tobacco control activities royal hospital for sick children
TRANSCRIPT
Tobacco Control Activities –
Royal Hospital for Sick Children,
Yorkhill, Glasgow
RHSC, Yorkhill
RHSC, Yorkhill : Overview
• The hospital was built in 1971
• UK wide – predominantly Scotland
• Provides care from newborn to children
around 13 years of age
• 266 in-patient beds, 12 day-case beds
• 90,000 out-patients, 15,000 in-patients,
7,300 day-cases and 35,000 A&E
attendances per year
• Plans to move to a new hospital in 2015
Background to Work
• Women and Children’s Health Improvement
Steering Group – chaired by HIS for Maternity &
Children, attended by Head of Nursing @ RHSC
• Part of Wider Health Improvement Plan for the
Women and Children’s Directorate
• NHS GG&C SHS campaign factored into action
plan
• Better Together Quality Care Steering Group
Tobacco Control Activities Protection:
• Reducing the visibility of smoking by increasing compliance with NHS Greater Glasgow and Clyde’s No Smoking Policy
• Increasing awareness of the harmful effects of secondhand smoke towards children Distribution of secondhand smoke resources
Undertaking secondhand smoke training with key staff groups
Prevention: • Increasing awareness of the W-West website
Cessation: • Increasing awareness of the Smoking Cessation
Service and the Butt Out Service for young people
Work to Date
• Surveys with staff, adults and young people
• Awareness session – respiratory staff
• Awareness session – Grand Round
(Registrars and Doctors)
• Awareness session – A&E Staff
• BI training – Audiology Department
• Distribution of resources
• Work with Young People’s Service
Current Signage
Outdoors Play Area
Perimeter of Outdoors Play Area
Outside of the Play Area
Adult/Young People Surveys
• 168 questionnaires completed with adults
and young people during February/March
2012
• 124 completed with adults
• 44 completed with young people
• 68% lived in GGC area
• 39% of the adults were smokers
Adult/Young People Results
• 50 respondents (30%) not aware of the
No Smoking Policy
• 82 respondents (49%) stated that they
had seen people smoking in the
grounds
• 41 respondents (24%) not aware of
signage
Adult/Young People Results
• 66 respondents (39%) felt the current
signage not encouraging
• 119 respondents (71%) thought that
new no smoking signs designed by
young people would encourage people
not to smoke within the hospital grounds
Young People’s Quotes-Signage
• “Big writing, different colours to stand out
more. Picture of healthy and unhealthy lungs
showing how smoking can damage your
lungs”.
• “Adult smoking – sad child, adult not smoking
– happy child”.
• “Big, brightly coloured, not like usual ones”.
• “Brighter and using kids drawings”.
Adult/Young People-Suggestions
• Designated smoking areas/shelters
• Fines
• Patrols of grounds
Young People’s Service
• Art workshops - designing new signage
• 2 x 30 second animation clips DVD -information screens in Yorkhill
• Media coverage : STV website, Evening Times and Sunday Mail
• http://local.stv.tv/glasgow/magazine/108535-patients-bring-realities-of-second-hand-smoke-to-life-with-short-film/
Young People’s Artwork
Young People’s Artwork
Young People’s Artwork
Medical Illustration Draft Signs
Medical Illustration Draft Signs
Medical Illustration Draft Signs
Pre-testing of Signage
• 68 questionnaires completed 27% - The Impact
23% - Its very selfish of you
21% - You there
• 32 respondents (47%) felt that the strapline would encourage people not to smoke in the grounds
• 28 respondents (41%) gave suggestions on how to make the signs more effective in encouraging people not to smoke within the hospital grounds
• 26% of respondents were smokers
DVD
Staff Survey
• Staff survey circulated internally via Head of
Nursing : August 2012 (Survey Monkey)
• 111 responses received electronically
• 50 responses face-to-face
• 7% response rate
• Redistributed via IT to all staff at Yorkhill :
December 2012
• 349 staff responded
• 16% response rate
Staff Survey Results
• 275 respondents (80%) worked full-time
• 32 respondents (9%) said they smoked
• 332 respondents (98%) are aware of the No Smoking Policy
• 259 respondents (77%) are aware that staff who breach the Policy, including smoking in uniform, are liable to be subject to disciplinary action
Staff Survey Results
• 312 respondents (92%) said that they
had seen someone smoking within the
grounds
• 102 respondents (31%) have asked
someone to stop smoking in hospital
property, including the grounds
Staff Survey Results
If yo u sa w so me o ne smo king within the ho sp ita l g ro und s, ho w
co mfo rta b le wo uld yo u fe e l a sk ing the m no t to smo ke ? (1=Ve ry
Co mfo rta b le : 5=No t a t a ll co mfo rta b le )
1
2
3
4
5
Quotes from Staff
• “It would feel difficult challenging parents who may have very sick children in hospital and who are just taking a couple of minutes to themselves. Some of them are dressed in pyjamas”
• “Worried about response – verbal or otherwise”
• “Not sure its my job to do this”
Staff Survey Results
• 61 respondents (18%) said that they would find it beneficial to attend training to help improve compliance with the No Smoking Policy with patients, visitors and colleagues
• 206 staff (65%) did not feel that new No Smoking signs designed by young people would encourage people not to smoke in the grounds
Staff Survey-Suggestions
• Designated smoking areas/shelters
• Fines
• Patrols of grounds
Staff Quotes – Suggestions
• “Staff smoking should be dealt with first –
parents won’t stop if they know staff are doing
it in the grounds. Maybe volunteers to
promote no smoking and warn of the dangers
they are subjecting children to – and to speak
to those who are ignoring the signs”
• “Provide them with a weatherproof smoking
area and stop trying to prevent what you
can’t. Its an addiction”
Partnerships
• Young people (in-patients and out-
patients)
• Parents and carers
• Yorkhill staff, managers, site facilities
manager, medical staff, audiology staff,
Young People’s Service
• HIS – Women & Children’s Directorate
Next Steps
• Signage to be finalised and put in place
• Reports on findings being completed
and will be put onto SmokeFree
Services website
• Offer training to key staff groups
• Further opportunities to promote
smokefree hospital grounds
Any Questions?
