Healthcare staff attitudes towards the use of electronic cigarettes (‘e-cigarettes’) compared with a local trust policy

Abstract

Background:

E-cigarette use has risen dramatically in recent years, despite uncertainty over long-term health effects and concerns regarding efficacy as a smoking cessation device. Currently, there is no legislation prohibiting use in public, though many trusts have extended the NHS Smokefree policy to include e-cigarettes. The successful implementation of such policy is, however, unclear.

Aim:

This study examined staff attitudes towards the use of e-cigarettes in a hospital environment with respect to enforcement of a local trust smoking policy.

Methods:

A total of 79 healthcare professionals working at South Tyneside District Hospital, South Shields, completed a written questionnaire regarding use of e-cigarettes, particularly views on use in public and on hospital premises. Factors influencing the likelihood of individuals to challenge the use of e-cigarettes were assessed.

Results:

In all, 45% of respondents thought that e-cigarettes should be allowed in public places, though a majority (62%) favoured use on hospital grounds compared to within hospital buildings (18%). Over 50% of respondents were unaware of trust policy relating to e-cigarettes and only 25% had ever challenged someone using a device. Roughly, one-third reported that they would still not challenge someone in future, despite being informed of trust policy. Fear of abuse was the most cited reason for not challenging. Expressed concerns of e-cigarette use related to fire risk, ‘normalising’ smoking behaviour and uncertainty of long-term effects.

Conclusion:

Most staff do not enforce trust policy regarding e-cigarette use. This reflects variation in opinion over use, poor awareness of the policy itself and perceived barriers to implementation, including fear of abuse. Addressing these issues through staff education sessions may help successful future implementation.

Keywords

e-cigarettes smoking attitudes policy healthcare staff

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References

Action on Smoking and Health. Use of Electronic Cigarettes in Great Britain. Available online at: http://ash.org.uk/files/documents/ASH_891.pdf (2014, Last accessed 10th November 2015).

McNeil

Brose

Calder

. E-Cigarettes: An Evidence Update. A Report Commissioned by Public Health England. Available online at: www.gov.uk/government/publications/e-cigarettes-an-evidence-update (2015, Last accessed 13th November 2015).

Hughes

Bellis

Hardcastle

. Associations between e-cigarette access and smoking and drinking behaviours in teenagers. BMC Public Health 2015; 15: 244.

Primack

Soneji

Stoolmiller

. Progression to traditional cigarette smoking after electronic cigarette use among US adolescents and young adults. JAMA Pediatrics 2015; 169(11): 1018–23.

McRobbie

Bullen

Hartmann-Boyce

. Electronic cigarettes for smoking cessation and reduction. Cochrane Database of Systematic Reviews 2014; 12: CD010216.

South Tyneside NHS Foundation Trust. Smoking Policy, PP18 (Version 5), March 2015. Available at: http://intranet/intranet_pot/1783.pdf

Shipley

Allcock

. Achieving a smoke-free hospital: Reported enforcement of smoke-free regulations by NHS health care staff. Journal of Public Health 2008; 30(1): 2–7.

Department of Health Estates and Facilities Alert. E-cigarettes, Batteries and Chargers (EFA/2014/002), 16 June 2014. Available at: https://www.health-ni.gov.uk/sites/default/files/publications/dhssps/EFA-2014-002.pdf (Last accessed 7th July 2016).