CONFERENCE PROCEEDING
Implementation and impact of comprehensive tobacco- and nicotine -free policies in healthcare institutions: A systematic review
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1
Medical University of Gdañsk, Gdañsk, Poland
2
Health Service Executive, Dublin, Ireland
3
Medical University of Gdñask, Gdañsk, Poland
4
Xarxa Catalana d’Hospitals sense Fum, Catalunya, Espanya
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The Global Network for Tobacco Free Healthcare Services, Dublin, Ireland
Tob. Prev. Cessation 2026;12(Supplement 1):A152
ABSTRACT
BACKGROUND-AIM:
Tobacco consumption represents a significant public health challenge, contributing to preventable diseases and premature mortality. In 2020, 22.3% of the world’s population (approximately 1.25 billion people) used tobacco. While numerous countries have implemented restrictions in public spaces and increased prices, healthcare facilities play a critical role in reducing usage through smoke-free policies and education. Nevertheless, the effectiveness of these measures varies, and tobacco addiction persists. There is a need for a systematic evaluation of global standards to identify models that effectively reduce tobacco use. This review aims to assess the implementation strategies and impacts of comprehensive tobacco- and nicotine-free policies in healthcare institutions worldwide, focusing on cessation rates, valid quit attempts, and the reduction of exposure to secondhand smoke and aerosols.
METHODS:
This protocol outlines the methodology for a systematic review that will follow PRISMA guidelines. The review will include studies published from 2005 onward, conducted worldwide, and sourced from PubMed, Scopus, Embase, WHO databases, and gray literature. It will include randomized and non-randomized studies assessing the implementation and impact of comprehensive tobacco- and nicotine-free policies in healthcare settings. Key outcomes to be evaluated include impact on cessation rates, reduction in secondhand smoke and aerosol exposure, and policy compliance. The results will be analyzed using the RE-AIM framework.
RESULTS:
This review is registered in PROSPERO and is currently ongoing, so findings are not yet available. Our goal is to identify concrete evidence on how WHO-aligned policies affect smoking prevalence in healthcare facilities. We are looking for measurable behavioral changes in both patients and medical staff.
CONCLUSIONS:
These findings will contribute to the optimization of public health strategies by defining best practices for policy enforcement in healthcare settings. By identifying successful implementation strategies, this review will support the creation of environments that effectively protect staff and patients from exposure to both traditional tobacco and emerging nicotine products