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Gerritsen S, Rosin M, Te Morenga L, Jiang Y, Kidd B, Shen S, Umali E, Mackay S, Ni Mhurchu C. Awareness, support, and opinions of healthy food and drink policies: a survey of staff and visitors in New Zealand healthcare organisations. BMC Public Health 2024; 24:2179. [PMID: 39135033 PMCID: PMC11318292 DOI: 10.1186/s12889-024-19693-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 08/05/2024] [Indexed: 08/16/2024] Open
Abstract
BACKGROUND In 2016, a voluntary National Healthy Food and Drink Policy (hereafter, "the Policy") was released to encourage public hospitals in New Zealand to provide food and drink options in line with national dietary guidelines. Five years later, eight (of 20) organisations had adopted it, with several preferring to retain or update their own institutional-level version. This study assessed staff and visitors' awareness and support for and against the Policy, and collected feedback on perceived food environment changes since implementation of the Policy. METHODS Cross-sectional electronic and paper-based survey conducted from June 2021 to August 2022. Descriptive statistics were used to present quantitative findings. Free-text responses were analysed following a general inductive approach. Qualitative and quantitative findings were compared by level of implementation of the Policy, and by ethnicity and financial security of participants. RESULTS Data were collected from 2,526 staff and 261 visitors in 19 healthcare organisations. 80% of staff and 56% of visitors were aware of the Policy. Both staff and visitors generally supported the Policy, irrespective of whether they were aware of it or not, with most agreeing that "Hospitals should be good role models." Among staff who opposed the Policy, the most common reason for doing so was freedom of choice. The Policy had a greater impact, positive and negative, on Māori and Pacific staff, due to more frequent purchasing onsite. Most staff noticed differences in the food and drinks available since Policy implementation. There was positive feedback about the variety of options available in some hospitals, but overall 40% of free text comments mentioned limited choice. 74% of staff reported that food and drinks were more expensive. Low-income staff/visitors and shift workers were particularly impacted by reduced choice and higher prices for healthy options. CONCLUSIONS The Policy led to notable changes in the healthiness of foods and drinks available in NZ hospitals but this was accompanied by a perception of reduced value and choice. While generally well supported, the findings indicate opportunities to improve implementation of food and drink policies (e.g. providing more healthy food choices, better engagement with staff, and keeping prices of healthy options low) and confirm that the Policy could be expanded to other public workplaces.
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Affiliation(s)
- Sarah Gerritsen
- School of Population Health, University of Auckland, Private Bag 92019, Auckland Mail Centre 1142, Auckland, New Zealand.
| | - Magda Rosin
- School of Population Health, University of Auckland, Private Bag 92019, Auckland Mail Centre 1142, Auckland, New Zealand
| | - Lisa Te Morenga
- Research Centre for Hauora and Health, Massey University, Wellington, New Zealand
| | - Yannan Jiang
- National Institute for Health Innovation, University of Auckland, Auckland, New Zealand
| | - Bruce Kidd
- National Institute for Health Innovation, University of Auckland, Auckland, New Zealand
- Department of Public Health, University of Otago, Wellington, New Zealand
| | - Stephanie Shen
- National Institute for Health Innovation, University of Auckland, Auckland, New Zealand
- Te Whatu Ora - Te Toka Tumai Auckland, Auckland, New Zealand
| | - Elaine Umali
- National Institute for Health Innovation, University of Auckland, Auckland, New Zealand
| | - Sally Mackay
- School of Population Health, University of Auckland, Private Bag 92019, Auckland Mail Centre 1142, Auckland, New Zealand
| | - Cliona Ni Mhurchu
- National Institute for Health Innovation, University of Auckland, Auckland, New Zealand
- George Institute for Global Health, Sydney, Australia
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Tamene FB, Mihiretie EA, Dagnew FN, Gubae K, Tafesse FA, Wondm SA. Health-related quality of life and associated factors among health care providers in the northwest of Ethiopia: a multicenter cross-sectional study, 2023. Front Public Health 2024; 12:1357856. [PMID: 38628850 PMCID: PMC11018960 DOI: 10.3389/fpubh.2024.1357856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 03/21/2024] [Indexed: 04/19/2024] Open
Abstract
Background The diminished quality of life among healthcare providers (HCPs) could impact both their personal well-being and their ability to effectively fulfill healthcare needs and provide necessary facilities to the public. Furthermore, this decline in quality of life may also significantly influence the overall health of HCPs, regardless of their professional training and duties. Objectives The aim of this study was to assess the health-related quality of life (HRQoL) and associated factors among healthcare providers at comprehensive specialized hospitals in the Northwest Ethiopia. Method A cross-sectional study was conducted among 412 healthcare providers at comprehensive specialized hospitals in Northwest Ethiopia from June to July 2023. Study participants were enrolled using simple random sampling. Health-related quality of life (HRQoL) was measured using the World Health Organization Quality of Life Scale-Bref Version. Data entry and analysis were performed using Epi-data version 4.6.1 and SPSS version 24, respectively. Binary logistic regression was employed to assess the association between quality of life and independent variables. Variables with a p-value <0.05 at a 95% confidence interval were considered statistically significant. Result Out of the 422 study participants approached, 412 respondents were included in the final analysis. Poor quality of life was observed in 54.6% of participants. Factors such as working hours per day (AOR = 1.85, 95% CI: 1.12; 3.05), working experience (AOR = 1.95, 95% CI: 1.04; 3.65), and the presence of chronic disease (AOR = 2.11, 95% CI: 1.18; 3.75) were significantly associated with poor quality of life. Conclusion This study revealed that more than half of the participants experienced poor quality of life. Specific attention is needed for healthcare providers working for more than 8 h per day, those with less work experience, and those with chronic illnesses in order to improve their quality of life.
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Affiliation(s)
- Fasil Bayafers Tamene
- Department of Pharmacy, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia
| | | | - Fisseha Nigussie Dagnew
- Department of Pharmacy, College of Medicine and Health Science, Debre Tabor University, Debre Tabor, Ethiopia
| | - Kale Gubae
- Department of Pharmacy, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia
| | - Fasika Argaw Tafesse
- Department of Pharmacy, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia
| | - Samuel Agegnew Wondm
- Department of Pharmacy, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia
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Wirth MD, Meyer J, Jessup A, Dawson RM. Barriers and Facilitators of Diet, Physical Activity Levels, and Sleep Among Nursing Undergraduates and Early-Career Nurses: A Qualitative Descriptive Study. Am J Health Promot 2023:8901171231179437. [PMID: 37263962 DOI: 10.1177/08901171231179437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
PURPOSE Mechanisms leading to burnout, associated with high turnover in nursing, may start as early as in nursing school. Given health habits (e.g., diet, physical activity, and sleep) can exacerbate or lessen the impact of burnout, this study examined current barriers and facilitators to healthy diet, physical activity levels, and sleep among nursing undergraduates (UGs) and early-career nurses (ECNs). RESEARCH DESIGN Qualitative descriptive study. SAMPLE 25 nursing UGs and 25 ECNs (within 3 years of graduation) from a Southeastern college of nursing. DATA COLLECTION AND ANALYSIS After development of theory-informed interview guides, participants conducted interviews either in-person or by phone, which were audio-recorded and transcribed. Braun and Clarke's six-step thematic analysis was used to analyze the transcripts. RESULTS All but one (aged 54) UG was in their early 20s and ECNs were in their early to mid-20s. Most participants were white, females. Time and stress were the strongest barriers among UGs and ECNs for adherence to healthy diet, physical activity, although stress did act as a facilitator for physical activity in a subset of both UGs and ECNs. Shiftwork was a common barrier to healthy behaviors among ECNs. CONCLUSION The fact that the more common and stronger barriers to healthier behaviors among UGs and ECNs were the same give credence to the idea that processes associated with burnout begin during or before nursing education and are persistent.
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Affiliation(s)
- Michael D Wirth
- College of Nursing, University of South Carolina, Columbia, SC, USA
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Jaclyn Meyer
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Angela Jessup
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Robin M Dawson
- College of Nursing, University of South Carolina, Columbia, SC, USA
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Pignatiello GA, Cuccia A, Boston-Leary K. The relationships between the healthy nurse, Healthy Nation program, RN perceptions of their work system, and health-related quality of life. Nurs Outlook 2023; 71:101983. [PMID: 37207516 PMCID: PMC10523875 DOI: 10.1016/j.outlook.2023.101983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 03/27/2023] [Accepted: 04/04/2023] [Indexed: 05/21/2023]
Abstract
BACKGROUND There is limited research on the effects of nationally oriented health care workforce interventions on RNs' perceptions of their work systems and health-related quality of life (HRQOL). PURPOSE Guided by a systems framework, we examined the association of being affiliated with an organization partnered with the American Nurses Association's Healthy Nurse, Healthy Nation (HNHN) program on RNs' perceptions of their work systems and HRQOL. METHODS We performed a correlational, cross-sectional secondary analysis of a national RN sample (N = 2,166) with case-control matching. We used multiple linear and logistic regressions to evaluate our research questions. DISCUSSION Affiliation with an HNHN partner organization was directly associated with more desirable work system perceptions, and indirectly associated with greater HRQOL. Organization-level workplace interventions hold promise to improve RN working conditions and well-being. CONCLUSION There is an ongoing need to continue developing and evaluating scalable workplace well-being interventions for health care organizations.
