Barriers and challenges of implementing tobacco control policies in hospitals: applying the institutional analysis and development framework to the Catalan Network of Smoke-Free Hospitals.
ABSTRACT This article analyzes tobacco control policies in hospitals based on the experience of the Catalan Network of Smoke-Free Hospitals, Spain. The objective is to understand through this case study how tobacco policies are designed and implemented in health care organizations. Because tobacco control is a public health issue, governmental, institutional, and professional involvement is necessary. This article identifies and examines the structure and relationships among the different actors involved in the tobacco control policies in health care organizations using Ostrom's Institutional Analysis and Development framework.This theory helps one understand the policy failures and rethink the future challenges. Critical issues should be reviewed to enhance implementation of smoke-free hospitals-such as assuring the compliance of nonsmoking areas and introducing compulsory tobacco cessation activities that are promoted and monitored by the public administration. The author suggests that relying primarily on an organization's interpretation of rules leads to irregular implementation.
- 3rd 01/2010; M.E. Sharpe.
Article: A grammar of institutions[Show abstract] [Hide abstract]
ABSTRACT: The institutional grammar introduced here is based on a view that institutions are enduring regularities of human action in situations structured by rules, norms, and shared strategies, as well as by the physical world. The rules, norms, and shared strategies are constituted and reconstituted by human interaction in frequently occurring or repetitive situations. The syntax of the grammar identifies components of institutions and sorts them into three types of institutional statements: rules, norms, and shared strategies. We introduce the grammar, outline methods for operationalizing the syntax, apply the syntax to an analysis of cooperation in collective dilemma situations, and discuss the pragmatics of the grammar for analyses of behavior within complex institutional settings.American Political Science Review 09/1995; 89(03). DOI:10.2307/2082975 · 3.93 Impact Factor
Article: Spain: going smoke free.Tobacco control 05/2006; 15(2):79-80. · 5.15 Impact Factor