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Blake H. Applying health promotion knowledge to self-care: healthy eating and weight management for nurses. Nurs Stand 2024:e12393. [PMID: 39219253 DOI: 10.7748/ns.2024.e12393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2024] [Indexed: 09/04/2024]
Abstract
Promoting health in the workplace is a national and international public health priority, and health promotion is a central aspect of the nursing role. However, nurses' knowledge of health promotion does not always translate to self-care and there are barriers to some aspects of self-care at work, such as healthy eating. Evidence suggests that rates of overweight and obesity in nurses are relatively high and commensurate with the general population, which has implications for their health and well-being and their delivery of health promotion to patients. This article discusses health in the workplace and some of the evidence on overweight and obesity among nurses, including how this may influence their health promotion practice. The author also considers barriers and enablers to nurses' healthy eating at work and suggests some approaches that individual nurses and healthcare organisations can take to improve healthy eating.
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Affiliation(s)
- Holly Blake
- School of Health Sciences, Faculty of Medicine and Health Sciences, University of Nottingham Medical School, Nottingham, England
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Manna A, Vidgen H, Gallegos D. Examining the effectiveness of food literacy interventions in improving food literacy behavior and healthy eating among adults belonging to different socioeconomic groups- a systematic scoping review. Syst Rev 2024; 13:221. [PMID: 39198926 PMCID: PMC11350956 DOI: 10.1186/s13643-024-02632-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Accepted: 07/30/2024] [Indexed: 09/01/2024] Open
Abstract
BACKGROUND In high-income countries, significant diet-related health inequalities exist between people of different socioeconomic backgrounds. Individuals who face socioeconomic challenges are less likely to meet dietary guidelines, leading to increased incidence and prevalence of morbidity and mortality associated with dietary risk factors. To promote healthy eating, strategies may focus on individual-level factors (e.g., knowledge, skills, and behavior) along with broader societal factors (e.g., social determinants of health). The concept of food literacy is considered an individual-level factor and has been framed as a skill set that individuals must possess to effectively navigate the complexities of the modern food system. Food literacy interventions can be a complementary but effective tool for encouraging healthy eating behavior among diverse populations, including those facing socioeconomic disadvantage. However, there is limited evidence to guide the design of food literacy intervention for vulnerable population groups. In the process of developing an ideal portfolio of solutions and strategies to promote food literacy and healthy eating for people experiencing socioeconomic disadvantage, this systematic scoping review aims to comprehensively examine the effects of food literacy interventions on promoting food literacy behavior and healthy eating in adults (18 years and above) from various socioeconomic groups (SEGs) in high-income countries. METHODS The review includes both qualitative and quantitative papers obtained from academic databases, including MEDLINE (via EBSCOhost), Embase, Web of Science, and Google Scholar. In addition to the electronic search, manual forward and backward citation searching will be conducted to identify additional relevant papers. Food literacy interventions will be evaluated across four domains: planning and management, selection, preparation, and consumption. Papers included in the review will be analyzed for process, impact, and outcome evaluation. The main outcome of a food literacy intervention is the modification in eating behavior, while the mechanism for this action will be through impact measure of food literacy behaviors. Implementation factors will be extracted for process evaluation. This review will also include a range of dietary behavior measures, such as diet quality index and dietary intake indicator. The screening process for all citations, full-text articles, and abstract data will be carried out by two reviewers independently. In case of any potential conflicts, they will be resolved through discussion. The quality of quantitative studies will be reviewed using the JBI critical appraisal checklist for analytical cross-sectional studies. The "Consolidated Criteria for Reporting Qualitative Studies (COREQ)" will be used to report on the quality of qualitative papers. SYSTEMATIC REVIEW REGISTRATION https://doi.org/10.17605/OSF.IO/TPNKU.
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Affiliation(s)
- Arijita Manna
- Queensland University of Technology Brisbane, Brisbane, Queensland, Australia.
| | - Helen Vidgen
- Queensland University of Technology Brisbane, Brisbane, Queensland, Australia
| | - Danielle Gallegos
- Queensland University of Technology Brisbane, Brisbane, Queensland, Australia
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Mensinger JL, Weissinger GM, Cantrell MA, Baskin R, George C. A Pilot Feasibility Evaluation of a Heart Rate Variability Biofeedback App to Improve Self-Care in COVID-19 Healthcare Workers. Appl Psychophysiol Biofeedback 2024; 49:241-259. [PMID: 38502516 PMCID: PMC11101559 DOI: 10.1007/s10484-024-09621-w] [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] [Indexed: 03/21/2024]
Abstract
COVID-19 exacerbated burnout and mental health concerns among the healthcare workforce. Due to high work stress, demanding schedules made attuned eating behaviors a particularly challenging aspect of self-care for healthcare workers. This study aimed to examine the feasibility and acceptability of a heart rate variability biofeedback (HRVB) mobile app for improving well-being among healthcare workers reporting elevated disordered eating during COVID-19. We conducted a mixed methods pre-mid-post single-arm pilot feasibility trial (ClinicalTrials.gov NCT04921228). Deductive content analysis of participants' commentary generated qualitative themes. Linear mixed models were used to examine changes in pre- mid- to post-assessment scores on well-being outcomes. We consented 28 healthcare workers (25/89% female; 23/82% Non-Hispanic White; 22/79% nurses) to use and evaluate an HRVB mobile app. Of these, 25/89% fully enrolled by attending the app and device training; 23/82% were engaged in all elements of the protocol. Thirteen (52%) completed at least 10 min of HRVB on two-thirds or more study days. Most participants (18/75%) reported being likely or extremely likely to continue HRVB. Common barriers to engagement were busy schedules, fatigue, and technology difficulties. However, participants felt that HRVB helped them relax and connect better to their body's signals and experiences. Results suggested preliminary evidence of efficacy for improving interoceptive sensibility, mindful self-care, body appreciation, intuitive eating, stress, resilience, and disordered eating. HRVB has potential as a low-cost adjunct tool for enhancing well-being in healthcare workers through positively connecting to the body, especially during times of increased stress when attuned eating behavior becomes difficult to uphold.
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Affiliation(s)
- Janell L Mensinger
- Department of Clinical and School Psychology, College of Psychology, Nova Southeastern University, 3301 College Ave, 1073 Maltz, Fort Lauderdale, FL, 33314, USA.
- Fitzpatrick College of Nursing, Villanova University, Villanova, PA, USA.
| | - Guy M Weissinger
- Fitzpatrick College of Nursing, Villanova University, Villanova, PA, USA
| | - Mary Ann Cantrell
- Fitzpatrick College of Nursing, Villanova University, Villanova, PA, USA
| | - Rachel Baskin
- Fitzpatrick College of Nursing, Villanova University, Villanova, PA, USA
| | - Cerena George
- Fitzpatrick College of Nursing, Villanova University, Villanova, PA, USA
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Capan M, Bigelow L, Kathuria Y, Paluch A, Chung J. Analysis of multi-level barriers to physical activity among nursing students using regularized regression. PLoS One 2024; 19:e0304214. [PMID: 38787846 PMCID: PMC11125535 DOI: 10.1371/journal.pone.0304214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 05/08/2024] [Indexed: 05/26/2024] Open
Abstract
Physical inactivity is a growing societal concern with significant impact on public health. Identifying barriers to engaging in physical activity (PA) is a critical step to recognize populations who disproportionately experience these barriers. Understanding barriers to PA holds significant importance within patient-facing healthcare professions like nursing. While determinants of PA have been widely studied, connecting individual and social factors to barriers to PA remains an understudied area among nurses. The objectives of this study are to categorize and model factors related to barriers to PA using the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework. The study population includes nursing students at the study institution (N = 163). Methods include a scoring system to quantify the barriers to PA, and regularized regression models that predict this score. Key findings identify intrinsic motivation, social and emotional support, education, and the use of health technologies for tracking and decision-making purposes as significant predictors. Results can help identify future nursing workforce populations at risk of experiencing barriers to PA. Encouraging the development and employment of health-informatics solutions for monitoring, data sharing, and communication is critical to prevent barriers to PA before they become a powerful hindrance to engaging in PA.
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Affiliation(s)
- Muge Capan
- Department of Mechanical and Industrial Engineering, College of Engineering, University of Massachusetts Amherst, Amherst, MA, United States of America
| | - Lily Bigelow
- Department of Mechanical and Industrial Engineering, College of Engineering, University of Massachusetts Amherst, Amherst, MA, United States of America
| | - Yukti Kathuria
- Department of Mechanical and Industrial Engineering, College of Engineering, University of Massachusetts Amherst, Amherst, MA, United States of America
| | - Amanda Paluch
- Department of Kinesiology and Institute for Applied Life Sciences, University of Massachusetts Amherst, Amherst, MA, United States of America
| | - Joohyun Chung
- College of Nursing, University of Massachusetts Amherst, Amherst, MA, United States of America
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Van Dyke N, Murphy M, Drinkwater EJ. "We know what we should be eating, but we don't always do that." How and why people eat the way they do: a qualitative study with rural australians. BMC Public Health 2024; 24:1240. [PMID: 38711054 PMCID: PMC11071252 DOI: 10.1186/s12889-024-18432-x] [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: 12/14/2023] [Accepted: 03/25/2024] [Indexed: 05/08/2024] Open
Abstract
BACKGROUND There is evidence that most people are aware of the importance of healthy eating and have a broad understanding regarding types of food that enhance or detract from health. However, greater health literacy does not always result in healthier eating. Andreasen's Social Marketing Model and Community-Based Social Marketing both posit that, in order to change health behaviours, it is crucial to understand reasons for current behaviours and perceived barriers and benefits to improved behaviours. Limited research has been conducted, however, that explores these issues with general populations. This study aimed to help address this gap in the evidence using a qualitative methodology. METHODS Three group discussions were conducted with a total of 23 participants: (1) young women aged 18-24 with no children; (2) women aged 35-45 with primary school aged children; and (3) men aged 35-50 living with a partner and with pre- or primary school aged children. The discussions took place in a regional centre of Victoria, Australia. Transcriptions were thematically analysed using an inductive descriptive approach and with reference to a recent integrated framework of food choice that identified five key interrelated determinants: food- internal factors; food- external factors; personal-state factors; cognitive factors; and sociocultural factors. RESULTS We found that food choice was complex, with all five determinants evident from the discussions. However, the "Social environment" sub-category of "Food-external factors", which included family, work, and social structures, and expectations (or perceived expectations) of family members, colleagues, friends, and others, was particularly prominent. Knowledge that one should practice healthy eating, which falls under the "Cognitive factor" category, while seen as an aspiration by most participants, was often viewed as unrealistic, trumped by the need and/or desire for convenience, a combination of Food-external factor: Social environment and Personal-state factor: Psychological components. CONCLUSIONS We found that decisions regarding what, when, and how much to eat are seen as heavily influenced by factors outside the control of the individual. It appears, therefore, that a key to improving people's eating behaviours is to make it easy to eat more healthfully, or at least not much harder than eating poorly.
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Affiliation(s)
- Nina Van Dyke
- Mitchell Institute, Victoria University, 300 Queen St, Melbourne, VIC, Australia.
| | | | - Eric J Drinkwater
- Centre for Sport Research, School of Exercise & Nutrition Sciences, Deakin University, Geelong, VIC, Australia
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Choi MJ, Kim S, Jeong SH. Factors Associated With Health-promoting Behaviors Among Nurses in South Korea: Systematic Review and Meta-analysis Based on Pender's Health Promotion Model. Asian Nurs Res (Korean Soc Nurs Sci) 2024; 18:188-202. [PMID: 38692407 DOI: 10.1016/j.anr.2024.04.007] [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: 09/19/2023] [Revised: 03/04/2024] [Accepted: 04/24/2024] [Indexed: 05/03/2024] Open
Abstract
PURPOSE Although the importance of health promotion for nurses is increasing, there is a lack of meta-analyses targeting nurses in the world. This study aimed to identify the effect sizes between the health-promoting behaviors and related variables of nurses working in Korea. METHODS Systematic review and meta-analysis were conducted according to the PRISMA and MOOSE guidelines. The literature included in this meta-analysis was published between 1994 and 2022 in core databases such as KMbase, KISS, KoreaMed, ScienceON, DBpia, NAL, RISS, CINAHL, CENTRAL, WoS, PubMed, and hand searched. In this study, the PICO-SD framework was applied with Participants being nurses actively working in various healthcare settings across Korea, and for a more comprehensive search, intervention and comparisons were not set. The outcomes measured were nurses' health-promoting behaviors, assessed using structured tools. The study design included observational studies. The Comprehensive Meta-Analysis and the R software program were used for meta-analysis. RESULTS In total, 50 articles were selected for the systematic review and meta-analysis. The total effect size of the 50 articles was moderate (correlation effect size [ESr] = 0.30). The individual variables presented in the 50 articles were classified into nine sub-categories according to Pender's Health Promotion Model (HPM). Among them, situational influences demonstrated the largest effect size (ESr = 0.44, number of studies [k] = 2), followed by perceived self-efficacy (ESr = 0.39, k = 10) and activity-related affect (ESr = 0.32, k = 12). CONCLUSIONS To achieve the optimal health status of nurses through health promotion intervention programs, these effective variables - situational influences, perceived self-efficacy, and activity-related affect - should be considered when developing the intervention program for nurses. REGISTRATION CRD42022299907.
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Affiliation(s)
- Myung Jin Choi
- Department of Nursing, Presbyterian Medical Center, Jeonju, 54987, Jeollabuk-do, Republic of Korea
| | - Sunmi Kim
- College of Nursing, Woosuk University, Wanju, 55338, Jeollabuk-do, Republic of Korea.
| | - Seok Hee Jeong
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, 54896, Jeollabuk-do, Republic of Korea.
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Migdanis A, Tsolis K, Migdanis I, Kaltsa AG, Fytsilis FA, Manouras A, Androutsos O, Kapsoritakis A. The Effect of Shift Working on Dietary Patterns of Healthcare Practitioners during the COVID-19 Pandemic: A Cross-Sectional Study. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:627. [PMID: 38674273 PMCID: PMC11051816 DOI: 10.3390/medicina60040627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Revised: 04/05/2024] [Accepted: 04/08/2024] [Indexed: 04/28/2024]
Abstract
Background and Objectives: Health professionals' working schedules often do not allow them to follow a balanced way of life, and the nature of their work can affect their weight and eating habits. The aim of the present study is to shed some light on the impact of night shift working on the dietary practices of healthcare practitioners in Greece. Materials and Methods: This was a cross-sectional study. With the use of an administered questionnaire several parameters were assessed, including anthropometric characteristics, weight history, as well as nutritional habits of the same group of participants during night shifts and when at regular working hours. Moreover, nutritional beliefs of the subjects were recorded, as well as the level of adherence to the Mediterranean diet. Results: It was observed that in all food groups, including water, used to compare the nutritional patterns of the participants during night shifts and when working regular hours, statistical differences were noted (p = 0.001). Furthermore, the participants who reported a higher adherence to the Mediterranean diet and self-reported healthier nutritional habits, had a statistically lower weight compared to the participants that rarely followed the specific model or reported unhealthier eating routine (p = 0.010 and p = 0.015, respectively). Conclusions: We conclude that shift-working healthcare professionals are associated with disturbed eating behaviours leading to the high consumption of unhealthy food. The implementation of interventions that will concentrate on educating health workers on balanced nutrition and improving physical environment (i.e., food availability, healthier food choices) seems to be of great importance.
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Affiliation(s)
- Athanasios Migdanis
- Nutrition and Dietetics Department, University of Thessaly, Argonafton 1C, 42132 Trikala, Greece; (I.M.); (A.M.)
- Faculty of Medicine, University of Thessaly, Viopolis Mezourlo, 41110 Larissa, Greece; (K.T.); (A.K.)
| | - Konstantinos Tsolis
- Faculty of Medicine, University of Thessaly, Viopolis Mezourlo, 41110 Larissa, Greece; (K.T.); (A.K.)
| | - Ioannis Migdanis
- Nutrition and Dietetics Department, University of Thessaly, Argonafton 1C, 42132 Trikala, Greece; (I.M.); (A.M.)
- Faculty of Medicine, University of Thessaly, Viopolis Mezourlo, 41110 Larissa, Greece; (K.T.); (A.K.)
| | - Agoritsa G. Kaltsa
- Department of Gastroenterology, General University Hospital of Larissa, Viopolis Mezourlo, 41110 Larissa, Greece (F.A.F.)
| | - Fotios A. Fytsilis
- Department of Gastroenterology, General University Hospital of Larissa, Viopolis Mezourlo, 41110 Larissa, Greece (F.A.F.)
| | - Athanasios Manouras
- Nutrition and Dietetics Department, University of Thessaly, Argonafton 1C, 42132 Trikala, Greece; (I.M.); (A.M.)
| | - Odysseas Androutsos
- Laboratory of Clinical Nutrition and Dietetics (CND-Lab), Department of Nutrition and Dietetics, University of Thessaly, Argonafton 1C, 42132 Trikala, Greece;
| | - Andreas Kapsoritakis
- Faculty of Medicine, University of Thessaly, Viopolis Mezourlo, 41110 Larissa, Greece; (K.T.); (A.K.)
- Department of Gastroenterology, General University Hospital of Larissa, Viopolis Mezourlo, 41110 Larissa, Greece (F.A.F.)
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Sajwani AI, Hashi F, Abdelghany E, Alomari A, Alananzeh I. Workplace barriers and facilitators to nurses' healthy eating behaviours: a qualitative systematic review. Contemp Nurse 2024; 60:270-299. [PMID: 38805602 DOI: 10.1080/10376178.2024.2354336] [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: 10/24/2023] [Accepted: 05/07/2024] [Indexed: 05/30/2024]
Abstract
BACKGROUND Globally, nurses and midwives have a higher rate of being overweight/obese than the general population, influenced by workplace environments that impact dietary habits. OBJECTIVE This systematic review aimed to identify barriers/facilitators to healthy eating among nurses in clinical settings. DESIGN This systematic review followed Joanna Briggs Institute's guidelines for qualitative systematic reviews. METHODS Eight electronic databases: PROQUEST CENTRAL, SCIENCEDIRECT, MEDLINE, CINAHL, PsycINFO, WEB SCIENCE, PUB MED, and SCOPUS were searched. Articles were screened using JBI SUMARI®, and quality assessment was done using the JBI critical appraisal checklist. Data were extracted using the JBI data extraction tool. RESULTS Nine qualitative studies were reviewed, involving 488 nurses, concluding 37 distinct findings. Two synthesised findings emerged: barriers, and facilitators to healthy eating, related to organisational (shift work/long working hours), personal, physical workplace environment, and social factors. CONCLUSIONS The review emphasises the necessity of promoting attainable healthy eating practices at organisational, personal, environmental, and social levels within the workplace. REGISTRATION PROSPERO International prospective register of systematic reviews, ID: CRD42022309259.
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Affiliation(s)
- Arsheen Imran Sajwani
- Student School of Nursing, University of Wollongong Dubai, Dubai, United Arab Emirates (AS)
| | - Fatima Hashi
- School Health Services, Ambulatory Health Care Services, SEHA - Abu Dhabi Health Services Co, Abu Dhabi, United Arab Emirates (FH)
| | - Eman Abdelghany
- Wasit Health Center, Primary Health Care, Emirates Health Services, Sharjah, United Arab Emirates
| | - Albara Alomari
- Director of Nursing Research, Hamad Medical Corporation, Doha, Qatar
| | - Ibrahim Alananzeh
- School of Nursing Faculty of Science, Medicine & Health, University of Wollongong, Dubai, United Arab Emirates (IA)
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Mahdavi-Roshan M, Salimi S, Pourghane P, Ashouri A, Haghighatkhah M, Karami S. A comparative study of the effectiveness of self-management and group management on the amount of weight loss of nurses under low-calorie diet treatment: A simultaneous mixed-methods study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:101. [PMID: 38726076 PMCID: PMC11081444 DOI: 10.4103/jehp.jehp_454_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Accepted: 05/03/2023] [Indexed: 05/12/2024]
Abstract
BACKGROUND Nursing is a profession that is associated with a lot of stress and a risk of being overweight or obese. The purpose of this research was to determine the comparative effectiveness of self-management (self-M) and group management (group-M) on nurses who were following a diet with the aim of proposing a proper planning and a healthy lifestyle for them. MATERIALS AND METHODS This study was a simultaneous mixed-methods design (interventional and qualitative). The participants were all overweight or obese nurses working in teaching hospitals at Guilan University of Medical Sciences in 2019 (n = 96). In the qualitative part, data were extracted from semi-structured interviews. For quantitative data analysis, relevant statistical methods such as Kolmogorov-Smirnov test, analysis of variance (ANOVA), and analysis of covariance (ANCOVA) were used. For qualitative data analysis, the conventional content analysis approach was used and Lincoln and Guba's criteria were applied to ensure the accuracy of the data. RESULTS In both quantitative and qualitative sections, the results showed that following a diet treatment with group-M is more effective than self-M. CONCLUSION The results showed that a healthy lifestyle can be achieved for nurses if they participate in training classes and group programs, which are proven to be effective based on this article and some other studies. Also, since weight gain and obesity, as one of the most important problems of health systems, continue to increase and can impose a heavy economic and social burden on human societies, various general policies should be used and these solutions can range from home to society to prevent and control them.
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Affiliation(s)
- Marjan Mahdavi-Roshan
- Department of Clinical Nutrition, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
| | - Sanaz Salimi
- Resident of Clinical Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran
| | - Parand Pourghane
- Social Determinants of Health Research Center, Nursing Department, East of Guilan School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
| | - Asieh Ashouri
- Cardiovascular Diseases Research Center, Department of Cardiology, Department of Health Education and Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran
| | - Motahare Haghighatkhah
- Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
| | - Samaneh Karami
- Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
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Chang HE. Relationships among meal time, break time and workplace characteristics of nurses who work day, evening and night shifts: a cross-sectional study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024; 30:312-318. [PMID: 38124390 DOI: 10.1080/10803548.2023.2298116] [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] [Indexed: 12/23/2023]
Abstract
Objectives. This study aimed to examine the relationships among shift-working nurses' meal time, break time and workplace characteristics. Methods. The cross-sectional study analyzed 351 questionnaires from 117 nurses who worked three shifts, drawn from eight nursing units in two tertiary hospitals located in South Korea. Meal time and break time during work were investigated through a questionnaire that participants completed immediately after the end of each shift. Regression analysis was conducted to investigate the associations between nurses' work characteristics and meal time and break time. Results. Meal time and break time were less than 30 min on all shifts and significantly longer on the night shift than on the other shifts. As patients' average length of stay increased, meal time increased on day and night shifts, while break time decreased on evening shifts. Overall, a higher nursing staff-to-patient ratio was associated with shorter meal and break times. Conclusions. It was found that nurses were not able to take proper time for meals and breaks while working. A realistic and specific strategy should be prepared to address this issue, with appropriate consideration of the specific characteristics of nurse staffing, patients' conditions and shifts.
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Affiliation(s)
- Hyoung Eun Chang
- College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Republic of Korea
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Emmanuel T, Griffiths P, Lamas-Fernandez C, Ejebu OZ, Dall'Ora C. The important factors nurses consider when choosing shift patterns: A cross-sectional study. J Clin Nurs 2024; 33:998-1011. [PMID: 38151796 DOI: 10.1111/jocn.16974] [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: 09/21/2023] [Revised: 12/06/2023] [Accepted: 12/08/2023] [Indexed: 12/29/2023]
Abstract
AIM To gain a deeper understanding of what is important to nurses when thinking about shift patterns and the organisation of working time. DESIGN A cross-sectional survey of nursing staff working across the UK and Ireland collected quantitative and qualitative responses. METHODS We recruited from two National Health Service Trusts and through an open call via trade union membership, online/print nursing profession magazines and social media. Worked versus preferred shift length/pattern, satisfaction and choice over shift patterns and nurses' views on aspects related to work and life (when working short, long, rotating shifts) were analysed with comparisons of proportions of agreement and crosstabulation. Qualitative responses on important factors related to shift preferences were analysed with inductive thematic analysis. RESULTS Eight hundred and seventy-three survey responses were collected. When nurses worked long shifts and rotating shifts, lower proportions reported being satisfied with their shifts and working their preferred shift length and pattern. Limited advantages were realised when comparing different shift types; however, respondents more frequently associated 'low travel costs' and 'better ability to do paid overtime' with long shifts and 'healthy diet/exercise' with short shifts; aspects related to rotating shifts often had the lowest proportions of agreement. In the qualitative analysis, three themes were developed: 'When I want to work', 'Impacts to my life outside work' and 'Improving my work environment'. Reasons for nurses' shift preferences were frequently related to nurses' priorities outside of work, highlighting the importance of organising schedules that support a good work-life balance. RELEVANCE TO CLINICAL PRACTICE General scheduling practices like adhering to existing shift work guidelines, using consistent and predictable shift patterns and facilitating flexibility over working time were identified by nurses as enablers for their preferences and priorities. These practices warrant meaningful consideration when establishing safe and efficient nurse rosters. PATIENT OR PUBLIC CONTRIBUTION This survey was developed and tested with a diverse group of stakeholders, including nursing staff, patients, union leads and ward managers. REPORTING METHOD The Strengthening the Reporting of Observational Studies (STROBE) checklist for cross-sectional studies was used to guide reporting.
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Affiliation(s)
- Talia Emmanuel
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Peter Griffiths
- School of Health Sciences, University of Southampton, Southampton, UK
- National Institute for Health Research (NIHR) Applied Research Collaboration, Wessex, UK
| | - Carlos Lamas-Fernandez
- National Institute for Health Research (NIHR) Applied Research Collaboration, Wessex, UK
- Southampton Business School, University of Southampton, Southampton, UK
| | - Ourega-Zoé Ejebu
- School of Health Sciences, University of Southampton, Southampton, UK
- National Institute for Health Research (NIHR) Applied Research Collaboration, Wessex, UK
| | - Chiara Dall'Ora
- School of Health Sciences, University of Southampton, Southampton, UK
- National Institute for Health Research (NIHR) Applied Research Collaboration, Wessex, UK
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Davis C, Huggins CE, Kleve S, Leung GKW, Bonham MP. Conceptualizing weight management for night shift workers: A mixed-methods systematic review. Obes Rev 2024; 25:e13659. [PMID: 37985937 DOI: 10.1111/obr.13659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 08/24/2023] [Accepted: 10/01/2023] [Indexed: 11/22/2023]
Abstract
Shift workers have an increased risk of obesity and metabolic conditions. This mixed-methods systematic literature review on night shift workers aimed to: (1) identify barriers/enablers of weight management; (2) examine effectiveness of weight management interventions; and (3) determine whether interventions addressed enablers/barriers. Six databases were searched, articles screened by title/abstract, followed by full-text review, and quality assessment. Eligible qualitative studies documented experiences of behaviors related to weight change. Eligible quantitative studies were behavior change interventions with weight/body mass index outcomes. A thematic synthesis was undertaken for qualitative studies using the social-ecological model (SEM). Interventions were synthesized narratively including: weight/body composition change; components mapped by behavior change taxonomy; and SEM. A synthesis was undertaken to identify if interventions addressed perceived enablers/barriers. Eight qualitative (n = 169 participants) and 12 quantitative studies (n = 1142 participants) were included. Barriers predominated discussions: intrapersonal (time, fatigue, stress); interpersonal (work routines/cultural norms); organizational (fatigue, lack of: routine, healthy food options, breaks/predictable work); community (lack of healthy food options). The primary outcome for interventions was not weight loss and most did not address many identified enablers/barriers. One intervention reported a clinically significant weight loss result. Weight loss interventions that address barriers/enablers at multiple SEM levels are needed.
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Affiliation(s)
- Corinne Davis
- Department of Nutrition, Dietetics and Food, Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, Australia
| | - Catherine E Huggins
- Department of Nutrition, Dietetics and Food, Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, Australia
- Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia
| | - Sue Kleve
- Department of Nutrition, Dietetics and Food, Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, Australia
| | - Gloria K W Leung
- Department of Nutrition, Dietetics and Food, Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, Australia
| | - Maxine P Bonham
- Department of Nutrition, Dietetics and Food, Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, Australia
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Huijs E, van Stigt BJ, de Roos N, Nap A. The feasibility of an anti-inflammatory diet in endometriosis: barriers and facilitators perceived by endometriosis patients. Reprod Biomed Online 2024; 48:103624. [PMID: 38181648 DOI: 10.1016/j.rbmo.2023.103624] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 10/05/2023] [Accepted: 10/12/2023] [Indexed: 01/07/2024]
Abstract
RESEARCH QUESTION What is the feasibility of an anti-inflammatory diet in women diagnosed with endometriosis? DESIGN Qualitative study using semi-structured focus groups and individual interviews among patients with endometriosis. Transcripts of the focus groups and interviews were thematically analysed using ATLAS.ti 9. To identify and structure the ideas and views from the focus groups and interviews, two behavioural change models were used. The Capability Opportunity Motivation Behaviour (COM-B) model and domains of the Theoretical Domains Framework (TDF) helped to identify factors that make adherence to an anti-inflammatory diet more or less feasible for women with endometriosis. RESULTS The study population consisted of 23 patients with endometriosis. Numerous perceived barriers and facilitators were identified from all COM-B components and 13 out of 15 TDF domains. Knowledge and social influences were the most prominent TDF domains. Key barriers were eating with others; disbelief in a patients' own capability regarding specific dietary guidelines; concerns about taste; lack of knowledge on how to follow the diet; lack of noticeable beneficial effect; and lack of intention to follow the diet to full extent. Key facilitators were receiving social support; general confidence in a participant's own capabilities; knowing how and why to follow the diet; noticing beneficial effect; and belief that the diet would alleviate symptoms. CONCLUSION Provision of knowledge, stimulating social support and enhancing self-efficacy should be emphasized. Overall, an anti-inflammatory diet in endometriosis patients, especially when identified barriers and facilitators are addressed in an intervention, is feasible.
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Affiliation(s)
- Emma Huijs
- Department of Gynaecology and Obstetrics, Radboudumc, Nijmegen, the Netherlands.
| | - Brenda Joëlle van Stigt
- Division of Human Nutrition and Health, Wageningen University and Research, Wageningen, the Netherlands
| | - Nicole de Roos
- Division of Human Nutrition and Health, Wageningen University and Research, Wageningen, the Netherlands
| | - Annemiek Nap
- Department of Gynaecology and Obstetrics, Radboudumc, Nijmegen, the Netherlands
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Hobby J, Parkinson J, Ball L. Exploring health professionals' perceptions of how their own diet influences their self-efficacy in providing nutrition care. Psychol Health 2024; 39:252-267. [PMID: 35484729 DOI: 10.1080/08870446.2022.2069246] [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: 10/15/2021] [Accepted: 04/17/2022] [Indexed: 10/18/2022]
Abstract
OBJECTIVE Supporting health professionals' dietary behaviours is important to their own health and may influence the quality of care they provide. Understanding health professionals' perceptions on the experiences which have shaped their views on nutrition is important to inform interventions. DESIGN A cross-sectional qualitative design utilised in depth interviews via telephone or videoconference. Health professionals with direct interaction with patients were recruited through the media channels of Australian national health professional associations. A semi-structured interview guide was used. Interview data analysis was conducted using thematic analysis. Twenty-two health professionals participated in the study including dietitians. RESULTS Three themes emerged from the data: (1) Life experiences influence health professionals' feelings of self-efficacy in providing nutrition care. (2) Learning through observation and role modelling occurred continually and shaped health professionals' attitudes and beliefs on nutrition care. (3) Social interactions influenced self-efficacy through social persuasion and social pressure. The social environment played a role in both facilitating and/or hindering adoption of a dietary behaviour in their own lives. CONCLUSIONS Health professionals perceive their personal dietary experiences strongly influence their self-efficacy to provide nutrition care. Strategies which enable health professionals to improve their diets could lead to improvements in nutrition care. Creating socially supportive environments in the workplace warrant investigation to support health professionals to eat well and provide nutrition care to patients.
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Affiliation(s)
- Julie Hobby
- School of Health Sciences and Social Work, Griffith University, Nathan, QLD, Australia
- Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia
| | - Joy Parkinson
- Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia
| | - Lauren Ball
- Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia
- Department of Marketing, Griffith Business School, Griffith University, Nathan, QLD, Australia
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15
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Vitale E, Mea R. Comorbidity, Eating Behaviors and Smartphone Addiction in Italian Nurses' Characteristics. Endocr Metab Immune Disord Drug Targets 2024; 24:1431-1444. [PMID: 38317462 DOI: 10.2174/0118715303271067231129103920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 10/17/2023] [Accepted: 11/10/2023] [Indexed: 02/07/2024]
Abstract
BACKGROUND Evidence suggested how nurses experienced worse lifestyles than the general population by recording deterioration rates in healthy conditions. AIM To assess differences between comorbidity, eating behavior, and smartphone addiction according to sex, Body Mass Index (BMI), age, work experience, shift, alcohol assumption, and physical activity in Italian nurses. METHODS An online questionnaire was spread through some professional internet pages. Data included demographic characteristics, the Charlson Comorbidity Index (CCI), the Italian Version of the Dutch Eating Behavior Questionnaire, and the Smartphone Addiction Scale (SAS-SV). RESULTS A total of 456 nurses were recruited. Significant differences were registered in the smartphone addiction score (p=0.030) and BMI scores and work experience (p=0.001), as underweight participants reported higher scores in the smartphone addiction attitude (2.4714 ± 1.25812) than the other subjects and also participants with the highest number of years in work experience also reported higher smartphone addiction scores (2.8074 ± 1.2022). Significant difference was reported in the CCI scores according to age (p<0.001): subjects aged over 61 years recorded higher scores in the CCI (1.67 ± 1.528) and also according to work experience and CCI scores (p<0.001), as participants employed between 21 and 30 years reported higher scores in the CCI (1.27 ± 1.382) and also to night shift (p=0.037), as participants who worked during the night shift also reported higher scores in the CCI. A significant difference was reported only for restrained eating attitude (p=0.034), as participants who declared to assume alcohol 2-3 times per month recorded higher levels in this eating attitude aspect (32.32 ± 7.181). CONCLUSION Female nurses, overweight and obese nurses with low physical activity practice, seemed to spend more time with their smartphones. Healthcare organizations should consider findings to prevent unhealthy lifestyles among nurses, which could negatively influence the whole healthcare system.