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Affiliation(s)
| | - Alison Cuccia
- American Nurses Association, Silver Spring, MD; The Milken Institute of Public Health, George Washington University, Washington, DC
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Groves S, Lascelles K, Hawton K. Suicide, self-harm, and suicide ideation in nurses and midwives: A systematic review of prevalence, contributory factors, and interventions. J Affect Disord 2023; 331:393-404. [PMID: 36933670 DOI: 10.1016/j.jad.2023.03.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 03/08/2023] [Accepted: 03/11/2023] [Indexed: 03/20/2023]
Abstract
BACKGROUND Nurses have been identified as an occupational group at increased risk of suicide. This systematic review examines the prevalence of, and factors influencing, suicide and related behaviours among nurses and midwives (PROSPERO pre-registration CRD42021270297). METHODS MEDLINE, PsycINFO, and CINAHL were searched. Articles published from 1996 onwards exploring suicidal thoughts and behaviours among nurses and midwives were included. Quality of included studies was assessed. Articles were subjected to narrative synthesis informed by suicide data examined, study design, and quality. PRISMA guidelines were followed. RESULTS A total of 100 studies were eligible for inclusion in the review. Articles examining suicide exclusively among midwives were absent from the literature. Several studies confirmed that nursing professionals, especially female, are at increased risk of suicide, particularly by self-poisoning. Factors contributing to risk include psychiatric disorders, alcohol and substance misuse, physical health problems, and occupational and interpersonal difficulties. In studies of non-fatal suicidal behaviours, including during the COVID-19 pandemic, psychiatric, psychological, physical and occupational factors were contributory. There has been little investigation of interventions for prevention of suicide in nurses. LIMITATIONS Only articles published in English language were reviewed. CONCLUSIONS The findings highlight the risk of suicide in nurses. They also show a combination of factors contribute to suicide and non-fatal suicidal behaviour in nurses, with psychiatric, psychological, physical health, occupational and substance misuse (especially alcohol) problems being particularly important. The limited evidence regarding prevention measures indicates a major need to develop primary and secondary interventions for this at-risk occupational group, for example, education regarding enhancing wellbeing and safe alcohol use, alongside accessible psychological support.
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Affiliation(s)
- Samantha Groves
- Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford OX3 7JX, United Kingdom of Great Britain and Northern Ireland
| | - Karen Lascelles
- Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford OX3 7JX, United Kingdom of Great Britain and Northern Ireland
| | - Keith Hawton
- Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford OX3 7JX, United Kingdom of Great Britain and Northern Ireland; Centre for Suicide Research, University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, United Kingdom of Great Britain and Northern Ireland.
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Kobos L, Anderson K, Kurth L, Liang X, Groth CP, England L, Laney AS, Virji MA. Characterization of Cleaning and Disinfection Product Use, Glove Use, and Skin Disorders by Healthcare Occupations in a Midwestern Healthcare Facility. BUILDINGS (BASEL, SWITZERLAND) 2022; 12:10.3390/buildings12122216. [PMID: 38650891 PMCID: PMC11034745 DOI: 10.3390/buildings12122216] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
Healthcare facility staff use a wide variety of cleaning and disinfecting products during their daily operations, many of which are associated with respiratory or skin irritation or sensitization with repeated exposure. The objective of this study was to characterize the prevalence of cleaning and disinfection product use, glove use during cleaning and disinfection, and skin/allergy symptoms by occupation and identify the factors influencing glove use among the healthcare facility staff. A questionnaire was administered to the current employees at a midwestern Veterans Affairs healthcare facility that elicited information on cleaning and disinfection product use, glove use during cleaning and disinfection, skin/allergy symptoms, and other demographic characteristics, which were summarized by occupation. The central supply/environmental service workers (2% of the total survey population), nurses (26%,), nurse assistants (3%), and laboratory technicians (5%) had the highest prevalence of using cleaning or disinfecting products, specifically quaternary ammonium compounds, bleach, and alcohol. Glove use while using products was common in both patient care and non-patient care occupations. The factors associated with glove use included using bleach or quaternary ammonium compounds and using cleaning products 2-3 or 4-5 days per week. A high frequency of glove use (≥75%) was reported by workers in most occupations when using quaternary ammonium compounds or bleach. The use of alcohol, bleach, and quaternary ammonium compounds was associated with skin disorders (p < 0.05). These research findings indicate that although the workers from most occupations report a high frequency of glove use when using cleaning and disinfection products, there is room for improvement, especially among administrative, maintenance, and nursing workers. These groups may represent populations which could benefit from the implementation of workplace interventions and further training regarding the use of personal protective equipment and the potential health hazards of exposure to cleaning and disinfecting chemicals.
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Affiliation(s)
- Lisa Kobos
- Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, WV 26505, USA
| | - Kim Anderson
- Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, WV 26505, USA
| | - Laura Kurth
- Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, WV 26505, USA
| | - Xiaoming Liang
- Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, WV 26505, USA
| | - Caroline P. Groth
- Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, WV 26505, USA
- Department of Epidemiology and Biostatistics, School of Public Health, West Virginia University, Morgantown, WV 26505, USA
| | - Lucy England
- Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, WV 26505, USA
| | - A. Scott Laney
- Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, WV 26505, USA
| | - M. Abbas Virji
- Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, WV 26505, USA
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Bryndal A, Glowinski S, Grochulska A. Influence of Occupation on the Prevalence of Spinal Pain among Physiotherapists and Nurses. J Clin Med 2022; 11:jcm11195600. [PMID: 36233474 PMCID: PMC9571452 DOI: 10.3390/jcm11195600] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 09/15/2022] [Accepted: 09/19/2022] [Indexed: 11/16/2022] Open
Abstract
(1) Background: Neck pain (NP) and low back pain (LBP) are common musculoskeletal disorders, one of the major causes of disability globally. The aim of the study was to determine the influence of medical occupation (physiotherapist and nurse) on the prevalence of spinal pain, functional status and degree of disability. (2) Methods: a total of 544 people (462 females (84.9%) and 82 males (15.1%)), licensed to practice as a physiotherapist (n1 = 240 (44.1%)) or nurse (n2 = 304 (55.9%)) in Poland completed a special questionnaire designed by the authors of the study, and were assessed using the Neck Disability Index (NDI, Polish language version) and Revised Oswestry Disability Index (ODI, Polish language version). (3) Results: Compared to physiotherapists, nurses were older, shorter, had higher BMI, and longer work experience. In the whole study group, 30.2% of subjects reported NP, 17.7% reported thoracic pain (ThP) and 80.5% reported LBP. During working life, 90.9% of physiotherapists and 97.7% of nurses experienced spinal pain. Pain intensity measured with Visual Analogue Scale (VAS) was higher among nurses (mean 5.37) than among physiotherapists (mean 4.64). Nurses had a higher degree of disability caused by LBP and NP measured with ODI and NDI compared to physiotherapists. (4) Conclusions: Excessive strain of the spine associated with occupational activities has a strong impact on the intensity and frequency of spinal pain episodes. Physiotherapists and nurses mainly suffer from low back pain. Pain scores measured with VAS are higher in nurses than in physiotherapists.
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Affiliation(s)
- Aleksandra Bryndal
- Department of Physiotherapy, Institute of Health Sciences, Slupsk Pomeranian University, Westerplatte 64, 76-200 Slupsk, Poland
- Correspondence:
| | - Sebastian Glowinski
- Institute of Physical Culture and Health, State Higher School of Vocational Education in Koszalin, Lesna 1, 75-582 Koszalin, Poland
| | - Agnieszka Grochulska
- Department of Physiotherapy, Institute of Health Sciences, Slupsk Pomeranian University, Westerplatte 64, 76-200 Slupsk, Poland
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Vogelsang A, Hinrichs C, Fleig L, Pfeffer I. Study protocol for the description and evaluation of the "Habit Coach" - a longitudinal multicenter mHealth intervention for healthy habit formation in health care professionals. BMC Public Health 2022; 22:1672. [PMID: 36058904 PMCID: PMC9440859 DOI: 10.1186/s12889-022-13986-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 08/10/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The adoption of a healthy lifestyle plays a crucial role for the health and well-being of health care professionals. Previous e- and mHealth interventions relied on deliberative psychological processes (e.g., intention, planning) to target lifestyle changes, while revealing mixed efficacy. The additional potential of non-deliberative, automatic processes (i.e., habits) for behavior change has been understudied in interventions so far. The Habit Coach mHealth intervention combines deliberative and non-deliberative processes to support health care professionals in forming healthy physical activity, nutrition and mindfulness habits in daily life. The aim of this paper is to outline the study protocol including a detailed description of the mHealth intervention, evaluation plan, and study design. The purpose of this trial is to understand healthy habit formation in health care professionals over time. METHODS A one-arm, multicenter mHealth intervention study will be conducted. Behavioral and psychosocial predictors will be collected via within-app questionnaires across a 100-day period at baseline, post, as well as at weekly assessments. To understand habit formation across time, linear mixed models will be used. DISCUSSION This trial aims to unravel the role of motivational and volitional determinants for healthy habit formation across multiple health behaviors in health care professionals embedded in a mHealth intervention. TRIAL REGISTRATION This trial is registered in the German Clinical Trials Register, DRKS-ID DRKS00027156. Date of registration 17 November 2021.
