European smoke free hospital netwok
This presentation is the property of its rightful owner.
Sponsored Links
1 / 29

European smoke free hospital Netwok PowerPoint PPT Presentation


  • 91 Views
  • Uploaded on
  • Presentation posted in: General

European smoke free hospital Netwok. Stefano Nardini Anne Marie Schoelcher Ann 0’riordan Ariadni Ouranou François Chieze Bertrand Dautzenberg. Audit of smoke free hospital. European code. Engage decision-makers. Inform all personnel and patients.

Download Presentation

European smoke free hospital Netwok

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


European smoke free hospital netwok

European smoke free hospital Netwok

Stefano Nardini

Anne Marie Schoelcher

Ann 0’riordan

Ariadni Ouranou

François Chieze

Bertrand Dautzenberg

Audit of smoke free hospital


European code

European code

  • Engage decision-makers. Inform all personnel and patients.

  • Appoint an action group. Propose a strategy and an implementation plan.

  • Set up a training plan to instruct all staff on how best to approach smokers.

  • Organise cessation support facilities for patients and staff in the hospital and provide continuity outside the hospital.

  • Indicate smoking zones clearly, for as long as they are considered necessary, and keep them away from clinical and reception areas.

  • Adopt appropriate signs, including posters, signposts, etc.

  • Remove all incentives to smoke -such as ashtrays, tobacco sales, etc..

  • Renew and broaden information to maintain commitment to the policy.

  • Ensure follow-up and quality assurance.

  • First convince, constrain considering legislation if needed. Have patience!


Smoke free hospital membership

Smoke-free Hospital membership

  • Initial Phase:

  • Membership of a Smoke-free Hospital Network is acquired by :

  • A letter of commitment from hospital management

  • The designation of a tobacco prevention correspondent for the hospital


Smoke free hospital bronze level

Smoke-free Hospital : Bronze level

gold

silver

bronze

  • This first phase outlines what a hospital must achieve in order to awarded the bronze level. It is the first step towards becoming a smoke-free hospital label.

  • This stage can be reached in less than 1 year, or in a trimester if a clear engagement of hospital management exists, especially when re-organizing, moving or building are planned, or if a new organization is to be implemented or if any other positive changes are planned within the hospital.

  • On the other hand, when the hospital has problems, it may take longer for it to reach bronze level.

  • For a hospital to reach the bronze level, points 1 and 2 of the European code must be achieved.


Smoke free hospital silver level

Smoke-free Hospital : Silver level

gold

Silver

bronze

  • Reaching this level will take longer - from 1 to 10 years.

  • Implementation will proceed in a step-by-step progression.

  • Successful implementation of the minimum standard Smoke-free Hospital policy means that the hospital is fully committed to the minimum smoke-free requirements.

  • The progressive implementation of this stage requires positive and continuous pressure, along with a search for consensus. Constraint needs to be used only as an ultimate action, but may be considered necessary as stated in point 10 of European code.

First convince, constrain considering legislation if needed. Have patience!


Smoke free hospital gold level

Smoke-free hospital : Gold level

gold

Silver

bronze

  • This stage is the ultimate goal to be reached, with no smoking either inside the hospital buildings or in open areas around the hospital.

  • This ultimate goal will take a long time, often more than 10 years.

  • When this goal is reached, there will still be a need for:

    • Periodic reviews, audits and preventive measures to remain at this level of quality.

    • Provide help to other non-hospital based communities in order to implement further smoke-free places.


Auto audit process

Auto audit process

  • A volontary process of hospitals to assess tobacco policies

  • A one page self audit questionnaire

  • The questionnaire could be repeat each year

  • The questionnaire follow the European code

  • After a first validation of questionnaire, 3 countries of ENSH are volontaire to test the questionnaire


Methods

Methods

  • Ireland, Italy and France corerspondant of ENSH selected 25-50 hospitals to participate

  • .

  • Each country analyse his data and propose change in the audit questionnaire.

  • All the data are pulled as excell file then analysed


Questionnaire

Questionnaire

  • For each item the answer is

    • 0 non implemented

    • 1

    • 2

    • 3

    • 4 totally implemented

    • NA non applicable


Self audit questionnaire in ireland

Self audit questionnaire in Ireland

  • Irish Smoke-free Health Service Initiative developed in line with the European Code for Smoke-free Hospitals and national legislation was established 2000.

  • ENSH Self audit questionnaire was incorporated into the Irish Smoke-free Health Service Initiative in 2001.

  • The Irish Initiative has four distinct stages, hospitals that reach stage four can categorise themselves as being bronze, silver or gold by using the self audit questionnaire.

  • Results presented here are from 25 (68%) of the initial 37 hospitals invited to use the self audit questionnaire


Ensh code 1 engage decision makers

ENSH Code : 1 - Engage decision makers

4

4

3

3

2

2

1

1

0

0

NA

NA

Two questions in the self audit :

1 - 1 Hospital documents (general contracts, public documents etc) specify the hospital smoke free policy

1 - 2 Staff and patients are clearly informed of smoke-free policies


1 policy response from italy

1. Policy : response from Italy

Policy on official documents

Information to patients and staff


Policy response from ireland

Policy : response from Ireland


Policy response from france

Policy : response from France

50

44

45

40

36

35

0

30

1

24

25

2

18

20

3

4

15

10

6

4

4

2

5

0

0

0

Information to patients & staff

Policy on official documents


2 working group response from ireland

2. Working Group : response from Ireland

Working

group

appointed

Chair

from

top

manag.

New

strategy

launched

in 2002

Previous

plans

audited

in 2002

Audit

results


3 staff education and training response from ireland

3. Staff Education and Training : response from Ireland

Education planned

Timeallowed


Results from italy

Results from Italy


Results from italy1

Results from Italy


Results from italy2

Results from Italy


Results from italy3

Results from Italy


Results from italy4

Results from Italy


Results from italy5

Results from Italy


Results from italy6

Results from Italy


Results from italy7

Results from Italy


Results from italy8

Results from Italy


Results from italy9

Results from Italy


Comparison of individual score for 28 hospitals in 3 countries

Comparison of individual score for 28 hospitals in 3 countries


Comparison of individual score for 28 hospitals in 3 countries1

Comparison of individual score for 28 hospitals in 3 countries

Very important variation are observed in the same country

The score decrease from north to south

Irland>France>Italy


Joint us

Joint us


  • Login