title: Smoke-free hospital site conversations: how nurses can initiate change.
abstract: Smoking tobacco continues to be the world's most preventable cause of death and disability with over six trillion cigarettes sold each year. Patients, visitors and health professionals who smoke on hospital sites present a challenge to the effectiveness of public health messages. Health professionals who ignore 'No smoking' hospital/clinic signage, and avoid smoking-cessation activity, help to sustain the perception that smoking is tolerated. Case studies, with a focus on lung cancer and chronic obstructive pulmonary disease (COPD), are used to illustrate how nurses can 'seed' the idea of hospitals becoming smoke-free, provide brief interventions and support patients, carers and colleagues to make that change.
authors.affiliation: Tobacco Control Lead Nurse, The Christie NHS Foundation Trust, Manchester.
authors.forename: Peter
authors.initials: P
authors.lastname: Mackereth
authors.affiliation: Senior Health Advisor, The Christie NHS Foundation Trust, Manchester.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Finchett
authors.affiliation: Community Engagement Manager, Roy Castle Lung Cancer Foundation, Liverpool.
authors.forename: Melody
authors.initials: M
authors.lastname: Holt
mesh_terms: D006761:Hospitals; D006801:Humans; D007400:Interprofessional Relations; D008175:Lung Neoplasms; D024802:Nurse's Role; D029424:Pulmonary Disease, Chronic Obstructive; D061845:Smoke-Free Policy; D012907:Smoking / Q000628:therapy*; D016540:Smoking Cessation; D014789:Visitors to Patients
keywords: Cancer; Change; Chronic obstructive pulmonary disease; Lung disease; Nicotine; Smoking