Understanding school staff members’ enforcement of school tobacco policies to achieve tobacco-free school: a realist review
Autor: | Michael Schreuders, Arja Rimpelä, Pirjo Lindfors, Anu Linnansaari, Anton E. Kunst |
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Přispěvatelé: | Yhteiskuntatieteiden tiedekunta - Faculty of Social Sciences, Tampere University |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adolescent
Toimeenpano Programme theory Applied psychology MEDLINE Medicine (miscellaneous) lcsh:Medicine Health Promotion Workload Interpersonal communication PsycINFO School tobacco policies Tobacco Use 03 medical and health sciences 0302 clinical medicine Koulun tupakkapolitiikka School tobacco policy Humans Medicine Terveystiede - Health care science 030212 general & internal medicine Students Enforcement Causal pathways Realist review Schools business.industry Research 4. Education 030503 health policy & services lcsh:R Cognition Smoke-Free Policy Realistinen katsaus Adolescent Behavior Implementation Educational Personnel 0305 other medical science business School staff members Psychosocial |
Zdroj: | Systematic Reviews, Vol 8, Iss 1, Pp 1-10 (2019) Systematic Reviews |
ISSN: | 2046-4053 |
Popis: | Background School tobacco policies (STPs) that aim to achieve a tobacco-free environment require consistent enforcement by school staff. However, little is known about why staff choose whether or not to enforce STPs. Therefore, we investigated staff members’ responses to STPs that determine enforcement. Furthermore, we examined how these responses depend on contextual factors at the individual, interpersonal, school, implementation, and national levels. Methods We performed a realist review (RR), which synthesizes existing primary evidence into a programme theory demonstrating key causal pathways through Context-Mechanism-Outcome configurations (CMOs). These CMOs link contextual factors to outcomes (i.e. staff enforcement) by explaining the underlying generative mechanisms (i.e. staff members’ cognitive, psychosocial, and behavioural responses). A systematic literature search for the period 2000–2016 was performed using Academic Search Premier, PsycInfo, and MEDLINE. Forty English-language articles were identified for the synthesis. Results Our programme theory demonstrated three CMOs: when contextual factors make staff members experience STP enforcement as part of their professional role and duties, it may lead to staff members showing responsibility for STP enforcement (CMO1); when contextual factors make staff members feel their contribution is leading to positive outcomes, it may lead to staff members showing motivation to enforce STPs (CMO2), and when contextual factors make staff members feel that they are able to deal with students’ responses, it may lead to staff members showing confidence in STP enforcement (CMO3). Moreover, the programme theory provided more precise insights into what contextual factors contribute to triggering the individual mechanisms and the consequent outcomes. Conclusions By applying a realist approach, we have been able to detect three CMOs explaining staff members’ STP enforcement. The findings provide useful insights explaining how stakeholders can support staff members’ STP enforcement and consequently improve the impact of STPs on adolescent smoking. Electronic supplementary material The online version of this article (10.1186/s13643-019-1086-5) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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