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Affiliation(s)
- Anna Vogelsang
- Faculty of Humanities, MSH Medical School Hamburg - University of Applied Sciences and Medical University, Am Kaiserkai 1, 20457, Hamburg, Germany. .,Faculty of Sport Science - Department of eHealth and Sports Analytics, Ruhr-University Bochum, Gesundheitscampus - Nord 10, 44801, Bochum, Germany.
| | - Clara Hinrichs
- Faculty of Humanities, MSH Medical School Hamburg - University of Applied Sciences and Medical University, Am Kaiserkai 1, 20457, Hamburg, Germany
| | - Lena Fleig
- Faculty of Natural Sciences- Department of Psychology, Medical School Berlin, Rüdesheimer Straße 50, 14197, Berlin, Germany
| | - Ines Pfeffer
- Faculty of Humanities, MSH Medical School Hamburg - University of Applied Sciences and Medical University, Am Kaiserkai 1, 20457, Hamburg, Germany
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Barinas JL, McDermott RC, Williams SG, Fruh SM, Hauff C, Hudson GM, Graves RJ, Melnyk BM. Positive and negative psychosocial factors related to healthy and unhealthy weight control among nursing students. J Prof Nurs 2022; 42:290-300. [PMID: 36150873 PMCID: PMC9783016 DOI: 10.1016/j.profnurs.2022.07.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 07/21/2022] [Accepted: 07/25/2022] [Indexed: 12/27/2022]
Abstract
BACKGROUND Although nursing students are educated on the importance of exercising regularly and maintaining a well-balanced diet, many do not practice healthy weight management behaviors, and some even use unhealthy weight loss methods. Yet, little research has examined both positive and negative psychosocial variables related to weight control among nursing students. PURPOSE The present study aimed to identify the most salient psychosocial variables related to healthy and unhealthy weight control among nursing students. METHOD Using survey data from 241 nursing students, structural equation modeling was conducted to examine the relative contributions of eight interrelated psychosocial variables, including constructs from a strengths perspective (health-specific hope, health self-efficacy, social support, and body satisfaction) and from a deficit perspective (depression, anxiety, weight perception, and barriers to physical activity). RESULTS Results showed that the degree to which individuals perceive themselves to be overweight was related to both healthy and unhealthy weight control. Aside from weight perception, health self-efficacy produced the strongest association with healthy weight control, and anxiety produced the strongest association with unhealthy weight control. The structural model explained 23 % of the variance in healthy weight control and 29 % of the variance in unhealthy weight control. CONCLUSIONS These findings emphasize the need for tailored, integrated weight management interventions for nursing students that equip them with effective anxiety management skills and build self-efficacy.
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Affiliation(s)
- Jennifer L Barinas
- Department of Psychology, University Commons 1000, University of South Alabama, Mobile, AL 36608, United States of America.
| | - Ryon C McDermott
- Department of Counseling and Instructional Sciences, University Commons 3800, University of South Alabama, Mobile, AL 36688, United States of America
| | - Susan G Williams
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Sharon M Fruh
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Caitlyn Hauff
- Department of Health, Kinesiology, and Sport, Suite 1016, University of South Alabama, Mobile, AL 36688, United States of America
| | - Geoffrey M Hudson
- Department of Health, Kinesiology, and Sport, Suite 1016, University of South Alabama, Mobile, AL 36688, United States of America
| | - Rebecca J Graves
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Bernadette Mazurek Melnyk
- College of Nursing, 1585 Neil Avenue, The Ohio State University, Columbus, OH 43210, United States of America
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Moussa ML, Moussa FL, Alharbi HA, Omer T, Khallaf SA, Al Harbi HS, Albarqi AA. Fear of Nurses During COVID-19 Pandemic in Saudi Arabia: A Cross-Sectional Assessment. Front Psychol 2021; 12:736103. [PMID: 34721205 PMCID: PMC8551625 DOI: 10.3389/fpsyg.2021.736103] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Accepted: 09/15/2021] [Indexed: 12/13/2022] Open
Abstract
Objective: We aimed to assess the level of fear among nurses in Saudi Arabia during the COVID-19 outbreak. Methods: A cross-sectional survey-based study was conducted from June to August 2020. All nurses currently working in public and private hospitals in Saudi Arabia during the COVID-19 pandemic were invited to complete an online survey. We used the 7-item unidimensional Fear of COVID-19 Scale (FCV-19S) to assess the level of fear of COVID-19. Multiple regression analysis was used to identify predictors associated with fear of COVID-19. Results: A total of 969 nurses participated in this study. The participants were relatively young with a mean age of 35.5 ± 10.46 years. About two-thirds of the participants were women (65.9%), married (57.2%), and were non-Saudi nationals (67%). The total mean score for the FCV-19S was 19.7 SD 7.03 (range 7–35), which is near the mid-point, indicating a moderate level of fear of COVID-19. Out of the eight variables measured in the analysis, three variables emerged as a significant predictor (i.e., gender, marital status, and age). A higher level of fear (FCV-19S) was associated with being a woman, married, and older age (p ≤ 0.05). Conclusion: This study demonstrated the level of fear of COVID-19 among nurses in Saudi Arabia. Overall, nurses in Saudi reported moderate levels of fear of COVID-19. Assessing the level of fear of nurses who work during the COVID-19 pandemic should be a priority to health care administrators to prevent mental health difficulties or psychological injury.
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Affiliation(s)
| | | | | | - Tagwa Omer
- College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | | | - Hamad Samran Al Harbi
- Nursing Administration Hemodialysis Center Hankyah General Hospital, Ministry of Health, Riyadh, Saudi Arabia
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Alghadir AH, Al-Abbad H, Buragadda S, Iqbal A. Influence of Work-Related Safety and Health Guidelines on Knowledge and Prevalence of Occupational Back Pain among Rehabilitation Nurses in Saudi Arabia: A 6-Month Follow-Up Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168711. [PMID: 34444458 PMCID: PMC8394852 DOI: 10.3390/ijerph18168711] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 08/03/2021] [Accepted: 08/13/2021] [Indexed: 11/16/2022]
Abstract
Background: Nurses are frequently involved in different types of patient handling activities in different departments of the hospitals. Mishandling the patients causes accumulative stress on their spine that results in occupational back pain (OBP), substantial morbidity, and incurred cost. Objectives: This study aimed to observe the influence of work-related safety and health guidelines on knowledge and prevalence of occupational back pain among rehabilitation nurses in Saudi Arabia. Methodology: This cohort study was conducted with the inclusion of a total of 116-registered rehabilitation nurses (97-female, 19-male, mean age = 39.6-years) from different regions of Saudi Arabia. After the invitation, these nurses attended an ergonomic workshop focusing on work-related safety and patient handling guidelines, risk assessment, and control of OBP. A self-administered questionnaire was used to assess the knowledge, risk, and prevalence of OBP at baseline and 6-months follow-up. Results: The perceived knowledge score significantly improved (95% CI; t = 4.691; p < 0.001; Cohen’s d = 0.72) at 6-month follow-up (mean ± SD = 81.6 ± 18.2) from its baseline score (mean ± SD = 68.2 ± 19.2). Likewise, the prevalence score of OBP markedly reduced from 71.5% (baseline) to 65.0% (6-month follow-up). Conclusion: The level of knowledge highly improved and the prevalence of OBP markedly reduced within a span of 6-month among rehabilitation nurses in Saudi Arabia after attending an ergonomic workshop. Importantly, the nurses learned and geared up themselves for practicing the safe patient handling guidelines to avoid occupational back pain in the future. Therefore, rehabilitation nurses should update their knowledge and awareness about occupational safety and health guidelines, risk assessments, and control of OBP at a regular interval for increasing the knowledge and reducing the prevalence of OBP among them.
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Affiliation(s)
- Ahmad H. Alghadir
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia; (A.H.A.); (S.B.)
| | - Hani Al-Abbad
- Physical Therapist, King Fahad Medical City, Riyadh 12231, Saudi Arabia;
| | - Syamala Buragadda
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia; (A.H.A.); (S.B.)
| | - Amir Iqbal
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia; (A.H.A.); (S.B.)
- Correspondence: or ; Tel.: +966-1469-6010; Fax: +966-1469-3589
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Iqbal MS. Health-Related Quality of Life Among Healthcare Providers in Pakistan. J Pharm Bioallied Sci 2020; 13:31-38. [PMID: 34084046 PMCID: PMC8142910 DOI: 10.4103/jpbs.jpbs_265_20] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 05/10/2020] [Accepted: 06/18/2020] [Indexed: 11/29/2022] Open
Abstract
Evaluation of health-related quality of life (HRQOL) in healthcare professionals (HP) is a crucial measure for improving their healthcare interventions and pharmaceutical care planning which they provide to their patients for prevention and better treatment of diseases. Studies have shown that poor health status among HPs is a greater risk factor in achieving desired outcomes in their patients. This study assessed the current level of HRQoL among HPs and evaluated various factors influencing their HRQoL. A cross-sectional study was conducted among HPs using the self-administered research tool “WHOQOL-BREF”. Descriptive, comparative, and inferential statistics were performed using SPSS ver. 24. The study results reported a total of 336 participants, with more males than females (n=268, 79.8%, and n=68, 20.2% respectively). The mean scores for the physical, psychological, social relationships and environmental domains were 65.18±13.01, 68.92±15.53, 70.30±15.90, and 65.10±15.17, respectively. This study confirmed that HPs in Pakistan were more satisfied with their HRQoL in social domain and relatively less satisfied in physical and environment domains of HRQoL.
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Affiliation(s)
- Muhammad Shahid Iqbal
- Department of Clinical Pharmacy, College of Pharmacy, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia
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13
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Malagon-Aguilera MC, Suñer-Soler R, Bonmatí-Tomas A, Bosch-Farré C, Gelabert-Vilella S, Juvinyà-Canal D. Relationship between sense of coherence, health and work engagement among nurses. J Nurs Manag 2019; 27:1620-1630. [PMID: 31444895 DOI: 10.1111/jonm.12848] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 07/13/2019] [Accepted: 08/20/2019] [Indexed: 11/28/2022]
Abstract
AIM To examine the sense of coherence among registered nurses and its relationship with health and work engagement. BACKGROUND Sense of coherence is a global orientation to view life as structured, manageable and meaningful and have the capacity to cope with stressful situations. A high sense of coherence score indicates that an individual can understand, manage and attribute meaning to events in his or her life as well as in the work environment. Registered nurses face many workplace stressors that may be easier to manage with a strong sense of coherence; however, the effect of this score on their self-reported health status and work engagement remains unknown. METHODS In a cross-sectional study, 109 registered nurses working in a long-term care setting responded to a self-administered questionnaire. Social support, work-related family conflicts, sense of coherence, self-reported health status and work engagement variables were analysed using multiple linear regression models. RESULTS Nurses with a high sense of coherence score reported no work-related family conflicts (mean difference -6.91; 95% CI -10.65 to -3.18; p = .000), better health (r = .408) and greater work engagement (r = .223), compared to their peers with lower sense of coherence. The association between sense of coherence and self-reported health was confirmed by linear regression modelling (β = .276, p = .003). CONCLUSIONS Nurses with a higher sense of coherence had better health and greater work engagement. The work engagement variable showing the highest association with sense of coherence was dedication. IMPLICATIONS FOR NURSING MANAGEMENT Implementing interventions that increase sense of coherence among nurses can increase commitment to their work, to the institution and to building more engaged teams.
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Affiliation(s)
- Maria Carmen Malagon-Aguilera
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Rosa Suñer-Soler
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Anna Bonmatí-Tomas
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Cristina Bosch-Farré
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Sandra Gelabert-Vilella
- Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Dolors Juvinyà-Canal
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
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14
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Asadi K, Niknami M, Jafari Asl M, Kazemnezhad Leyli E. Relationship Between the Dimensions of Quality of Work Life and General Health in Iranian Nurses. JOURNAL OF HOLISTIC NURSING AND MIDWIFERY 2019. [DOI: 10.29252/hnmj.29.1.266] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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15
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Liao J, Ma X, Gao B, Zhang M, Zhang Y, Liu M, Li X. Psychological status of nursing survivors in China and its associated factors: 6 years after the 2008 Sichuan earthquake. Neuropsychiatr Dis Treat 2019; 15:2301-2311. [PMID: 31616146 PMCID: PMC6698778 DOI: 10.2147/ndt.s203909] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2019] [Accepted: 07/03/2019] [Indexed: 02/05/2023] Open
Abstract
PURPOSE Nursing survivors are often not only the victims but also the rescuers in a disaster. Severe natural disasters can cause them long-term psychological impact. This study aimed to investigate the psychological status of nursing survivors and its associated factors 6 years after the severe earthquake that occurred in Wenchuan, Sichuan, on May 12, 2008. METHODS The study used a cross-sectional design. A total of 597 nurses who survived the earthquake and took care of victims were recruited about 6 years after the disaster. They completed a self-report questionnaire assessing information about demographics, earthquake-related characteristics, psychological status, posttraumatic stress disorder, and posttraumatic growth and resilience. RESULTS The mean score on the Symptom Checklist-90-Revised (SCL-90-R) was (123.56±41.26). Of symptoms indicated by the SCL-90-R, obsessive-compulsive dimension had the highest score (1.62±0.62). The psychological status of nursing survivors differed with the title, monthly per capita household income, financial loss, health status, residential satisfaction, and satisfaction with leaders and colleagues. Severe financial loss and poor health status were significant factors of psychological distress. In addition, psychological status was negatively related to posttraumatic stress disorder and posttraumatic growth, and positively related to resilience. CONCLUSION Nursing survivors had a relatively normal level of psychological status 6 years after the 2008 Sichuan earthquake. However, psychological symptoms such as obsessive-compulsive patterns still remained. Interventions focusing on the improvement of financial subsidies and physical health may be particularly useful in reducing psychological problems after the disaster.
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Affiliation(s)
- Jingping Liao
- Department of Nursing, West China Hospital, West China School of Medicine, Sichuan University, Chengdu 610041, People's Republic of China.,School of Nursing, Peking University , Beijing 100191, People's Republic of China
| | - Xiaofang Ma
- Department of Nursing, West China Hospital, West China School of Medicine, Sichuan University, Chengdu 610041, People's Republic of China.,Department of Emergency, West China Hospital, Sichuan University, Chengdu 610041, People's Republic of China
| | - Bin Gao
- Department of Nursing, Dujiangyan Medical Center, Dujiangyan 611830, People's Republic of China
| | - Mingfeng Zhang
- Department of Nursing, People's Hospital of Mianzhu City, Deyang 618200, People's Republic of China
| | - Yuanfang Zhang
- Department of Nursing, Wenchuan People's Hospital, Aba Tibetan and Qiang Autonomous Prefecture 623000, People's Republic of China
| | - Maoqun Liu
- Department of Nursing, Dujiangyan Second People's Hospital, Dujiangyan 611830, People's Republic of China
| | - Xiaolin Li
- Department of Nursing, West China Hospital, West China School of Medicine, Sichuan University, Chengdu 610041, People's Republic of China
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Browne C, Wall P, Batt S, Bennett R. Understanding perceptions of nursing professional identity in students entering an Australian undergraduate nursing degree. Nurse Educ Pract 2018; 32:90-96. [PMID: 30098517 DOI: 10.1016/j.nepr.2018.07.006] [Citation(s) in RCA: 68] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Revised: 06/04/2018] [Accepted: 07/06/2018] [Indexed: 11/25/2022]
Abstract
Developing a professional identity is an essential transition for nursing students as they move through their undergraduate degree. Professional identity is described as a person's perception of themselves within a profession or the collective identity of the profession. The formation of a professional identity is an evolving process, shaped by the media, educational experiences and role modelling. The aim of this study was to develop a greater understanding of the perceptions that students, about to embark on their undergraduate nursing degree, had of the nursing profession. A drawing and mind mapping exercise was conducted with a convenience sample of commencing nursing students to explore how they viewed their future profession. The data underwent thematic analysis and then grouped into sub-themes and themes. Four key themes were identified, 'To be a nurse, I have to look the part', 'To be a nurse, I have to perform in a variety of roles', 'To be a nurse, I have to connect with others', and 'To be a nurse, I have to care for myself.' The formation of a strong pre-professional identity is important for nursing students due to the link between future job satisfaction and the development of a robust nursing workforce.
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Affiliation(s)
- C Browne
- Murdoch University, 90 South Street, Murdoch, Western Australia, 6150, Australia.
| | - P Wall
- Murdoch University, 90 South Street, Murdoch, Western Australia, 6150, Australia.
| | - S Batt
- Murdoch University, 90 South Street, Murdoch, Western Australia, 6150, Australia.
| | - R Bennett
- Murdoch University, 90 South Street, Murdoch, Western Australia, 6150, Australia.
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17
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Hospital Staff's Risk of Developing Musculoskeletal Disorders, Especially Low Back Pain. Zdr Varst 2018; 57:133-139. [PMID: 29983779 PMCID: PMC6032181 DOI: 10.2478/sjph-2018-0017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Accepted: 05/07/2018] [Indexed: 11/20/2022] Open
Abstract
Introduction Health-related absenteeism impacts individuals, companies, and society. Its consequences are reflected in the cost of benefits, substitutes, and reduced productivity. Research shows that musculoskeletal disorders (MSDs) are the most common work-related health problem reported by hospital staff. This study determines the groups at the Ljubljana University Medical Centre that are most susceptible to MSDs, especially low back pain. Methods Using data from the Health Data Centre of the Slovenian National Public Health Institute and the medical centre, this cross-sectional study analysed absenteeism among medical centre employees. The correlation between MSD / low-back pain risk factors and incidence was determined using logistic regression. An odds ratio was calculated to determine the probability of MSDs, most especially low back pain via sex, age, occupation, and education. Results Sick leave at the medical centre is higher than 5%, exceeding the Slovenian healthcare sector average. MSDs, as the main reason for absence, is significantly more frequent in women, non-medical staff, and employees with a maximum secondary school education. Among the MSDs, low back pain predominates as a reason for absence and is most frequent among nurses, midwives, and employees of 20 to 44.9 years old. Conclusion This study offers insight into the health status of medical centre employees. The high percentage of sick leave is mainly due to musculoskeletal disorders, including low back pain. This is an important basis for further monitoring and analysis of sick leave indicators and for planning systematic and continuous workplace health-promoting measures to manage ergonomic risk factors and reduce health-related absenteeism.