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Affiliation(s)
- Elsa Vitale
- Centre of Mental Health, Modugno, Local Health Company Bari, Bari, Italy
| | - Rocco Mea
- Department of Cardiology, San Carlo Hospital, Potenza, Italy
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Fijačko N, Masterson Creber R, Metličar Š, Gosak L, Štiglic G. Nurses' occupational physical activity and workload in a perioperative intensive care unit in Slovenia. Prev Med Rep 2024; 37:102543. [PMID: 38179440 PMCID: PMC10764244 DOI: 10.1016/j.pmedr.2023.102543] [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: 04/04/2023] [Revised: 12/04/2023] [Accepted: 12/06/2023] [Indexed: 01/06/2024] Open
Abstract
The field of nursing includes heavy occupational physical demands, including walking and standing for longer periods of time, in addition to moving and lifting. As such, in the context of a typical work shift, many nurses generally achieve the World Health Organization's recommended 10,000 steps per day. This study aimed at estimating the daily physical activity and workload of nurses in a perioperative intensive care unit. The data sources for this study included data from the hospital information system on various procedures and interventions, and the Silva Ex3 Plus pedometers for measuring steps, kilometers, calories, and activity time across various shifts in a perioperative intensive care unit. Twenty nurses from Slovenia volunteered to participate in this observational study. Over 13 weeks, a nurse working an 8-hour shift walked an average of 5,938 steps (4.4 km). However, nurses who worked a 12-hour weekend day shift came very close to the World Health Organization's recommendation with an average of 9,003 steps (6.5 km). A total of 227 patients were admitted and an average of 80 nursing interventions were performed per day and there was a positive relationship between physical activity, workload, and patient admissions in the perioperative intensive care unit (p = 0.001). Results of this study could help managers better understand nurses' physical activity and workload during various shifts in the perioperative intensive care unit.
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Affiliation(s)
- Nino Fijačko
- Faculty of Health Sciences, University of Maribor, Maribor, Slovenia
- Maribor University Medical Centre, Maribor, Slovenia
| | | | - Špela Metličar
- Faculty of Health Sciences, University of Maribor, Maribor, Slovenia
- Medical Dispatch Centre Maribor, University Clinical Centre Ljubljana, Ljubljana, Slovenia
| | - Lucija Gosak
- Faculty of Health Sciences, University of Maribor, Maribor, Slovenia
| | - Gregor Štiglic
- Faculty of Health Sciences, University of Maribor, Maribor, Slovenia
- Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia
- Usher Institute, University of Edinburgh, Edinburgh, UK
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Ghobadi K, Eslami A, Pirzadeh A, Mazloomi SM, Hosseini F. Assessment of Questionnaire of Physical Activity at Workplace Based on the Social Cognitive Theory (PAWPQ-SCT): A Psychometric Study in Iranian Gas Refinery Workers. Saf Health Work 2023; 14:358-367. [PMID: 38187199 PMCID: PMC10770059 DOI: 10.1016/j.shaw.2023.09.002] [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: 02/22/2023] [Revised: 08/20/2023] [Accepted: 09/12/2023] [Indexed: 01/09/2024] Open
Abstract
Background This study aimed to develop and assess the psychometric features of the Physical Activity at Workplace Questionnaire (PAWPQ) based on the Social Cognitive Theory (SCT) to evaluate employees' physical activity (PA) behaviors at the workplace. Methods This psychometric cross-sectional study was conducted on 455 employees working in one of the gas refineries in Iran. The participants were selected using the proportional stratified sampling method in 2019. The data collection tools were a demographic information questionnaire, the short form of the International Physical Activity Questionnaire (IPAQ), and a questionnaire developed based on the SCT, whose psychometric features were confirmed in terms of validity and reliability. Data were analyzed using SPSS22 and AMOS20 software. Results The first version of PAWPQ-SCT had 74 items. After evaluating content and face validity, nine items were removed. The results of the content validity index (0.98), content validity ratio (0.86), and impact score (3.62) were acceptable for the whole instrument. In exploratory factor analysis, after removing seven items-58-item final version of the scale-six factors could explain 73.54% of the total variance. The results of structural equation modeling showed the acceptable fit of the model into the data (RMSEA = 0.052, CFI = 0.917, NFI = 0.878, TLI = 0.905, IFI = 0.917, CMIN/DF = 2.818). Cronbach's alpha coefficient and Intraclass Correlation were 0.90 and 0.86, respectively. Conclusion This study confirmed that the psychometric features of the 58-item final version of PAWPQ-SCT constructs were acceptable in a sample of Iranian employees. This questionnaire can be used as a valid and reliable tool to evaluate Iranian employees' PA behaviors and develop effective educational interventions for workers and managers.
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Affiliation(s)
- Kamel Ghobadi
- Department of Health Education and Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - AhmadAli Eslami
- Department of Health Education and Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Asiyeh Pirzadeh
- Department of Health Education and Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Seyed Mohammad Mazloomi
- Nutrition Research Center, School of Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fatemeh Hosseini
- Department of Public Health, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran
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18
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Chen M, Xu X, Liu Y, Yao Y, Zhang P, Liu J, Zhang Q, Li R, Li H, Liu Y, Chen W. Association of eating habits with health perception and diseases among Chinese physicians: a cross-sectional study. Front Nutr 2023; 10:1226672. [PMID: 37637951 PMCID: PMC10452877 DOI: 10.3389/fnut.2023.1226672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 07/25/2023] [Indexed: 08/29/2023] Open
Abstract
Background Some eating habits may be related to the development of gastrointestinal diseases, obesity, and related metabolic dysfunctions. Because of long working hours, and shift schedules, physicians are more likely to form such eating habits and have a high risk of developing these diseases. Objectives We aimed to investigate the association between physicians' eating habits and their health perception and diseases. Methods Between 24 June and 5 August 2020, we performed convenience sampling of in-service physicians in hospitals in mainland China. A questionnaire was administered to collect data pertaining to basic sociodemographic characteristics, eating habits, health-related information such as body mass index classification, and prevalence of common diseases. The associations among eating habits and perceived suboptimal health status, micronutrient deficiency-related diseases, obesity, and related metabolic diseases were analysed. Results The prevalence of unhealthy eating habits was high: more eating out-of-home (53.4% in hospital canteens, 23.0% in restaurants and takeaways), fewer meals at home, irregular meals (30.5%), and eating too fast (the duration <10 min, 34.6%). Among those with the above eating habits, the prevalence rates of sub-optimal health and disease were higher than among those without the above eating habits. Conclusion Eating habits such as frequent eating out-of-home, irregular meals, and eating too fast were common among physicians, and were significantly related to perceived sub-optimal health status and disease occurrence.
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Affiliation(s)
- Moxi Chen
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Xuan Xu
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yinghua Liu
- The First Medical Center of PLA General Hospital of China, Beijing, China
| | - Ying Yao
- Department of Clinical Nutrition, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Shanghai, China
| | - Pianhong Zhang
- The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China
| | - Jingfang Liu
- Division of Nutrition, National Clinical Research Center for Aging and Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
| | - Qian Zhang
- Beijing Tongren Hospital, CMU, Beijing, China
| | - Rongrong Li
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Hailong Li
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yan Liu
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Wei Chen
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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Barua L, Banik PC, Faruque M. Healthy behaviours, treatment, and control status of diagnosed hypertension and diabetes among the government nurses and para-health professionals of Bangladesh: A cross-sectional study. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0002234. [PMID: 37527231 PMCID: PMC10393152 DOI: 10.1371/journal.pgph.0002234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Accepted: 07/10/2023] [Indexed: 08/03/2023]
Abstract
Chronic illness among health professionals (HPs) is rarely reported due to idealistic views of their role in treating and fighting diseases. This creates a gap mainly due to a lack of research on them, resulting in insufficient data at the national level, especially in Bangladesh. In this circumstance, we analyzed the data of senior staff nurses (SSNs) and para-health professionals (PHPs) to assess their healthy bahaviours, treatment, and control status of hypertension (HTN) and diabetes mellitus (DM). It was a cross-sectional study that used the census as a sampling technique. The study site was a medical university in Bangladesh located in the capital city of Dhaka. A total of 1942 government-employed health professionals working at Upazila Health Complexes participated and completed both the questionnaire and physical measurements with a response rate of 100%. Among them, 1912 (SSNs = 938 and PHPs = 974) remained for analysis after data cleaning. The prevalence of self-screening (HTN, 97.4%; DM, 81.5%), diagnosis (HTN, 20.5%; DM,15.3%), treatment (HTN, 88.7%; DM, 83.7%) and control status (HTN, 63.7%; DM, 31%) did not reveal any notable differences between SSNs and PHPs. Most of the HPs with HTN and DM failed to maintain adequate physical activity (87.4%; 86.2%), fruit and/or vegetable intake (60.7%; 59%), and healthy body weight (60.5%; 54%) respectively. Only avoidance of smoking showed a significant association with the professional categories in both hypertensives (AOR, 7.98; p = 0.001) and diabetics (AOR, 14.78; p<0.001). Although working in the field of primary health care and involved in assisting patient management, control of HTN, DM and their risk factors is not satisfactory among the SSNs and PHPs of Bangladesh. Future interventions should focus on smoking, diet, and physical activity to reduce HTN and DM in the HPs of Bangladesh.
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Affiliation(s)
- Lingkan Barua
- Department of Noncommunicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh
| | - Palash Chandra Banik
- Department of Noncommunicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh
| | - Mithila Faruque
- Department of Noncommunicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh
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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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Keightley S, Duncan M, Gardner B. Working From Home: Experiences of Home-Working, Health Behavior and Well-Being During the 2020 UK COVID-19 Lockdown. J Occup Environ Med 2023; 65:330-336. [PMID: 36395077 PMCID: PMC10090341 DOI: 10.1097/jom.0000000000002757] [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] [Indexed: 11/18/2022]
Abstract
OBJECTIVE The Spring 2020 UK COVID-19 lockdown required normally office-based workers to modify their work-related practices to work at home. This study explored workers' experiences of adapting to home working, health behaviors and well-being. METHODS Twenty-seven home working employees (19 women; aged 23-57 years), from various industry sectors, gave individual semi-structured interviews. Topics focused on home working experiences, routine adaptations, and changes in health behaviors and well-being. RESULTS Four themes were extracted: changes to the work interface; adaptations to a new workspace; changes to work-life balance; and adjustments to a new social context. Notably, participants reported greater reliance on computer-based interactions, which they felt discouraged physical activity and increased sitting. Working in a domestic environment reportedly challenged work-home boundaries. CONCLUSIONS Work practices can incidentally detrimentally impact health-related behaviors and well-being. Organizations should develop policies and procedures to promote health-conducive home working.
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Lin Y, Huang Y, Xi X. Association between lifestyle behaviors and health-related quality of life among primary health care physicians in China: A cross-sectional study. Front Public Health 2023; 11:1131031. [PMID: 36969630 PMCID: PMC10030863 DOI: 10.3389/fpubh.2023.1131031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 02/16/2023] [Indexed: 03/11/2023] Open
Abstract
BackgroundPrimary health care (PHC) serves as the gatekeeper of health system and PHC physicians take on significant obligations to provide health care services in the pursuit of Universal Health Coverage (UHC). PHC physicians' health-related quality of life (HRQoL) can have a strong impact on patients, physicians and the health care system. Lifestyle interventions are found to be effective to improve HRQoL. The purpose of this study was to evaluate the association between lifestyle behaviors and HRQoL among PHC physicians, so that lifestyle intervention can be tailored by policy makers for health promotion.MethodsA survey covering 31 provinces and administrative regions in China was conducted in 2020 using a stratified sampling strategy. Data on sociodemographic characteristics lifestyle behaviors and HRQoL were collected by a self-administered questionnaire. HRQoL was measured through EuroQol-five dimension-five level (EQ-5D-5L) instrument. A Tobit regression model was performed to evaluate the association between sociodemographic characteristics, lifestyle behaviors and HRQoL.ResultsAmong 894 PHC physicians who completed the survey, Anxiety/Depression (AD) was the dimension with the most problems reported (18.1%). Regular daily routine (β = 0.025, 95%CI 0.004 to 0.045) and good sleep quality (β = 0.049, 95% CI = 0.029 to 0.069) were protective factors for HRQoL, while smoking (β = −0.027, 95% CI = −0.079 to −0.003) and frequency of eating breakfast (β = −0.041, 95%CI = −0.079 to −0.003) were negatively associated with HRQoL. Physical activity and alcohol drinking were not significantly associated with HRQoL.ConclusionThese findings suggest that tailored interventions on daily routine, improving sleep quality, and tobacco control among PHC physicians may be effective strategies to improve their HRQoL.
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Marko S, Wylie S, Utter J. Enablers and barriers to healthy eating among hospital nurses: A systematic review. Int J Nurs Stud 2023; 138:104412. [PMID: 36528912 DOI: 10.1016/j.ijnurstu.2022.104412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 11/21/2022] [Accepted: 11/24/2022] [Indexed: 12/07/2022]
Abstract
BACKGROUND Nurses are the largest health professional body globally. Despite the significant role they play in healthcare, nurses exhibit poor dietary habits and have high rates of chronic diseases. Understanding the factors underlying healthy eating for nurses in the workplace is important to implement effective interventions. OBJECTIVE To identify enablers and barriers related to healthy eating among nurses employed in a hospital setting. DESIGN A systematic literature review of qualitative, quantitative, and mixed methods research (PROSPERO ID: CRD42021290913). DATA SOURCES A comprehensive systematic search was conducted across PubMed, CINAHL, Embase, Web of Science and ProQuest databases for papers published after January 2015. METHODS Two authors independently screened titles and abstracts of 4139 deduplicated studies, performed critical appraisals on eligible studies using the Mixed Methods Appraisal Tool and extracted data relevant to the research question. This review includes papers that examined nurses' eating behaviours specifically, were conducted in a hospital setting and distinguished healthy eating from other behaviours. Data synthesis was conducted through descriptive summarisation of studies and enablers and barriers were classified according to the socio-ecological model. RESULTS A total of 29 studies were identified with 8024 participants. 8 studies were qualitative, 18 quantitative, and 3 were mixed method design. At an environmental level, barriers were high accessibility and availability of unhealthy foods, high cost and low availability of healthy foods and lack of storage and preparation facilities, while an enabler was close proximity to healthy options. Novel organisational enablers were considered roster planning which allowed for established routines around meals, and structured workplace programs that encouraged improvement in health behaviours, while barriers were shift work, inconsistent rosters and high work demands. An interpersonal enabler was supportive networks while barriers were work culture, social norms of celebrations and gifts of food from patients. Finally, intrapersonal barriers were stress and fatigue, personal values, beliefs, attitudes, and individual characteristics, with the latter two also acting as enablers. CONCLUSIONS This review identifies the complexity and interconnectedness of enablers and barriers to healthy eating across four domains of the socio-ecological model. Multi-faceted strategies which address factors across several domains are recommended for healthcare organisations to facilitate healthy eating among nurses. Further research is needed to assess these strategies and understand the extent to which eating behaviours can be improved.
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Affiliation(s)
- Sarah Marko
- Faculty of Health Sciences and Medicine, Bond University, Robina, Australia
| | - Stephanie Wylie
- Faculty of Health Sciences and Medicine, Bond University, Robina, Australia
| | - Jennifer Utter
- Faculty of Health Sciences and Medicine, Bond University, Robina, Australia; Mater Health, South Brisbane, Australia.
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Tsuji R, Nishi D, Sasaki N, Akiyama H, Kuroda R, Tsuno K, Imamura K, Kawakami N. Association between meal frequency with others and psychological distress during the COVID-19 pandemic: A cross-sectional study. PCN REPORTS : PSYCHIATRY AND CLINICAL NEUROSCIENCES 2022; 1:e61. [PMID: 38868657 PMCID: PMC11114345 DOI: 10.1002/pcn5.61] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Revised: 11/01/2022] [Accepted: 11/04/2022] [Indexed: 06/14/2024]
Abstract
Aim Previous studies evaluated the association between eating alone and mental health mainly in older people and adolescents. This study aimed to evaluate the association between dinner frequency with others and psychological distress during the COVID-19 outbreak among the Japanese working population. Methods Data were acquired from a prospective online cohort study (the Employee Cohort Study in the COVID-19 pandemic in Japan) conducted in February 2021 as a cross-sectional design. Dinner frequency with others was categorized into five groups: "almost daily," "4-5 times per week," "2-3 times per week," "once per week," and "less than once per week," setting them as a predictor variable. Modified Poisson regression was performed to calculate the prevalence ratio of psychological distress with multiple imputation for missing data. Global fear and worry about COVID-19 were adjusted as a covariate. Results A total of 1171 participants completed the questionnaire. Respondents who ate dinner with others "almost daily" had the least psychological distress than those who ate with others "4-5 times," "2-3 times," and "once per week" in the crude model (prevalence ratio (95% CI): 1 [reference], 1.34 [1.08-1.67], 1.40 [1.15-1.69], 1.44 [1.12-1.85], respectively). The association was comparable after adjusting for global fear and worry about COVID-19. Conclusions Among those who ate dinner with others at least once a week, those who ate with others "almost daily" had the least psychological distress. The association was comparable after adjusting for global fear and worry about COVID-19. Further study is needed on why those who eat with others less than once a week may have a lower prevalence ratio of having mental distress.
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Affiliation(s)
- Rikako Tsuji
- Department of Mental Health, Graduate School of MedicineThe University of TokyoHongo, Bunkyo‐kuTokyoJapan
- Urawa Psychiatry SanatoriumSaitamaJapan
| | - Daisuke Nishi
- Department of Mental Health, Graduate School of MedicineThe University of TokyoHongo, Bunkyo‐kuTokyoJapan
| | - Natsu Sasaki
- Department of Mental Health, Graduate School of MedicineThe University of TokyoHongo, Bunkyo‐kuTokyoJapan
| | - Hiroto Akiyama
- Department of Mental Health, Graduate School of MedicineThe University of TokyoHongo, Bunkyo‐kuTokyoJapan
| | - Reiko Kuroda
- Division for Environment, Health and Safetythe University of TokyoHongo, Bunkyo‐kuTokyoJapan
| | - Kanami Tsuno
- School of Health InnovationKanagawa University of Human ServicesHeiseichoYokosuka CityKanagawaJapan
| | - Kotaro Imamura
- Department of Mental Health, Graduate School of MedicineThe University of TokyoHongo, Bunkyo‐kuTokyoJapan
- Department of Digital Mental Health, Graduate School of MedicineThe University of TokyoHongo, Bunkyo‐kuTokyoJapan
| | - Norito Kawakami
- Department of Mental Health, Graduate School of MedicineThe University of TokyoHongo, Bunkyo‐kuTokyoJapan
- Department of Digital Mental Health, Graduate School of MedicineThe University of TokyoHongo, Bunkyo‐kuTokyoJapan
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Huggins CE, Jong J, Leung GKW, Page S, Davis R, Bonham MP. Shift workers’ perceptions and experiences of adhering to a nutrition intervention at night whilst working: a qualitative study. Sci Rep 2022; 12:15487. [PMID: 36109573 PMCID: PMC9477878 DOI: 10.1038/s41598-022-19582-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Accepted: 08/31/2022] [Indexed: 11/09/2022] Open
Abstract
AbstractThis study explored the feasibility of implementing a meal timing intervention during night shift work. Data were collected via semi-structured interviews. Interviews were coded inductively by two researchers independently, then three major themes were collaboratively developed. Subthemes from each major theme were mapped to the theoretical domains framework and the Capability Opportunity Motivation model of behaviour change. Seventeen night shift workers (rotating or permanent) aged between 25 and 65 years were interviewed. Participants predominately worked as health professionals. The feasibility of a simple meal timing intervention to avoid eating between 1 and 6 am on night shift is largely affected by three major influences (1) physical and emotional burden of shift work which drives food temptations; (2) the workplace context including the meal break environment, social and cultural context at work, and break scheduling; and (3) motivation of the individual. Facilitators to avoiding eating at night were, keeping busy, having co-worker support, management support, education of health benefits and/or belief that the intervention was health promoting. The barriers to avoiding eating at night were the emotional and physical toll of working at night leading to comfort eating and not having rest areas away from food environments. To support night shift workers with changing timing of meals, interventions at work should target both individual and organisational level behaviour change.
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Lim WX, Fook-Chong S, Lim JW, Gan WH. The Outcomes of App-Based Health Coaching to Improve Dietary Behavior Among Nurses in a Tertiary Hospital: Pilot Intervention Study. JMIR Nurs 2022; 5:e36811. [PMID: 35838811 PMCID: PMC9338416 DOI: 10.2196/36811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 06/02/2022] [Accepted: 06/14/2022] [Indexed: 12/04/2022] Open
Abstract
Background At the workplace, health care workers face multiple challenges in maintaining healthy dietary behaviors, which is the major factor behind obesity. A hospital-wide mass health screening exercise showed an increasing trend in the prevalence of obesity and median BMI from 2004 to 2019, as well as a higher crude obesity rate among shift workers. Objective We aimed to evaluate the effectiveness of mobile app–based health coaching and incentives for achieving weight loss from better dietary choices among hospital nurses. Methods We conducted a pilot study from June 2019 to March 2020, involving the use of a health-coaching app by 145 hospital nurses over 6 months. Weight and BMI were self-reported, and food scores were calculated. Data among overweight nurses, shift work nurses, and incentive groups were analyzed. Results A total of 61 nurses were included in the final analysis. Of these 61 nurses, 38 (62%) lost weight. The median percentage weight loss was 1.2% (IQR 0%-2.9%; P<.001), and the median decrease in BMI was 0.35 (IQR −0.15 to 0.82; P<.001), but they were not clinically significant. The median improvement in the food score was 0.4 (IQR 0-0.8). There was no difference between the incentive and nonincentive groups. A total of 49 (34%) participants engaged for ≥8 weeks. Conclusions The study demonstrated an association between the use of app-based health coaching and the attainment of some weight loss in nurses, without a significant improvement in the food score. Incentives may nudge on-boarding, but do not sustain engagement.
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Affiliation(s)
- Wei Xiang Lim
- Department of Occupational and Environmental Medicine, Singapore General Hospital, Singapore, Singapore
| | - Stephanie Fook-Chong
- Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore
| | - John Wah Lim
- Department of Occupational and Environmental Medicine, Singapore General Hospital, Singapore, Singapore
| | - Wee Hoe Gan
- Department of Occupational and Environmental Medicine, Singapore General Hospital, Singapore, Singapore
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Tong SW, Chui PL, Chong MC, Tang LY, Chan CMH. Health-promoting behaviours and perceived lifestyle cancer risk factors among nurses. Collegian 2022. [DOI: 10.1016/j.colegn.2022.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Gürkan KP, Aydoğdu NG, Dokuzcan DA, Yalçinkaya A. The effects of nurses' perceived stress and life satisfaction on their emotional eating behaviors. Perspect Psychiatr Care 2022; 58:1048-1054. [PMID: 34212367 DOI: 10.1111/ppc.12897] [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: 10/25/2020] [Revised: 05/24/2021] [Accepted: 05/29/2021] [Indexed: 11/27/2022] Open
Abstract
PURPOSE To examine the effects of the nurses' perceived stress and life satisfaction on their emotional eating behaviors. DESIGN AND METHODS A cross-sectional study was conducted among a random sample of 297 nurses in a research hospital. FINDINGS There is a negative correlation between nurses' emotional eating and life satisfaction (β = -0.192, p < 0.001), and a positive correlation between emotional eating and perceived stress (β = 0.392, p < 0.001). Perceived stress, life satisfaction, and marital status constituted 24% of the factors affecting emotional eating behaviors. PRACTICE IMPLICATIONS Psychiatric nurses would benefit from developing effective training programs that support nurses in making healthy lifestyle choices.
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Affiliation(s)
- Kübra P Gürkan
- Department of Public Health Nursing, Faculty of Nursing, Dokuz Eylül University, İnciraltı, Izmir, Turkey
| | - Nihal G Aydoğdu
- Department of Public Health Nursing, Faculty of Health Science, Erzurum Teknik University, Erzurum, Turkey
| | - Deniz A Dokuzcan
- Department of Public Health Nursing, Faculty of Health Science, Balıkesir University, Balıkesir, Turkey
| | - Ayşen Yalçinkaya
- University of Health Sciences, İzmir Bozyaka Education and Research Hospital, Izmir, Turkey
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Forcada-Parrilla I, Reig-Garcia G, Serra L, Juvinyà-Canal D. The Influence of Doing Shift Work on the Lifestyle Habits of Primary Care Nurses. NURSING REPORTS 2022; 12:291-303. [PMID: 35466249 PMCID: PMC9036203 DOI: 10.3390/nursrep12020029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Revised: 03/30/2022] [Accepted: 04/06/2022] [Indexed: 11/16/2022] Open
Abstract
Nurses’ lifestyle habits play a key role in promoting healthy lifestyles; although, they may not always be entirely healthy and can be influenced by working conditions. This paper aims to analyze the influence of doing shift work on nurses’ lifestyle habits. Participants (n = 219) were recruited from 27 primary health care centres in Spain. Data were collected on socio-demographic characteristics, working conditions and lifestyle behaviour, assessed by use of an adhoc questionnaire including validated measures. Descriptive analysis and logistic regression models were performed. A total of 95% of the nurses reported having an adequate diet; 45.2% did not engage in any type of physical activity; and 85.8% did not smoke, especially women. A total of 60.3% did shift work, especially the younger ones (80.8%; p < 0.001), these nurses being the ones with the worst food habits (81.8%). In contrast, nurses who did shift work, exercised more days a week (69.5%; p < 0.001). The dietary habits of the nurses were adequate. Low tobacco consumption and low adherence to physical activity were observed, especially among women. Shift work harmed eating habits and obesity rates, but was a protective factor in terms of adherence to physical exercise.
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Affiliation(s)
- Iris Forcada-Parrilla
- Primary Health Care Nurse, Institut Català de la Salut, 17003 Girona, Spain;
- Department of Nursing, Faculty of Nursing, University of Girona, 17003 Girona, Spain;
| | - Glòria Reig-Garcia
- Department of Nursing, Faculty of Nursing, University of Girona, 17003 Girona, Spain;
- Health and Health Care Research Group, University of Girona, 17003 Girona, Spain
- Correspondence:
| | - Laura Serra
- Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, 17003 Girona, Spain;
- CIBER of Epidemiology and Public Health (CIBERESP), 17003 Girona, Spain
| | - Dolors Juvinyà-Canal
- Department of Nursing, Faculty of Nursing, University of Girona, 17003 Girona, Spain;
- Health and Health Care Research Group, University of Girona, 17003 Girona, Spain
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Worley V, Fraser P, Allender S, Bolton KA. Describing workplace interventions aimed to improve health of staff in hospital settings - a systematic review. BMC Health Serv Res 2022; 22:459. [PMID: 35392894 PMCID: PMC8991835 DOI: 10.1186/s12913-021-07418-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 12/15/2021] [Indexed: 12/11/2022] Open
Abstract
Background A large proportion of staff working in hospital settings are overweight or obese, have poor dietary habits and low physical activity levels. The workplace is a priority setting for health promotion. This systematic review will describe dietary and physical activity workplace interventions that have aimed to improve the health of staff in hospital settings; and the barriers and enablers of implementing these interventions. Methods A systematic search retrieved 551 studies from 2004 to 2020 using the following databases CINAHL Complete, MEDLINE Complete, Academic Search Complete, Global Health, Health Source Nursing/Academic Edition and PsycINFO. Studies were included if they: (1) took place in a hospital setting; (2) employed a physical activity or dietary intervention to improve the well-being of staff; (3) the intervention duration was 12 weeks or over; (4) used a control group. The Integrated quality Criteria for the Review of Multiple Study designs (ICROMS) and National Institute of Health’s National Heart Lung and Blood Institute Quality Assessment Tools for Observational Cohort and Cross-Sectional Studies tools were used to assess quality of included studies. A narrative review was conducted. Results Quality analysis identified six studies of high quality, nine moderate quality, and three low quality. Of these 18 studies, 15 reported at least one positive health outcome. The evidence revealed that multi-component strategies, financial incentives and motivational strategies were the most effective approaches to improve health behaviours of hospital staff. Conclusion Hospital-based dietary and physical activity workplace interventions show promise as an effective strategy for improving health behaviours of hospital staff. Methodological limitations highlight the need for more research from high-quality, randomised control trials, to gain further insight into the benefits of workplace interventions in hospital settings. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-021-07418-9.
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Affiliation(s)
- Verity Worley
- Global Obesity Centre, Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, Australia
| | - Penny Fraser
- Global Obesity Centre, Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, Australia
| | - Steven Allender
- Global Obesity Centre, Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, Australia
| | - Kristy A Bolton
- Global Obesity Centre, Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, Australia. .,Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
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Abstract
The health of nurses impacts the care of patients in healthcare settings today both inside and outside of hospitals. Many papers are written about nurses' burnout, depression, poor physical and mental health, weight gain, unhealthy eating patterns, back injury, moral negativity, and lack of job satisfaction. However, little attention has been paid to self-care in nurses. The goal of this paper is to discuss the importance of nurses caring for themselves as they work under stressful conditions regularly. Job satisfaction is necessary for nurses to have a healthy work-life balance and a desire to go to work. There are evidence-based interventions that can make a difference in a nurse's quality of life that can be implemented independently or within the work setting. Suggestions made by researchers include working less than 40 hr/week in a clinical setting, working a consistent time of day without rotations, expressing emotions, taking time to exercise, participating in a support group, and incorporating a place designated as a sanctuary in the clinical setting. Personal ways to improve health include preparing healthy meals before working a shift, getting proper sleep, utilizing cognitive behavioral therapy, participating in mindfulness training, and practicing stress reduction techniques.
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Bouillon-Minois JB, Thivel D, Croizier C, Ajebo É, Cambier S, Boudet G, Adeyemi OJ, Ugbolue UC, Bagheri R, Vallet GT, Schmidt J, Trousselard M, Dutheil F. The Negative Impact of Night Shifts on Diet in Emergency Healthcare Workers. Nutrients 2022; 14:nu14040829. [PMID: 35215482 PMCID: PMC8876008 DOI: 10.3390/nu14040829] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 02/09/2022] [Accepted: 02/14/2022] [Indexed: 01/27/2023] Open
Abstract
Despite the consequences of night-shift work, the diet of night-shift workers has not been widely studied. To date, there are no studies related to food intake among emergency healthcare workers (HCWs). We performed a prospective observational study to assess the influence of night work on the diet of emergency HCWs. We monitored 24-h food intake during a day shift and the consecutive night, and during night work and the daytime beforehand. We analyzed 184 emergency HCWs' food intakes. Emergency HCWs had 14.7% lower (-206 kcal) of their 24-h energy intake during night shifts compared to their day-shift colleagues (1606.7 ± 748.2 vs. 1400.4 ± 708.3 kcal, p = 0.049) and a 16.7% decrease in water consumption (1451.4 ± 496.8 vs. 1208.3 ± 513.9 mL/day, p = 0.010). Compared to day shifts, night-shift had 8.7% lower carbohydrates, 17.6% proteins, and 18.7% lipids. During the night shift the proportion of emergency HCWs who did not drink for 4 h, 8 h and 12 h increased by 20.5%, 17.5%, and 9.1%, respectively. For those who did not eat for 4 h, 8 h and 12 h increased by 46.8%, 27.7%, and 17.7%, respectively. A night shift has a huge negative impact on both the amount and quality of nutrients consumed by emergency healthcare workers.
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Affiliation(s)
- Jean-Baptiste Bouillon-Minois
- Emergency Department, CHU Clermont-Ferrand, Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, F-63000 Clermont-Ferrand, France; (É.A.); (J.S.)
- Correspondence:
| | - David Thivel
- Research Center in Human Nutrition, Laboratory AME2P, Université Clermont Auvergne, F-63120 Aubière, France;
| | - Carolyne Croizier
- Hematology Department, CHU Clermont-Ferrand, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France;
| | - Éric Ajebo
- Emergency Department, CHU Clermont-Ferrand, Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, F-63000 Clermont-Ferrand, France; (É.A.); (J.S.)
| | - Sébastien Cambier
- Clinical Research and Innovation Direction, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France;
| | - Gil Boudet
- Department of Psychology, Université Clermont Auvergne, CNRS UMR 6024, LaPSCo, F-63000 Clermont-Ferrand, France; (G.B.); (G.T.V.)
| | - Oluwaseun John Adeyemi
- Ronald O. Perelman Department of Emergency Medicine, NYU School of Medicine, New York University Langone Health, New York, NY 10012, USA;
| | - Ukadike Chris Ugbolue
- School of Health and Life Sciences, Institute for Clinical Exercise & Health Science, University of the West of Scotland, Glasglow G72 0LH, UK;
| | - Reza Bagheri
- Department of Exercise Physiology, University of Isfahan, Isfahan 81746-73441, Iran;
| | - Guillaume T. Vallet
- Department of Psychology, Université Clermont Auvergne, CNRS UMR 6024, LaPSCo, F-63000 Clermont-Ferrand, France; (G.B.); (G.T.V.)
| | - Jeannot Schmidt
- Emergency Department, CHU Clermont-Ferrand, Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, F-63000 Clermont-Ferrand, France; (É.A.); (J.S.)
| | - Marion Trousselard
- French Armed Forces Biomedical Research Institute, IRBA, Neurophysiology of Stress, F-91223 Brétigny-sur-Orge, France;
| | - Frédéric Dutheil
- Occupational and Environmental Medicine, CHU Clermont-Ferrand, Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, WittyFit, F-63000 Clermont-Ferrand, France;
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Ueda H. What is eating well? Capability approach and empirical exploration with the population in Japan. Appetite 2021; 170:105874. [PMID: 34921913 DOI: 10.1016/j.appet.2021.105874] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 12/12/2021] [Accepted: 12/13/2021] [Indexed: 11/28/2022]
Abstract
'Eating well' or 'food-related well-being' have attracted scientific attention since the 1990s in the public health, psychology, sociology and, to a lesser degree, economics fields. A large number of empirical studies have been conducted on the content, determinants and measurements of eating well. However, what is missing is a theoretical framework that delineates the structure of well-being and highlights both the problem of one's mental 'adaptation' to straitened circumstances and the importance of one's agency and democratic practices. In this regard, Amartya Sen's capability approach shows promise. The objective of this study was to apply the capability approach to understanding what eating well means to the population in Japan and to articulate its theoretical implications. The perspective of Japanese participants was elicited by conducting a web-based questionnaire survey (n = 973). The seven categories of eating well that were identified in Japan included two objectives (health and pleasure) and five strategies (regularity, required intake, moderation, balance and quality) to achieve them. Through additional analysis of their 'actual' eating practices, it was elucidated that their satisfaction was relatively high despite their actual failure to achieve such eating well, which implies the critical importance of plural (both subjective and objective) perspectives for ethically evaluating the level of eating well.
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Affiliation(s)
- Haruka Ueda
- Japan Society for the Promotion of Science, Nagoya University, Furo Cho, Chikusa District, Aichi Prefecture, 464-0814, Japan.
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Chong KE, Shorey S. Barriers in adopting health-promoting behaviours among nurses: A qualitative systematic review and meta-synthesis. Int J Nurs Pract 2021; 28:e13030. [PMID: 34874083 DOI: 10.1111/ijn.13030] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 10/11/2021] [Accepted: 11/21/2021] [Indexed: 11/30/2022]
Abstract
AIMS Nursing is a highly stressful occupation where irregular shifts and working overtime lead to unhealthy behaviours. This qualitative systematic review and meta-synthesis aims to examine nurses' barriers in adopting health-promoting behaviours. METHODS Six electronic databases were searched from their respective inception dates to October 2021: EMBASE, Web of Science, PubMed, PsycINFO, CINAHL and ProQuest Dissertations and Theses. The Critical Appraisal Skills Program checklist was used to appraise the quality of included studies. Data synthesis followed Sandelowski's and Barroso's two-step approach. RESULTS Fourteen studies were included in this review, and three themes were generated as follows: (1) work environment and workplace culture, (2) nature of the job and (3) intrinsic factors. CONCLUSION This review synthesized available evidence on the barriers nurses experienced while adopting health-promoting behaviours. Health-care institutions should target these factors when providing facilities and services to support nurses in adopting health-promoting behaviours. Policies should focus on workplace health promotion by advocating for healthy lifestyle policies. Future research should be conducted in more multicultural and geographically diverse regions to obtain a more global view of nurses' barriers to adopt health-promoting behaviours.
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Affiliation(s)
- Kai En Chong
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Shefaly Shorey
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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José MER, Castro IRRD, Canella DS. Evaluation of the food environment of public hospitals in a Brazilian metropolis. Public Health Nutr 2021; 24:6477-6487. [PMID: 34544510 PMCID: PMC11148591 DOI: 10.1017/s1368980021003992] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To characterise the food environment of public hospitals in a Brazilian metropolis. DESIGN A cross-sectional study involving the audit of mini-kitchens, non-commercial food services, commercial food services and vending machines within hospitals and interviews with workers and managers. Environmental dimensions assessed included: availability, accessibility, affordability, convenience, nutrition information, promotion and advertising, infrastructure for food and ambience, in addition to decisions-level aspects. SETTING Rio de Janeiro, Brazil. PARTICIPANTS 24 public hospitals in the municipal health network. RESULTS Of the hospitals assessed, 92·0 % had a non-commercial food service, 87·5 % had mini-kitchens (facilities to consume food taken from home), 37·5 % had commercial food services and 25·0 % had vending machines. Mini-kitchens were available in most but not all hospitals, a key facility given that few commercial or non-commercial food services were open 24 h a day. The food availability in the hospitals surveyed did not promote healthy eating. A wide variety of ultra-processed foods and drinks was found and advertising promoting their consumption, even in non-commercial food services with menus planned by nutritionists. Water filters/fountains were present in around 50 % of mini-kitchens and non-commercial food services but were unavailable in commercial food services. According to workers interviewed, the temperature of the environment was the worst-rated aspect of mini-kitchens, non-commercial food services and commercial food services. Nutrition service managers reported little involvement in producing biddings and proposals for hiring outside companies to run non-commercial food services or commercial food services. CONCLUSION The food environment of the hospitals studied did not promote healthy eating habits.
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Affiliation(s)
- Maria Eduarda Ribeiro José
- Programa de Pós-Graduação em Alimentação, Nutrição e Saúde, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, Rio de Janeiro, RJ, Brasil
| | - Inês Rugani Ribeiro de Castro
- Instituto de Nutrição, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 12ºAndar, Bloco D e E, CEP 20550-900, Rio de Janeiro, RJ, Brasil
| | - Daniela Silva Canella
- Instituto de Nutrição, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 12ºAndar, Bloco D e E, CEP 20550-900, Rio de Janeiro, RJ, Brasil
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Zeng W, Shang S, Fang Q, He S, Li J, Yao Y. Health promoting lifestyle behaviors and associated predictors among clinical nurses in China: a cross-sectional study. BMC Nurs 2021; 20:230. [PMID: 34789261 PMCID: PMC8597212 DOI: 10.1186/s12912-021-00752-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Accepted: 10/26/2021] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Nurses play a core role and encompass the main workforce in health care systems. Their role model of health promoting lifestyle behaviors (HPLB) would directly or indirectly affect their clients' beliefs or attitudes of health promotion. There is limited evidence on HPLB in clinical registered nurses. The current study aimed to explore the HPLB and associated influencing factors among clinical registered nurses in China. METHODS A multi-center cross-sectional anonymous online survey was conducted in 2020. Participants were asked to complete social demographic information as well as the revised Chinese edition of Health Promoting Lifestyle Profile (HPLP). Independent-Sample T-Test, One-Way ANOVA, and categorical regression (optimal scaling regression) were the main methods to analyze the relationship between demographic data and the score of HPLB. RESULTS 19,422 nurses were included in the study. The mean score of self-actualization, health responsibility/physical activity, nutrition, job safety, interpersonal support, and overall Health Promoting Lifestyle Profile were, 27.61(5.42) out of a score of 36, 22.71(7.77) out of a score of 44, 10.43(2.97) out of a score of 16, 22.05(3.97) out of a score of 28, 20.19(4.67) out of a score of 28, and 102.99 (19.93) out of a score of 144, respectively. There was a significant relationship among Hospital levels, working years, nightshift status, and monthly income per person, and mean score of all subscales and the overall HPLP (P < 0.05). CONCLUSIONS Nurses who participated in the study presented a moderate level of health promoting lifestyle behaviors. Hospital levels, working years, nightshift status, and monthly income per person were predictors for all subscales and overall HPLP.
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Affiliation(s)
- Wen Zeng
- Nursing School of Peking University Health Science Center, No.38, Xueyuan Road, Haidian District, 100191 Beijing , Beijing City China
- Guizhou Provincial People’s Hospital, No.83 Zhongshan East Road, Nanming District, 550002 Guiyang, China
| | - Shaomei Shang
- Nursing School of Peking University Health Science Center, No.38, Xueyuan Road, Haidian District, 100191 Beijing , Beijing City China
| | - Qian Fang
- Guizhou Provincial People’s Hospital, No.83 Zhongshan East Road, Nanming District, 550002 Guiyang, China
| | - Shan He
- Guizhou Provincial People’s Hospital, No.83 Zhongshan East Road, Nanming District, 550002 Guiyang, China
| | - Juan Li
- Guizhou Provincial People’s Hospital, No.83 Zhongshan East Road, Nanming District, 550002 Guiyang, China
| | - Yuanrong Yao
- Guizhou Provincial People’s Hospital, No.83 Zhongshan East Road, Nanming District, 550002 Guiyang, China
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Healthy eating and physical activity among new graduate nurses: A qualitative study of barriers and enablers during their first year of clinical practice. Collegian 2021. [DOI: 10.1016/j.colegn.2020.12.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Cheong ZY, Lopez V, Tam WSW. Barriers to healthy eating among nurses working in hospitals: A meta-synthesis. J Adv Nurs 2021; 78:314-331. [PMID: 34477228 DOI: 10.1111/jan.14999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 06/09/2021] [Accepted: 07/24/2021] [Indexed: 11/28/2022]
Abstract
AIM To explore the barriers to healthy eating among nurses working in hospitals. DESIGN Meta-synthesis. DATA SOURCES Published and unpublished papers were identified through electronic searches on PubMed, CINAHL, PsycINFO, Embase, Scopus, COCHRANE Library, Food Science and Technology Abstract, ProQuest Dissertations and Theses and OpenGrey from inception until 6 September 2020. English-language primary qualitative or mixed-method studies on barriers to healthy eating among hospital nurses were included. Mixed-method studies were eligible if their qualitative data were distinguishable. Studies on nursing assistants, enrolled nurses, nursing students, and patient-care assistants were excluded, as well as studies without full-texts, correlational studies, quantitative surveys, exploratory studies, conference abstracts and reviews. METHODS The studies were appraised using Critical Appraisal Skills Programme checklist. Qualitative data were extracted using Joanna Briggs Institute Qualitative Data Extraction Tool. Data synthesis followed two stages, meta-summary and meta-synthesis, proposed by Sandelowski & Barroso. RESULTS Twelve studies published from 2008 to 2020 involving 618 hospital nurses were included. The meta-summary generated 10 themes, which were meta-synthesized into three interrelated themes: personal barriers (e.g. nonchalance towards unhealthy eating), interprofessional and patient-related barriers (e.g. sharing unhealthy food), and organizational barriers (e.g. overwhelming work demands). CONCLUSION Insufficient self-control and self-confidence, nonchalance and negligence towards healthy eating and cultural beliefs that oppose the practice of healthy eating (personal barriers), exposure of unhealthy food practices in wards (interprofessional and patient-related barriers) and hospital cafeterias, overwhelming work exigencies and institutional constraints (organizational barriers) hindered nurses to achieve wholesome healthy eating. IMPACT Many hospital nurses' encountered challenges in healthy eating, thereby potentially jeopardizing their health and work performance. The findings emphasized the need of a joint effort by hospital nurses, families and colleagues, and hospital institutions to overcome the barriers to healthy eating faced by the hospital nurses.
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Affiliation(s)
- Zu Yu Cheong
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
| | - Violeta Lopez
- School of Nursing, Hubei University of Medicine, Shiyan, China.,School of Nursing, University of Tasmania, Hobart, Australia
| | - Wai San Wilson Tam
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
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Kim O, Jung H. Prediction model for abnormal eating behaviour among hospital nurses: A structural equation modelling approach. Int J Nurs Pract 2021; 27:e13006. [PMID: 34363295 DOI: 10.1111/ijn.13006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 07/19/2021] [Accepted: 07/24/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Nurses are at a high risk of developing abnormal eating behaviour. However, few studies have attempted to identify the factors that influence such behaviour. AIM This study identifies factors that can predict abnormal eating behaviour in hospital nurses. DESIGN This study adopted a cross-sectional, descriptive correlational research design. METHODS A literature review was used to establish a hypothetical model, comprising the eight factors of shift work, job stress, depression, sleep quality, fatigue, coping strategy (active coping and passive coping) and abnormal eating behaviour. A convenience sample of 298 nurses aged less than 45 was recruited from two university hospitals, and structured questionnaire was administered between March and April 2017. The hypothesized model was tested using structural equation modelling. RESULTS Sleep quality and passive coping directly affect abnormal eating behaviour, which implies that poor sleep quality and increased passive coping worsens the behaviour. Shift work and depression indirectly affect abnormal eating behaviours. CONCLUSION Nursing managers and health policy makers should adopt strategies such as improving the shift-work pattern, providing adequate rest time after a night shift and enabling coping strategies by providing educational programs for hospital nurses.
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Affiliation(s)
- Oksoo Kim
- College of Nursing, Ewha Research Institute of Nursing Science, Ewha Womans University, Seoul, South Korea.,College of Nursing, Ewha Womans University, Seoul, South Korea
| | - Heeja Jung
- College of Nursing, Konyang University, Daejeon, South Korea
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Bright D, Gray BJ, Kyle RG, Bolton S, Davies AR. Factors influencing initiation of health behaviour conversations with patients: Cross-sectional study of nurses, midwives, and healthcare support workers in Wales. J Adv Nurs 2021; 77:4427-4438. [PMID: 34235759 PMCID: PMC8518752 DOI: 10.1111/jan.14926] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 04/28/2021] [Accepted: 05/24/2021] [Indexed: 11/29/2022]
Abstract
Aim To identify factors influencing healthcare professionals’ engagement in health behaviour conversations with patients. Design Cross‐sectional survey. Methods Between April and June 2019, an online survey of 1338 nurses, midwives and healthcare support workers was conducted. The survey assessed whether staff felt comfortable initiating health behaviour conversations with patients about five behaviours (reducing alcohol intake; stop smoking; being more active; reducing their weight; and improving their diet) and barriers to conversation initiation. Health professionals’ own health‐related behaviours, self‐rated health and mental wellbeing, and socio‐demographic characteristics were recorded. Logistic regression models were built to assess factors associated with feeling comfortable initiating health behaviour conversations for each topic. Result Less than 50% of respondents reported feeling comfortable initiating health behaviour conversations with patients. Female staff, young professionals (18 to 29 years), those in lower staff grades and those with poorer health and low mental wellbeing were less likely to report feeling comfortable having health behaviour conversations across all topics. Those who did not adhere to physical activity and dietary guidelines were less likely to initiate a conversation about being more active and having a healthy diet, respectively. Not having time to discuss the topic, suitable space to hold a conversation, and feeling worried about offending/upsetting patients were the main barriers reported. Conclusion Around 6 in 10 members of the nursing, midwifery and healthcare support workforce in Wales potentially do not feel comfortable to initiate a health behaviour conversation with patients about health and wellbeing. Feeling less comfortable to initiate a conversation was associated with staff demographics and organizational factors. Impact We identified those less likely to initiate health behaviour conversations as well as personal and organizational barriers to initiation. This will help to target and tailor interventions to ensure staff are equipped and enabled to hold health behaviour conversations with patients.
