Nico-hosp-motiv 3.1Smoke-free hospital European Training guide

Communication strategies

Motivation strategies

Nico-hosp-motiv 3.2Smoke-free hospital European Training guide

Communication strategies

1. Organisational level

2. Group level

3. Individual level

Nico-hosp-motiv 3.3Smoke-free hospital European Training guide

• Organisational level (a) 1. Public information and visibility of the smoke-

free policy/rules all over the hospital.

2. Visibility of the commitment and leadership of the management team acting in an exemplary smoke-free role.

Source: Mendez E. Hospitals sense fum: un model d’acció institucional concertada. Annals de Medicina 1999; 82:117-118.

Communication strategiesCommunication strategies

Nico-hosp-motiv 3.4Smoke-free hospital European Training guide

Organisational level (b)

3. Distribute informative literature/material on the development and results of the smoke-free hospital policy, specifically to doctors, nurses and hospital support staff.

4. Include information about the smoke-free policy in the general hospital information booklet for all hospital patients.

Source: Institut Català d’Oncologia Smoke-free Hospital Model

Communication strategiesCommunication strategies

Nico-hosp-motiv 3.5Smoke-free hospital European Training guide

Communication strategiesCommunication strategies2. Group level (a)

1. Train doctors and nurses in communication skills to enable them to provide appropriate counselling and motivational advice on smoking cessation.

2. Train staff in contact with patients, relatives and visitors (staff in the cafeteria, security and cleaning personnel, etc.) in communication skills to guarantee the implementation of the smoke-free policy.Source: Institut Català d’Oncologia Smoke-free Hospital Model

Nico-hosp-motiv 3.6Smoke-free hospital European Training guide

Communication strategiesCommunication strategies

2. Group level (b)

3. Train support staff in assertive communication techniques to enable them effectively handle conflicts that arise from non-compliance with the policy.

4. Train nurses in the practice of communication and analysis tools that assist smokers to self-diagnose tobacco addiction levels, reasons for continued smoking and the pros & cons of smoking cessation.

Source: Institut Català d’Oncologia Smoke-free Hospital Model

Nico-hosp-motiv 3.7Smoke-free hospital European Training guide

1. Monitoring and coaching

2.2. Perception tools of motivationPerception tools of motivation

3. Health related motivations *

4.4. Dependence motivation Dependence motivation *

5. Economical motivation

Motivation strategies

* see specific chapter

Nico-hosp-motiv 3.8Smoke-free hospital European Training guide

Motivation strategies for a Motivation strategies for a smoking-free hospital & smoker staffsmoking-free hospital & smoker staff1. Design a mentoring and coaching programme to enhance motivation and decision making towards smoking cessation among nurses.

2. The mentoring programme should offer support to the nurse smoker, in at least five stages:

a) understanding the habit; b) considering stopping; c) preparing to stop; d) stopping smoking; e) staying stopped.

3. The results of a mentoring programme are more effective in hospitals with a smoke-free policy.

Sources: How to stop smoking. A self help pack for nurses. European Forum of National Nursing and Midwifery Association and WHO.

Mentoring and Coaching. Program Design. EVNA Inc. California, USA.

Nico-hosp-motiv 3.9Smoke-free hospital European Training guide

Perception instruments of motivation Perception instruments of motivation to quit smokingto quit smoking

• The Russell questionnaire can be self-administrated, and allows people to foresee the difficulties expected when quitting smoking.

• The Russell questionnaire is useful for the smoker to become conscious about his tobacco dependency and smoking self-evaluation. That is the reason why the feedback provided by the questionnaire is self-motivating.

Nico-hosp-motiv 3.10Smoke-free hospital European Training guide

Health related motivations

• 23 tobacco related illnesses • Other cancersOther cancers• Tobacco, alcohol and oesophageal Tobacco, alcohol and oesophageal

cancercancer• Smoking effects on skin and voiceSmoking effects on skin and voice• Risk of contracting an illness due to Risk of contracting an illness due to

smokingsmoking• Smoking cessation benefitsSmoking cessation benefits

Nico-hosp-motiv 3.11Smoke-free hospital European Training guide

- Individual level (if smokers smokes 1 pack / day)

cost per month : 30 x local price of 1 box = €

cost per year : cost per month x 12 = €

- Society level (annual cost per year smoker in a firm)

Absenteeism 175 €

Loss of productivity 2 600 €

Room organization 100 €

Total 2 875 €

Economical aspectEconomical aspect