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Do Health Promotion Behaviors Affect Levels of Job Satisfaction and Job Stress for Nurses in an Acute Care Hospital? J Nurs Adm 2018; 48:342-348. [PMID: 29794598 DOI: 10.1097/nna.0000000000000625] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of this study was to explore the relationships between nurse-reported health-promoting behaviors (HPBs), job stress, and job satisfaction in a hospital setting. BACKGROUND Job stress and satisfaction are key components of the nursing work environment; however, evidence of the relationship between HPB and job stress and satisfaction is lacking. METHODS A cross-sectional, 144-item survey was administered to nurses working in an acute care, community hospital in the southeastern United States. RESULTS Higher levels of HPB were associated with lower job stress and higher job satisfaction. Total HPB was associated with the competence subscale of job stress. Lower job stress was significantly associated with HPB subscales: spiritual growth, interpersonal relations, and stress management. CONCLUSIONS Nursing organizations can implement interventions that support HPB for nurses to reduce job stress and improve satisfaction.
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19
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Panczyk M, Woynarowska-Sołdan M, Żmuda-Trzebiatowska H, Gotlib J. Health-enhancing behaviours of nurses in Poland and their association with shift work and age. Collegian 2018. [DOI: 10.1016/j.colegn.2017.07.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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20
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Cruz JP, Cabrera DNC, Hufana OD, Alquwez N, Almazan J. Optimism, proactive coping and quality of life among nurses: A cross-sectional study. J Clin Nurs 2018; 27:2098-2108. [DOI: 10.1111/jocn.14363] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Jonas Preposi Cruz
- Nursing Department; College of Applied Medical Sciences; Shaqra University; Al Dawadmi Saudi Arabia
- Graduate School; Union Christian College; San Fernando City La Union Philippines
| | - Darren Neil C Cabrera
- Nursing Services Department; Lorma Medical Center; San Fernando City La Union Philippines
| | - Only D Hufana
- School of Health Sciences; Union Christian College; San Fernando City La Union Philippines
| | - Nahed Alquwez
- Nursing Department; College of Applied Medical Sciences; Shaqra University; Al Dawadmi Saudi Arabia
| | - Joseph Almazan
- Nursing Department; Majmaah University; Majmaah Saudi Arabia
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Health Behaviour among Nurses Working in Public Hospitals in Kakamega County, Kenya. Nurs Res Pract 2018; 2017:4683189. [PMID: 29464118 PMCID: PMC5804103 DOI: 10.1155/2017/4683189] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Accepted: 10/31/2017] [Indexed: 12/03/2022] Open
Abstract
Health behaviour refers to actions undertaken by a person who perceives self to be ill for the purpose of finding an appropriate remedy. Nurses as gate keepers of health are expected to seek formal treatment when they are taken ill because this is what they teach their patients. Nurses' working conditions all over the world are described as squalid with long working hours and workload. This scenario predisposes them to occupational health hazards and at the same time denies them time for self-care. Although nurses are knowledgeable about disease and its treatment and have access to health care, they engage in self-treatment in contrast to what they teach patients. Health behaviour among nurses in Kakamega County was investigated using a cross-sectional design. Data was collected using self-administered questionnaires and subjected to bivariate and logistic regression analyses. The study found that health behaviour of nurses in Kakamega County is below expectation, as 33% (n = 61) engaged in voluntary screening services. Further, 34.8% (n = 65) said that their health would improve if they engaged in health promotion activities. The study recommends empowering nurses to engage in positive health behaviour through education. The county should also provide affordable screening services to its nurses.
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22
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Chan FK, Hsu CC, Lin HJ, Wang JJ, Su SB, Huang CC, Weng SF. Physicians as well as nonphysician health care professionals in Taiwan have higher risk for lumbar herniated intervertebral disc than general population. Medicine (Baltimore) 2018; 97:e9561. [PMID: 29505537 PMCID: PMC5943093 DOI: 10.1097/md.0000000000009561] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Physicians in Taiwan have long working hours and are at risk for inappropriate posture when handling patients, which may contribute to lumbar herniated intervertebral disc (L-HIVD). This study was conducted to delineate this issue, which is still unknown. This nationwide population-based cohort study was based on Taiwan National Health Insurance Research Database. We identified 25,428 physicians, 32,316 nonphysician health care professionals (HCPs), and an identical number of age- and sex-matched individuals from the general population. All individuals who had L-HIVD before 2007 were excluded. We compared the L-HIVD risk between physicians and general population, nonphysician HCPs and general population, and physicians and nonphysician HCPs by tracing their medical histories between 2007 and 2011. A comparison among physician specialties was also performed. Physicians and nonphysician HCPs had higher L-HIVD risk than the general population [odds ratio (OR): 1.149; 95% confidence interval (CI): 1.011-1.307 and OR: 1.220; 95% CI: 1.080-1.378, respectively]. Physicians did not have higher L-HIVD risk than nonphysician HCPs [adjusted OR (AOR): 0.912; 95% CI: 0.795-1.046]. Physician specialties of orthopedics and obstetrics and gynecology had a trend of higher L-HIVD risk than other specialties (AOR: 1.538; 95% CI: 0.805-2.939, and AOR: 1.306; 95% CI: 0.967-1.764, respectively). Physicians as well as nonphysician health care professionals in Taiwan have higher L-HIVD risk than the general population, which could be attributed to a probable role of long working hours. This result provides an important reference for the government to promote occupational health in health care professionals; however, further studies are warranted for the underlying mechanisms.
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Affiliation(s)
- Feng-Kai Chan
- Department of Emergency Medicine, Kuo General Hospital
| | - Chien-Chin Hsu
- Department of Emergency Medicine, Chi-Mei Medical Center
- Department of Biotechnology, Southern Taiwan University of Science and Technology
| | - Hung-Jung Lin
- Department of Emergency Medicine, Chi-Mei Medical Center
- Department of Biotechnology, Southern Taiwan University of Science and Technology
- Department of Emergency Medicine, Taipei Medical University, Taipei
| | | | - Shih-Bin Su
- Department of Occupational Medicine, Chi-Mei Medical Center
- Department of Leisure, Recreation and Tourism Management, Southern Taiwan University of Science and Technology
- Department of Medical Research, Chi-Mei Medical Center, Liouying
| | - Chien-Cheng Huang
- Department of Emergency Medicine, Chi-Mei Medical Center
- Department of Occupational Medicine, Chi-Mei Medical Center
- Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University
- Bachelor Program of Senior Service, Southern Taiwan University of Science and Technology
- Department of Geriatrics and Gerontology, Chi-Mei Medical Center, Tainan
| | - Shih-Feng Weng
- Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan
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Hoben M, Knopp-Sihota JA, Nesari M, Chamberlain SA, Squires JE, Norton PG, Cummings GG, Stevens BJ, Estabrooks CA. Health of health care workers in Canadian nursing homes and pediatric hospitals: a cross-sectional study. CMAJ Open 2017; 5:E791-E799. [PMID: 29162609 PMCID: PMC5741427 DOI: 10.9778/cmajo.20170080] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Poor health of health care workers affects quality of care, but research and health data for health care workers are scarce. Our aim was to compare physical/mental health among health care worker groups 1) within nursing homes and pediatric hospitals, 2) between the 2 settings and 3) with the physical/mental health of the Canadian population. METHODS Using cross-sectional data collected as part of the Translating Research in Elder Care program and the Translating Research on Pain in Children program, we examined the health of health care workers. In nursing homes, 169 registered nurses, 139 licensed practical nurses, 1506 care aides, 145 allied health care providers and 69 managers were surveyed. In pediatric hospitals, 63 physicians, 747 registered nurses, 155 allied health care providers, 49 nurse educators and 22 managers were surveyed. After standardization of the data for age and sex, we applied analyses of variance and general linear models, adjusted for multiple testing. RESULTS Nursing home workers and registered nurses in pediatric hospitals had poorer mental health than the Canadian population. Scores were lowest for registered nurses in nursing homes (mean difference -4.4 [95% confidence interval -6.6 to -2.6]). Physicians in pediatric hospitals and allied health care providers in nursing homes had better physical health than the general population. We also found important differences in physical/mental health for care provider groups within and between care settings. INTERPRETATION Mental health is especially poor among nursing home workers, who care for a highly vulnerable and medically complex population of older adults. Strategies including optimized work environments are needed to improve the physical and mental health of health care workers to ameliorate quality of patient care.
