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Int. J. Environ. Res. Public Health 2011, 8(2), 498-513; doi:10.3390/ijerph8020498
Article

Experiences of Working with the Tobacco Issue in the Context of Health Promoting Hospitals and Health Services: A Qualitative Study

1
, 1
 and 1,2,*
Received: 10 January 2011; in revised form: 11 February 2011 / Accepted: 12 February 2011 / Published: 15 February 2011
(This article belongs to the Special Issue Tobacco Smoking: Public Health, Science and Policy)
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Abstract: The worldwide Health Promoting Hospital and Health Services (HPH) network was initiated by the World Health Organizations in the late 1980s. The goal of the network is to change the focus of health services from curing patients to also embrace disease prevention and health promotion. In Sweden the network started in 1996, and involves mainly hospitals and primary care. The network members collaborate in task forces, one of which is working on the tobacco issue. There is limited evidence on the value of working within an HPH organization. The aim of this study was to investigate the experiences of members of the Swedish HPH network tobacco task force. Focus group interviews with task force members were analyzed using implementation theory. Three themes, overall experiences of working with tobacco issues, experiences of working with “free from tobacco in connection with surgery”, and experiences of work in the HPH tobacco task force, emerged from the interviews. The results show that working with the tobacco issue in the context of health-promoting hospitals and health services met with difficulties involving the following important factors: evidence, context, facilitation and adopter characteristics. Leadership, one contextual factor, at national and local level, seems to be crucial if the work is going to succeed. The tobacco task force of the HPH network is an important facilitator supporting the task.
Keywords: health-promoting hospitals; setting-based health promotion; smoking cessation; tobacco; public health; anti-tobacco policy making health-promoting hospitals; setting-based health promotion; smoking cessation; tobacco; public health; anti-tobacco policy making
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Carlfjord, S.; Kristenson, M.; Lindberg, M. Experiences of Working with the Tobacco Issue in the Context of Health Promoting Hospitals and Health Services: A Qualitative Study. Int. J. Environ. Res. Public Health 2011, 8, 498-513.

AMA Style

Carlfjord S, Kristenson M, Lindberg M. Experiences of Working with the Tobacco Issue in the Context of Health Promoting Hospitals and Health Services: A Qualitative Study. International Journal of Environmental Research and Public Health. 2011; 8(2):498-513.

Chicago/Turabian Style

Carlfjord, Siw; Kristenson, Margareta; Lindberg, Malou. 2011. "Experiences of Working with the Tobacco Issue in the Context of Health Promoting Hospitals and Health Services: A Qualitative Study." Int. J. Environ. Res. Public Health 8, no. 2: 498-513.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert