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Journal of Contemporary Ethnography
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The Worldview of Hospital Security Staff

Implications for Health Promotion Policy Implementation

Patrick B. Patterson

University of Calgary, Alberta, Canada

Penelope Hawe

University of Calgary, Alberta, Canada

Paul Clarke

Ministry of Health, Victoria, British Columbia, Canada

Christina Krause

Western Node of Safer Healthcare Now!, Penticton, British Columbia, Canada

Marlies van Dijk

Health Quality Council of Alberta, Calgary, Canada

Yvette Penman

Calgary Health Region, Alberta, Canada

Alan Shiell

University of Calgary, Alberta, Canada

Interventions to encourage compliance with smoking control policies often rely on intermediaries for implementation, and the culture of the intermediary group might affect policy implementation. The authors present an ethnography of security staff involved in enforcing restrictive smoking policies in a large hospital in Canada. They find strong norms associated with control, mutuality, and deference to authority. Common sense interpretation rather than strict enforcement of rules prevails. To be enforced effectively, smoking policy would have to compete with other duties and elevate the security staff's perceived status in the eyes of visitors, staff, and patients.

Key Words: worldview • private security • hospitals • health promotion • tobacco control

This version was published on June 1, 2009

Journal of Contemporary Ethnography, Vol. 38, No. 3, 336-357 (2009)
DOI: 10.1177/0891241608318012
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