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Affiliation(s)
- Matthias Hoben
- Affiliations: Faculty of Nursing (Hoben, Nesari, Chamberlain, Cummings, Estabrooks), University of Alberta, Edmonton, Alta.; Faculty of Health Disciplines (Knopp-Sihota), Athabasca University, Athabasca, Alta.; School of Nursing (Squires), Faculty of Health Sciences, University of Ottawa; Clinical Epidemiology Program (Squires), Ottawa Hospital Research Institute, Ottawa, Ont.; Department of Family Medicine (Norton), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Lawrence S. Bloomberg Faculty of Nursing (Stevens), University of Toronto, Toronto, Ont
| | - Jennifer A Knopp-Sihota
- Affiliations: Faculty of Nursing (Hoben, Nesari, Chamberlain, Cummings, Estabrooks), University of Alberta, Edmonton, Alta.; Faculty of Health Disciplines (Knopp-Sihota), Athabasca University, Athabasca, Alta.; School of Nursing (Squires), Faculty of Health Sciences, University of Ottawa; Clinical Epidemiology Program (Squires), Ottawa Hospital Research Institute, Ottawa, Ont.; Department of Family Medicine (Norton), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Lawrence S. Bloomberg Faculty of Nursing (Stevens), University of Toronto, Toronto, Ont
| | - Maryam Nesari
- Affiliations: Faculty of Nursing (Hoben, Nesari, Chamberlain, Cummings, Estabrooks), University of Alberta, Edmonton, Alta.; Faculty of Health Disciplines (Knopp-Sihota), Athabasca University, Athabasca, Alta.; School of Nursing (Squires), Faculty of Health Sciences, University of Ottawa; Clinical Epidemiology Program (Squires), Ottawa Hospital Research Institute, Ottawa, Ont.; Department of Family Medicine (Norton), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Lawrence S. Bloomberg Faculty of Nursing (Stevens), University of Toronto, Toronto, Ont
| | - Stephanie A Chamberlain
- Affiliations: Faculty of Nursing (Hoben, Nesari, Chamberlain, Cummings, Estabrooks), University of Alberta, Edmonton, Alta.; Faculty of Health Disciplines (Knopp-Sihota), Athabasca University, Athabasca, Alta.; School of Nursing (Squires), Faculty of Health Sciences, University of Ottawa; Clinical Epidemiology Program (Squires), Ottawa Hospital Research Institute, Ottawa, Ont.; Department of Family Medicine (Norton), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Lawrence S. Bloomberg Faculty of Nursing (Stevens), University of Toronto, Toronto, Ont
| | - Janet E Squires
- Affiliations: Faculty of Nursing (Hoben, Nesari, Chamberlain, Cummings, Estabrooks), University of Alberta, Edmonton, Alta.; Faculty of Health Disciplines (Knopp-Sihota), Athabasca University, Athabasca, Alta.; School of Nursing (Squires), Faculty of Health Sciences, University of Ottawa; Clinical Epidemiology Program (Squires), Ottawa Hospital Research Institute, Ottawa, Ont.; Department of Family Medicine (Norton), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Lawrence S. Bloomberg Faculty of Nursing (Stevens), University of Toronto, Toronto, Ont
| | - Peter G Norton
- Affiliations: Faculty of Nursing (Hoben, Nesari, Chamberlain, Cummings, Estabrooks), University of Alberta, Edmonton, Alta.; Faculty of Health Disciplines (Knopp-Sihota), Athabasca University, Athabasca, Alta.; School of Nursing (Squires), Faculty of Health Sciences, University of Ottawa; Clinical Epidemiology Program (Squires), Ottawa Hospital Research Institute, Ottawa, Ont.; Department of Family Medicine (Norton), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Lawrence S. Bloomberg Faculty of Nursing (Stevens), University of Toronto, Toronto, Ont
| | - Greta G Cummings
- Affiliations: Faculty of Nursing (Hoben, Nesari, Chamberlain, Cummings, Estabrooks), University of Alberta, Edmonton, Alta.; Faculty of Health Disciplines (Knopp-Sihota), Athabasca University, Athabasca, Alta.; School of Nursing (Squires), Faculty of Health Sciences, University of Ottawa; Clinical Epidemiology Program (Squires), Ottawa Hospital Research Institute, Ottawa, Ont.; Department of Family Medicine (Norton), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Lawrence S. Bloomberg Faculty of Nursing (Stevens), University of Toronto, Toronto, Ont
| | - Bonnie J Stevens
- Affiliations: Faculty of Nursing (Hoben, Nesari, Chamberlain, Cummings, Estabrooks), University of Alberta, Edmonton, Alta.; Faculty of Health Disciplines (Knopp-Sihota), Athabasca University, Athabasca, Alta.; School of Nursing (Squires), Faculty of Health Sciences, University of Ottawa; Clinical Epidemiology Program (Squires), Ottawa Hospital Research Institute, Ottawa, Ont.; Department of Family Medicine (Norton), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Lawrence S. Bloomberg Faculty of Nursing (Stevens), University of Toronto, Toronto, Ont
| | - Carole A Estabrooks
- Affiliations: Faculty of Nursing (Hoben, Nesari, Chamberlain, Cummings, Estabrooks), University of Alberta, Edmonton, Alta.; Faculty of Health Disciplines (Knopp-Sihota), Athabasca University, Athabasca, Alta.; School of Nursing (Squires), Faculty of Health Sciences, University of Ottawa; Clinical Epidemiology Program (Squires), Ottawa Hospital Research Institute, Ottawa, Ont.; Department of Family Medicine (Norton), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Lawrence S. Bloomberg Faculty of Nursing (Stevens), University of Toronto, Toronto, Ont
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Flow in Nurses: A Study of Its Relationship With Health and Burnout in a Hospital Work Context. Holist Nurs Pract 2017; 31:303-314. [PMID: 28786888 DOI: 10.1097/hnp.0000000000000225] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
How does the experience of flow among nurses influences their health? This question is addressed on the basis of a model of flow, stress, burnout, and coping. The results indicate that promoting flow can be a way to enhance the health of ward nurses in a hospital work context.
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Rasoulzadeh N, Abbaszadeh A, Zaefarian R, Khounraz F. Nurses views on accepting the creation of a nurses' health monitoring system. Electron Physician 2017; 9:4454-4460. [PMID: 28713521 PMCID: PMC5498714 DOI: 10.19082/4454] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2016] [Accepted: 01/18/2016] [Indexed: 11/20/2022] Open
Abstract
Background Nurses’ health is often accompanied by various dangers due to the nature of their career. Therefore, it is required to monitor their health. Based on designing any system, users’ views should be investigated relative to the usefulness, necessity and acceptance of the system. Then, a designing and implementing process is conducted. Objective To investigate nurses’ views on accepting the creation of a Nurses’ Health Monitoring System. Methods This cross-sectional study was conducted in 2015. Sample size was 586 nurses of Shahid Beheshti University of Medical Sciences. Sampling was conducted using multi-stage random sampling method. Research tool was a two-section researcher-made questionnaire. In the first section, demographic data were studied and in the second section, a twelve-item questionnaire was presented based on technology acceptance model. Five-item questions were regulated on perceived usefulness (PU) and perceived ease of use (PEU) and views towards creating this system. Validity of the questionnaire was approved by content validity and content validity index and its reliability was approved by Cronbach’s alpha. Data were analyzed using SPSS16 and descriptive statistics (frequency distribution, percentage, mean). Results The majority of participants (75.3%) were females between 25–35 years of age (44.4%) and (58.2%) were married. Mean work experience was 11.5±8.19. Mean perceived usefulness (PU) (17.36±2.66) and perceived ease of use (PEU) (16.75±2.65) and views towards using a Nurses’ Health Monitoring System was (16.220±3.05). Conclusion Over two-thirds of nurses demonstrated perceived usefulness and perceived ease of use as well as positive views towards creating a nurses’ health monitoring system. It is recommended to design and implement a nurses’ health monitoring system based on local culture of Iranian nurses using IT in the health sector.
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Affiliation(s)
- Nasrin Rasoulzadeh
- Ph.D. Student in Nursing, Nursing and Midwifery College, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,Lecturer of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbas Abbaszadeh
- Professor, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Reza Zaefarian
- Assistant Professor, Department of Entrepreneurship Development, Faculty of Entrepreneurship, Tehran University, Tehran, Iran
| | - Fariba Khounraz
- M.Sc. Student, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Assessing the Risk of Manual Handling of Patients and Its Relationship with the Prevalence of Musculoskeletal Disorders Among Nursing Staff: Performance Evaluation of the MAPO and PTAI Methods. IRANIAN RED CRESCENT MEDICAL JOURNAL 2016. [DOI: 10.5812/ircmj.39860] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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27
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Alperovitch-Najenson D, Sheffer D, Treger I, Finkels T, Kalichman L. Rehabilitation versus Nursing Home Nurses' Low Back and Neck-Shoulder Complaints. Rehabil Nurs 2015; 40:286-93. [DOI: 10.1002/rnj.172] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/26/2014] [Indexed: 11/08/2022]
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Neall RA, Atherton IM, Kyle RG. Nurses' health-related behaviours: protocol for a quantitative systematic review of prevalence of tobacco smoking, physical activity, alcohol consumption and dietary habits. J Adv Nurs 2015; 72:197-204. [PMID: 26227309 DOI: 10.1111/jan.12739] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2015] [Indexed: 11/30/2022]
Abstract
AIM To enumerate nurses' health-related behaviour by critically appraising studies on tobacco smoking, physical activity, alcohol consumption and dietary habits. BACKGROUND Nurses represent the largest occupational group in healthcare systems internationally and have an established and expanding public health role. Nurses own health-related behaviour is known to impact nurses' ability and confidence to engage in health promotion, and how patients receive and respond to advice and guidance nurses' give. However, there has been no comprehensive and comparable assessment of evidence on nurses' health-related behaviours. DESIGN Quantitative systematic review of prevalence of tobacco smoking, physical activity, alcohol consumption and dietary habits. METHODS Systematic searches for literature published between January 2000 and February 2015 and indexed in Medical Literature Analysis and Retrieval System, Cumulative Index to Nursing and Allied Health Literature and Psychological Information. Eligibility criteria will be applied to titles and abstracts by two reviewers independently. Full text will be reviewed and the same criteria and process applied. Two reviewers will independently assess study quality guided by the Joanna Briggs Institute handbook for the systematic review of prevalence and incidence data. Discrepancies in eligibility or quality assessment will be resolved through discussion and, where required, a third reviewer. Data synthesis will be conducted and findings reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. DISCUSSION Enumerating prevalence of nurses' health-related behaviours is crucial to direct future research, inform public health policy, particularly around health promotion and to better support the nursing workforce through the development of behaviour change interventions. PROSPERO registration: CRD42015016751.
