变了人们的态度,改善了戒烟护理.
结论:
- 尽管客户的复杂性,但物质使用治疗中心可以将戒烟融入运营中.
- 有了适当的支持,这些中心可以提供至关重要的戒烟护理,解决这一群体的健康差异.
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