Table 4

Respondents’ rating of the influence of various factors on the hospital’s decision to go smoke-free

FactorDid not influence at all n (%) Slight influence
n (%)
Moderate influence
n (%)
Very important influence
n (%)
Mean influence4-150
n (%)
External influences
 JCAHO requirement137  (13.9)79  (8.0)166  (16.8)605  (61.3)3.4
 Public image85 (8.6)154 (15.5)325 (32.8)427 (43.1)3.1
 EPA report on secondhand smoke4-151 276 (28.7)216 (22.5)287 (29.8)183 (19.0)2.4
 State law/regulation404 (42.4)141 (14.8)152 (15.9)256 (26.9)2.3
 Patient pressure367 (38.5)325 (34.1)193 (20.3)68 (7.1)2.0
 Other professional organisation guidelines444 (57.6)119 (15.4)117 (15.2)91 (11.8)1.8
 Local or municipal law/regulation585 (62.3)106 (11.3)132 (14.1)116 (12.4)1.8
Internal influences
 Concern for the health of employees27 (2.7)89 (9.0)282 (28.4)594 (59.9)3.4
 Fire safety127 (13.0)245 (25.1)297 (30.5)306 (31.4)2.8
 Employee pressure271 (27.9)335 (34.5)283 (29.2)81 (8.4)2.2
 Cost savings391 (41.0)262 (27.5)201 (21.1)99 (10.4)2.0
  • 4-150 Activities are ranked from highest to lowest mean influence within each category, with “Did not influence at all” = 1 and “Very important influence” = 4.

  • JCAHO = Joint Commission on Accreditation of Healthcare Organizations.

  • 4-151 US Environmental Protection Agency. Respiratory health effects of passive smoking: lung cancer and other disorders. Washington, DC: EPA, 1992. (EPA/600/6-90/006F.)