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Affiliation(s)
- Rosie A Neall
- School of Nursing, Midwifery & Social Care, Edinburgh Napier University, UK
| | - Iain M Atherton
- School of Nursing, Midwifery & Social Care, Edinburgh Napier University, UK
| | - Richard G Kyle
- School of Nursing, Midwifery & Social Care, Edinburgh Napier University, UK
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We cannot ignore nurses' health anymore: a synthesis of the literature on evidence-based strategies to improve nurse health. Nurs Adm Q 2015; 37:295-308. [PMID: 24022283 DOI: 10.1097/naq.0b013e3182a2f99a] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Nurses are known to suffer from health problems because of the physical and stressful nature of nurses' work. With the advent of health care reform and the increasing importance of nurses to quality and cost-effective health care, the health of nurses can no longer be ignored. The purpose of this synthesis of the literature is to determine what interventions and evidence-based practices have been found that support and improve the health of nurses. Whittemore and Knafl's integrative review methodology was chosen to guide the synthesis. Eighteen studies, all conducted in clinical settings, were identified. Interventions included on-site wellness, ergonomic and exercise programs; holistic practices, including Tai Chi and massage; the use of clinical supervision; mental health programs; and the use of minimal, no lift and lift-team programs. There is a critical need for more research specifically designed to improve the health and safety of the nursing workforce.
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Roberts MH, Sim MR, Black O, Smith P. Occupational injury risk among ambulance officers and paramedics compared with other healthcare workers in Victoria, Australia: analysis of workers’ compensation claims from 2003 to 2012. Occup Environ Med 2015; 72:489-95. [DOI: 10.1136/oemed-2014-102574] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2014] [Accepted: 02/21/2015] [Indexed: 11/04/2022]
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31
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McCrae N, Blackstock M, Purssell E. Eligibility criteria in systematic reviews: A methodological review. Int J Nurs Stud 2015; 52:1269-76. [PMID: 25726430 DOI: 10.1016/j.ijnurstu.2015.02.002] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2014] [Revised: 12/10/2014] [Accepted: 02/05/2015] [Indexed: 12/19/2022]
Abstract
BACKGROUND Systematic reviews of literature are increasingly important in healthcare. While reviewers are expected to follow reporting guidelines, inconsistencies may be observed in presentation of reviews, potentially detracting from the credibility of findings. Predetermined eligibility criteria are fundamental to the systematic process of reviewing, and should be given primacy in authors' reports. METHOD This methodological review assessed the specification and application of eligibility criteria in systematic reviews in three leading generic nursing journals. RESULTS While reporting guidelines were generally followed, major anomalies were revealed by this review. Over three-quarters of review papers placed eligibility criteria after description of the search strategy. Unjustified time restrictions were common, and many flowcharts omitted vital information. CONCLUSION Greater scrutiny of systematic reviews submitted to nursing journals would enhance the quality of reports and contribute to more robust evidence-based practice.
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Affiliation(s)
- Niall McCrae
- Florence Nightingale Faculty of Nursing & Midwifery, King's College London, United Kingdom.
| | - Marlene Blackstock
- Florence Nightingale Faculty of Nursing & Midwifery, King's College London, United Kingdom
| | - Edward Purssell
- Florence Nightingale Faculty of Nursing & Midwifery, King's College London, United Kingdom
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32
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Barene S, Krustrup P, Holtermann A. Effects of the Workplace Health Promotion Activities Soccer and Zumba on Muscle Pain, Work Ability and Perceived Physical Exertion among Female Hospital Employees. PLoS One 2014; 9:e115059. [PMID: 25494175 PMCID: PMC4262471 DOI: 10.1371/journal.pone.0115059] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2014] [Accepted: 11/14/2014] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES This 40-week workplace physical training RCT investigated the effect of soccer and Zumba, respectively, on muscle pain intensity and duration, work ability, and rating of perceived exertion (RPE) during work among female hospital employees. METHODS 107 hospital employees were cluster-randomized into two training groups, and a control group. The training was conducted outside working hours as two-three 1-h sessions per week for the first 12 weeks, and continued as one-two 1-h sessions per week for the last 28 weeks. Muscle pain intensity and duration, work ability, and RPE during work were measured at baseline and after 12 and 40 weeks. RESULTS After 12 weeks, both the soccer (-1.9, 95% CI, -3.0, -0.8, P = 0.001) and the Zumba group (-1.3, 95% CI, -2.3, -0.3, P = 0.01) reduced the pain intensity (on a scale from 0 to 10) in the neck-shoulder region (eta squared = 0.109), whereas only the soccer group (-1.9, 95% CI, -3.2, -0.7, P = 0.002, eta squared = 0.092) showed a reduction after 40 weeks referencing the control group. After 40 weeks, both the soccer (-16.4 days, 95% CI, -29.6, -3.2, P<0.02) and the Zumba group (-16.6 days, 95% CI, -28.9, -4.2, P<0.01) reduced the pain duration during the past 3 months in the neck-shoulder region (eta squared = 0.077). No significant effects on intensity or duration of pain in the lower back, RPE during work or work ability were found. CONCLUSIONS The present study indicates that workplace initiated soccer and Zumba training improve neck-shoulder pain intensity as well as duration among female hospital employees. TRIAL REGISTRATION International Standard Randomized Controlled Trial Number Register ISRCTN 61986892.
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Affiliation(s)
- Svein Barene
- Faculty of Public Health, Hedmark University College, Elverum, Norway
- Department of Sports, University of Nordland, Bodø, Norway
- Department of Nutrition, Exercise and Sports, Section of Human Physiology, Copenhagen Centre for Team Sport and Health, University of Copenhagen, Copenhagen, Denmark
- * E-mail:
| | - Peter Krustrup
- Department of Nutrition, Exercise and Sports, Section of Human Physiology, Copenhagen Centre for Team Sport and Health, University of Copenhagen, Copenhagen, Denmark
- Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, Exeter, United Kingdom
| | - Andreas Holtermann
- National Research Centre for the Working Environment, Copenhagen, Denmark
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33
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Chatot-Henry D, Chatot-Henry C, Courcier D. La promotion de la santé : un concept pertinent comme outil de management et de dynamique organisationnelle dans la restructuration d'un hôpital gériatrique. SANTÉ PUBLIQUE 2014. [DOI: 10.3917/spub.144.0453] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Oyama Y, Yonekura Y, Fukahori H. Nurse health-related quality of life: associations with patient and ward characteristics in Japanese general acute care wards. J Nurs Manag 2014; 23:775-83. [DOI: 10.1111/jonm.12207] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Yumiko Oyama
- Department of System Management in Nursing; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Yuki Yonekura
- Center for Social Research and Data Archives; Institute of Social Science; The University of Tokyo; Tokyo Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
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35
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Oyama Y, Fukahori H. A literature review of factors related to hospital nurses' health-related quality of life. J Nurs Manag 2013; 23:661-73. [DOI: 10.1111/jonm.12194] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/24/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Yumiko Oyama
- Doctoral Program in Comprehensive Health Nursing Science; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Hiroki Fukahori
- Department of System Management in Nursing; Graduate School of Health Care Sciences; Tokyo Medical and Dental University; Tokyo Japan
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36
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Jenull BB, Wiedermann W. The Different Facets of Work Stress. J Appl Gerontol 2013; 34:823-43. [DOI: 10.1177/0733464813495472] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2012] [Accepted: 06/03/2013] [Indexed: 11/16/2022] Open
Abstract
Work-related stress has been identified as a relevant problem leading to negative effects on health and quality of life. Using data from 844 nurses, latent profile analyses (LPA) were applied to identify distinct patterns of work stress. Several sociodemographic variables, including nurses’ working and living conditions, as well as nurses’ reactions to workload, were considered to predict respondents’ profile membership. LPA revealed three distinct profiles that can be distinguished by a low, moderate, and higher stress level. Being financially secure is positively related to the low stress profile, whereas working in an urban area and having low job satisfaction increases the chance of belonging to the higher stress profile. Our results can be used as a basis to develop interventions to create a healthy nursing home environment by supporting the balance between family and work, providing access to job resources and optimizing recovery opportunities.
