Are Danish vocational schools ready to implement “smoke-free school hours”? A qualitative study informed by the theory of organizational readiness for change

摘要: Background The smoking prevalence is high among students enrolled in vocational education and training, which considered a lower level of education. school tobacco policy regarding smoke-free hours stipulates that staff are not allowed to smoke during hours-inside or outside premises-and it might be an effective intervention for reducing schools. For policies effective, they must appropriately implemented. A primary predictor successful implementation organizational readiness change. This study seeks identify understand the barriers facilitators developing implement Danish Methods Semi-structured interviews focus groups were carried out with managers teachers (n = 22 participants) from six interview guides informed by "A theory change" developed Weiner, was also used as framework analyze data. Results We identified 13 barriers. Nine factors acted facilitators, including following: believing health promotion role duty; society workplaces becoming more smoke-free, beneficial strategy achieve fewer educational interruptions. Additional include establishing clear rules sanctioning enforcement, joint understanding about hours, skills deal student responses social alternatives smoking, offering cessation help, mandating law. Four norms, practices, discourses barriers: violate personal freedom, have important problems than difficult administer enforcement negatively influences student-teacher relations. Discussion Our results suggest before adopting comprehensive such implementation. Further research should investigate how strengthen counter implementing hours.