Organizational Change in a Perinatal Treatment Setting: Integration of Clinical Practice and Policies on Tobacco and Smoking Cessation
| Autor: | Martha A. Jessup |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject medicine.medical_treatment Medicine (miscellaneous) Promotion (rank) Pregnancy Tobacco medicine Humans Psychiatry General Psychology Health policy media_common business.industry Addiction Public health Organisation climate medicine.disease Organizational Innovation Organizational Policy Pregnancy Complications Substance abuse Smoking cessation Female Smoking Cessation sense organs business Qualitative research |
| Zdroj: | Journal of Psychoactive Drugs. 39:461-472 |
| ISSN: | 2159-9777 0279-1072 |
| Popis: | Perinatal smoking presents serious health risks to the fetus, mother, and child. Despite extensive evidence of risk and high rates of smoking among in-treatment perinatal women substance abusers, tobacco-related practice and policy change has not been widely transferred for application in drug abuse treatment programs for pregnant and parenting women. This qualitative study investigated the process of change and the resultant adoption of clinical policy and treatment innovation in a residential drug abuse treatment program that converted from tobacco-tolerant to tobacco-free with provision of smoking cessation services. Informed by the Organizational Readiness for Change Model, staff interviews and data analysis were conducted to examine program characteristics affecting adoption. An organizational climate of openness to change and the program's clarity of mission, expressed in perinatal-specific motivators for change, influenced the adoption of tobacco-related clinical practice and policy. Re-allocation of time, previously occupied by smoking behaviors, allowed for added promotion of maternal-child interaction and positive role-modeling for children. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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