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37
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Lindegård A, Larsman P, Hadzibajramovic E, Ahlborg G. The influence of perceived stress and musculoskeletal pain on work performance and work ability in Swedish health care workers. Int Arch Occup Environ Health 2013; 87:373-9. [PMID: 23609321 PMCID: PMC3996278 DOI: 10.1007/s00420-013-0875-8] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2012] [Accepted: 04/05/2013] [Indexed: 01/18/2023]
Abstract
OBJECTIVES To evaluate the influence of perceived stress and musculoskeletal ache/pain, separately and in combination, at baseline, on self-rated work ability and work performance at two-year follow-up. METHODS Survey data were collected with a 2-year interval. Health care workers participating at both waves were included. Inclusion criteria were good self-reported work ability and unchanged self-rated work performance at baseline, resulting in 770 participants; 617 women and 153 men. Musculoskeletal pain was assessed using the question "How often do you experience pain in joints and muscles, including the neck and low back?", perceived stress with a modified version of a single item from the QPS-Nordic questionnaire, work performance by the question "Have your work performance changed during the preceding 12 months?" and work ability by a single item from the work ability index. Associations between baseline data and the two outcomes at follow-up were analysed by means of the log binomial model and expressed as risk ratios (RR) with 95% confidence intervals (CI). RESULTS A combination of frequent musculoskeletal pain and perceived stress constituted the highest risk for reporting decreased work performance (RR 1.7; CI 1.28-2.32) and reduced work ability (RR 1.7; CI 1.27-2.30) at follow-up. Separately, frequent pain, but not stress, was clearly associated with both outcomes. CONCLUSION The results imply that proactive workplace interventions in order to maintain high work performance and good work ability should include measures to promote musculoskeletal well-being for the employees and measures, both individual and organizational, to minimize the risk of persistent stress reactions.
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Affiliation(s)
- A Lindegård
- Institute of Stress Medicine, 413 19, Göteborg, Sweden,
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Chung YC, Hung CT, Li SF, Lee HM, Wang SG, Chang SC, Pai LW, Huang CN, Yang JH. Risk of musculoskeletal disorder among Taiwanese nurses cohort: a nationwide population-based study. BMC Musculoskelet Disord 2013; 14:144. [PMID: 23617330 PMCID: PMC3637823 DOI: 10.1186/1471-2474-14-144] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2012] [Accepted: 04/15/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Musculoskeletal disorders (MSDs) represent the leading causes of occupational injuries among nursing staff. This population-based study was designed to assess the incidence and age-specific incidence of MSDs among a Taiwanese nurse cohort compared with non-nurses. DESCRIPTION Data from the Taiwan National Health Insurance Research Database were used to identify MSDs in the study population. A total of 3914 nurses with a diagnosis of MSD were included, together with 11,744 non-nurses as a comparison group. The comparison subjects were randomly selected at a ratio of 3:1 relative to the nurse population and were matched by gender and age. The incidence of MSDs was calculated for the study group, with nurse-to-reference risk ratios presented as odds ratios with 95% confidence intervals (CIs). During the period 2004-2010, 3004 MSDs occurred among the nurses (76.24%) and 7779 (65.79%) in the non-nurses. The annual incidence of MSDs for the nurses increased from 28.35% in 2006 to 33.65% in 2010. The nurse-to-reference risk ratio was 1.27 (95% CI 1.19-1.35) in 2004 and 1.46 (1.37-1.55) in 2010. Herniation of intervertebral disc, lumbago, rotator cuff syndrome, medial epicondylitis, trigger finger and carpal tunnel syndrome were the most common problems. CONCLUSIONS Nurses are at higher risk of MSDs and the trend is increasing. Incorrect work-related posture/movement, psychological issues and the rolling shift system may be the major causes of MSDs among nurses in Taiwan.
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Affiliation(s)
- Yueh-Chin Chung
- Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan
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Long MH, Bogossian FE, Johnston V. Midwives’ Experiences of Work-Related Shoulder Musculoskeletal Problems. INTERNATIONAL JOURNAL OF CHILDBIRTH 2013. [DOI: 10.1891/2156-5287.3.1.52] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
INTRODUCTION: Little is known about musculoskeletal disorders in midwives as distinct from nurses. The study objective was to gain an understanding of midwives’ experiences with work-related shoulder problems.METHODS: We carried out semistructured interviews with 11 qualified Australian midwives with a history of shoulder problems, recruited through purposive sampling. Interviews were recorded, transcribed verbatim, and manually coded. An inductive approach was used to generate themes.RESULTS: Five major themes emerged in the analysis: attribution, universality of the experience, short-term coping, long-term coping, and support. Most participants held the view that musculoskeletal problems were normal occurrences and to be expected. Participants felt vulnerable and described the ways they protect themselves from further injury. Those who had left midwifery practice had generally done so for reasons other than the shoulder problem. Family members and coworkers were the main sources of support, whereas most supervisors were perceived as neutral at best.CONCLUSIONS: Coping strategies that enhance well-being may be most effective. The workplace culture must encourage injury reporting to monitor safety issues and decrease costs at all levels. The study findings suggest several areas for future research in midwives to provide an evidence base for prevention/intervention strategies.
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Reme SE, Dennerlein JT, Hashimoto D, Sorensen G. Musculoskeletal pain and psychological distress in hospital patient care workers. JOURNAL OF OCCUPATIONAL REHABILITATION 2012; 22:503-510. [PMID: 22466375 PMCID: PMC3671916 DOI: 10.1007/s10926-012-9361-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
PURPOSE The aim of the study was to assess the association of psychological distress and musculoskeletal pain, how it is related to pain interference with work and multiple pain areas, and potential differences between the different pain areas in hospital patient care workers. METHODS Data were collected from a cross-sectional survey of patient care workers (n = 1,572) from two large hospitals. RESULTS Patient care workers with musculoskeletal pain reported significantly more psychological distress than those without pain. Psychological distress was significantly related to pain interference with work, even after adjusting for pain and demographics (OR = 1.05; CI = 1.01-1.09). The association was strongest for those with both upper- and lower body pain (OR = 1.12; CI = 1.06-1.18). Psychological distress was also independently associated with multiple pain areas. CONCLUSIONS Psychological distress was found to be higher in workers with musculoskeletal pain, and highest among workers with both upper and lower body pain. Distress was further significantly associated with pain interference with work as well as number of pain areas. The findings may be followed up with a longitudinal design to better determine the direction of the associations, and to investigate if psychological distress increases the risk of work disability and injuries.
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Affiliation(s)
- Silje Endresen Reme
- Department of Environmental Health, Harvard School of Public Health, Boston, MA 02215, USA.
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Sylvia ML, Weiner JP, Nolan MT, Han HR, Brancati F, White K. Work Limitations and Their Relationship to Morbidity Burden among Academic Health Center Employees with Diabetes. Workplace Health Saf 2012; 60:425-34. [DOI: 10.1177/216507991206001004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2012] [Accepted: 08/08/2012] [Indexed: 11/17/2022]
Abstract
The objective of this study was to determine the prevalence of work limitations and their relationship to morbidity burden among academic health center employees with diabetes. Employees with diabetes were surveyed via Internet and mail using the Work Limitations Questionnaire. Morbidity burden was measured using the Adjusted Clinical Groups methodology. Seventy-two percent of the employees with diabetes had a work limitation. Adjusted odds ratios for overall, physical, time, and output limitations were 1.81, 2.27, 2.13, and 2.14, respectively. Morbidity burden level is an indicator of work limitations in employees with diabetes and can be used to identify employees who may benefit from specialized services aimed at addressing their work limitations associated with diabetes.
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Sylvia ML, Weiner JP, Nolan MT, Han HR, Brancati F, White K. Work Limitations and Their Relationship to Morbidity Burden Among Academic Health Center Employees With Diabetes. Workplace Health Saf 2012. [DOI: 10.3928/21650799-20120917-38] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Abstract
AIM To describe registered nurses' (RNs) ratings of their work-related health problems, sickness presence and sickness absence in community care of older people. To describe RNs' perceptions of time, competence and emotional pressure at work. To describe associations between time, knowledge and emotional pressure with RNs' perceptions of work-related health problems, sickness presence and sickness absence. BACKGROUND There is a global nursing shortage. It is a challenge to provide working conditions that enable RNs to deliver quality nursing care. METHOD A descriptive design and a structured questionnaire were used. 213 RNs in 60 care homes for older people participated, with a response rate of 62%. FINDINGS RNs' reported work-related health problems, such as neck/back disorders, dry skin/dry mucous membranes, muscles/joints disorders, sleep disorders and headache. They had periods of fatigue/unhappiness/sadness because of their work (37%). Most of the RNs felt at times psychologically exhausted after work, with difficulties leaving their thoughts of work behind. RNs stated high sickness presence (68%) and high sickness absence (63%). They perceived high time pressure, adequate competence and emotional pressure at work. There was a weak to moderate correlation between RNs' health problems and time pressure. DISCUSSION We cannot afford a greater shortage of RNs in community care of older people. Politicians and employers need to develop a coordinated package of policies that provide a long-term and sustainable solution with healthy workplaces. CONCLUSION It is important to prevent RNs' work-related health problems and time pressure at work.
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Affiliation(s)
- K Josefsson
- School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
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