The implementation of a tobacco-free workplace policy within a hospital setting: A case study from Helsingborg General Hospital

Abstract: Background: Tobacco use and the involuntary exposure to smoking constitute major risks for health and are among the causes of increased healthcare costs. Contemporary hospitals are expected to be an example in tobacco control initiatives such as applying smoke-free environment policies. Method: This case study investigates the implementation of the tobacco-free workplace policy at a health-promoting hospital using individual interviews and organizational documents. Content analysis and discourse analysis were used to interpret the information from different sources. Findings: Three emerging themes implied that the implementation process of such policy encompasses seizing social and organizational opportunities, embedding the new framework of practice into the organization processes and hence, re-shaping the organizational identity. Conclusion: In secondary healthcare centers, this study suggests that more emphasis should be put on the health-promoting role of hospital professionals. This is translated into allocation of resources and the integration of knowledge and evidence-based practices within organizational processes.