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Affiliation(s)
- Diana Bright
- Knowledge Directorate, Public Health Wales, Cardiff, UK
| | | | | | - Sian Bolton
- Knowledge Directorate, Public Health Wales, Cardiff, UK
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Leyva-Vela B, Reche-García C, Hernández-Morante JJ, Martínez-Olcina M, Miralles-Amorós L, Martínez-Rodríguez A. Mediterranean Diet Adherence and Eating Disorders in Spanish Nurses with Shift Patterns: A Cross-Sectional Study. ACTA ACUST UNITED AC 2021; 57:medicina57060576. [PMID: 34199973 PMCID: PMC8226908 DOI: 10.3390/medicina57060576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 05/31/2021] [Accepted: 06/01/2021] [Indexed: 11/16/2022]
Abstract
Background and Objectives: Shift work has a significant influence on the mental health of workers. Nursing is characterised by a rotational work system. This study aimed to determine whether there was a link between adherence to the Mediterranean diet (MD) and the risk of suffering an eating disorder (ED) in nurses according to their work shift. Materials and Methods: A total of 240 women (nurses and nursing assistants) were evaluated and completed the PREDIMED-PLUS questionnaire on adherence to the MD and the EAT-26 (Eating Attitude Test, 26 items). Results: The results indicate that there are no differences in adherence to the MD depending on the work shift, being that adherence to the diet is already low. Statistically significant differences appear depending on the work shift in the following dimensions: restrictive behaviours and bulimia subscales (presenting higher scores in the 7-h rotating shift versus the fixed morning shift or 12-h rotating shift) and for total EAT-26 score. Conclusion: Whilst they do not condition adherence to a MD, the nursing shifts that are the most changing in terms of time patterns may condition restrictive behaviours and compensatory risk behaviours related to an ED.
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Affiliation(s)
- Belén Leyva-Vela
- Department of Health, Vinalopó University Hospital, 03293 Elche, Spain;
| | - Cristina Reche-García
- Faculty of Nursing, Catholic University of Murcia, 30107 Murcia, Spain; (C.R.-G.); (J.J.H.-M.)
| | | | - María Martínez-Olcina
- Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain; (M.M.-O.); (L.M.-A.)
| | - Laura Miralles-Amorós
- Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain; (M.M.-O.); (L.M.-A.)
| | - Alejandro Martínez-Rodríguez
- Department of Analytical Chemistry, Nutrition and Food Science, Faculty of Sciences, University of Alicante, 03690 Alicante, Spain
- Alicante Institute for Health and Biomedical Research (ISABIAL Foundation), 03010 Alicante, Spain
- Correspondence:
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Mojtahedzadeh N, Rohwer E, Neumann FA, Nienhaus A, Augustin M, Zyriax BC, Harth V, Mache S. The Health Behaviour of German Outpatient Caregivers in Relation to Their Working Conditions: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5942. [PMID: 34205961 PMCID: PMC8198833 DOI: 10.3390/ijerph18115942] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 05/27/2021] [Accepted: 05/28/2021] [Indexed: 12/31/2022]
Abstract
Ongoing demographic change is leading to an increasingly older society and a rising proportion of people in need of care in the German population. Therefore, the professional group of outpatient caregivers is highly relevant. Their work is characterised not only by interacting with patients in a mobile setting but also by working in shifts. Health behaviour under these specific working conditions is crucial for ensuring long-term work ability and performance. Little is known about the health behaviour of German outpatient caregivers and its potential impact on their work. The aims of the study were (1) to examine health behavioural patterns (nutrition, exercise, smoking, regeneration) of outpatient caregivers, (2) to illuminate their personal health-promoting behaviours, and (3) to identify potential work-related factors influencing their health behaviour. Fifteen problem-centred interviews were conducted with outpatient caregivers working in Northern Germany in the period January-April 2020. Interviews were analysed by using qualitative content analysis. Outpatient caregivers reported improvable nutrition and hydration, with simultaneous high coffee consumption, low physical activity, poor regeneration (breaks and sleep quality), and good personal health-promoting behaviour (e.g., back-friendly habits), although the majority were smokers. Barriers to the implementation of health-promoting behaviours were a high perception of stress due to increased workload and time pressure, while aids to better health-promoting behaviour were described as being social support and personal resources. The respondents perceived their working conditions as potentially influencing their health behaviour. On the basis of their descriptions, various practice-relevant strategies were derived. The data explore a potential need for outpatient care services to develop interventions on behavioural and structural levels that can help create healthier working conditions for their employees so these caregivers can adopt better health behaviours.
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Affiliation(s)
- Natascha Mojtahedzadeh
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Centre, Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (E.R.); (V.H.)
| | - Elisabeth Rohwer
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Centre, Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (E.R.); (V.H.)
| | - Felix Alexander Neumann
- Midwifery Science—Health Services Research and Prevention, Institute for Health Service Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany; (F.A.N.); (B.-C.Z.)
| | - Albert Nienhaus
- Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), Pappelallee 33/35/37, 22089 Hamburg, Germany;
- Institute for Health Service Research in Dermatology and Nursing (IVDP), Competence Centre for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany
| | - Matthias Augustin
- Institute for Health Service Research in Dermatology and Nursing (IVDP), Competence Centre for Health Services Research in Vascular Diseases (CVvasc), University Medical Centre Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany;
| | - Birgit-Christiane Zyriax
- Midwifery Science—Health Services Research and Prevention, Institute for Health Service Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany; (F.A.N.); (B.-C.Z.)
| | - Volker Harth
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Centre, Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (E.R.); (V.H.)
| | - Stefanie Mache
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Centre, Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (E.R.); (V.H.)
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Obesity among Health-Care Workers: Which Occupations Are at Higher Risk of Being Obese? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18084381. [PMID: 33924182 PMCID: PMC8074354 DOI: 10.3390/ijerph18084381] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 04/17/2021] [Accepted: 04/18/2021] [Indexed: 11/17/2022]
Abstract
Obesity among health-care workers (HCWs) is an important issue as it can affect both their health condition and their professional capability. Although adult obesity is attributable to occupational factors, few reports are available on Malaysian health-care workers’ obesity and whether different health-care job categories are related to workers’ obesity. This study aimed to determine the prevalence of obesity among HCWs and the association between various HCW job categories and obesity. A cross-sectional study was conducted by analyzing secondary data from the 2019 annual cardiovascular health screening program, which included information regarding all government health-care workers in the east coast region of Peninsular Malaysia. The subject’s body mass index (BMI) was categorized according to WHO criteria. Only 43% of the subjects had a normal BMI, while 33.1% were categorized as overweight, and 21.1% were obese. Different HCWs’ job categories were shown to be significantly associated with their obesity status, with nurses apparently having a higher risk of being obese (Adj OR = 1.91, 95% CI 1.45, 2.53, p-value < 0.001). This study’s results require further exploration of HCWs’ working condition factors and for different job categories that contribute to obesity. Public health intervention programs to combat obesity should be implemented that primarily target HCW groups at the highest risk of obesity.
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Zeb H, Arif I, Younas A. Mindful Self-Care Practice of Nurses in Acute Care: A Multisite Cross-Sectional Survey. West J Nurs Res 2021; 44:540-547. [PMID: 33825565 DOI: 10.1177/01939459211004591] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Consistent mindful self-care practices mitigate professional burnout and improve resilience to enable nurses provide safe and effective patient care. This study determined the levels and the influencing factors of mindful self-care of nurses in acute care settings. Data were collected from a convenience sample of 258 nurses from seven acute care hospitals using the 36-item Mindful Self-Care Scale. Data were analyzed using descriptive and correlation analyses. Nurses' mindful self-care scores were low, and female nurses had higher levels of mindful self-care than male nurses. Statistically significant negative correlations were found between nurses' mindful self-care levels and their age and clinical experience. Nurses' engagement in mindful self-care is low which may negatively affect their interactions with and care of patients and their families. Therefore, a need exists to develop and evaluate more clinical-based personal and organizational strategies to enhance the mindful self-care practices of nurses.
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Affiliation(s)
| | - Ijaz Arif
- Swat College of Nursing, Swat, Pakistan
| | - Ahtisham Younas
- Swat College of Nursing, Swat, Pakistan.,Faculty of Nursing, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada
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Lima JPM, Costa SA, Brandão TRS, Rocha A. Food Consumption Determinants and Barriers for Healthy Eating at the Workplace-A University Setting. Foods 2021; 10:695. [PMID: 33805929 PMCID: PMC8064356 DOI: 10.3390/foods10040695] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 03/19/2021] [Accepted: 03/22/2021] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND A wide variety of social, cultural and economic factors may influence dietary patterns. This work aims to identify the main determinants of food consumption and barriers for healthy eating at the workplace, in a university setting. METHODS A cross-sectional observational study was conducted with 533 participants. Data were obtained through the application of a self-administered questionnaire that included socio-demographic information, food consumption determinants and the main perceived barriers for healthy eating at the workplace. RESULTS The respondents identified "price" (22.5%), "meal quality" (20.7%), and "location/distance" (16.5%). For women, the determinant "availability of healthy food options" was more important than for men (p < 0.001). The food consumption determinants at the workplace most referred to by respondents were related to the nutritional value. Smell, taste, appearance and texture, and good value for money, were also considered important for choosing food at the workplace. Respondents referred to work commitments and lack of time as the main barriers for healthy eating at the workplace. CONCLUSIONS Identification of determinants involved in food consumption, and the barriers for healthy eating, may contribute to a better definition of health promotion initiatives at the workplace aiming to improve nutritional intake.
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Affiliation(s)
- João P. M. Lima
- Politécnico de Coimbra, ESTeSC, Unidade Científico-Pedagógica de Dietética e Nutrição, Rua 5 de Outubro, S. Martinho do Bispo, 3046-854 Coimbra, Portugal
- GreenUPorto—Sustainable Agrifood Production Research Centre, Campus de Vairão Edifício de Ciências Agrárias (FCV2) Rua da Agrária, 747, 4485-646 Vairão, Portugal;
- LAQV-Requimte—R. D. Manuel II, Apartado 55142, 4051-401 Porto, Portugal
- ciTechCare—Center for Innovative Care and Health Technology, R. de Santo André 2410, 2410-541 Leiria, Portugal
| | - Sofia A. Costa
- Instituto de Saúde de Pública da Universidade do Porto, Rua das Taipas 135, 4050-091 Porto, Portugal;
| | - Teresa R. S. Brandão
- CBQF—Center for Biotechnology and Fine Chemicals—Associate Laboratory, School of Biotechnology, Catholic University of Portugal, R. de Diogo Botelho 1327, 4169-005 Porto, Portugal;
| | - Ada Rocha
- GreenUPorto—Sustainable Agrifood Production Research Centre, Campus de Vairão Edifício de Ciências Agrárias (FCV2) Rua da Agrária, 747, 4485-646 Vairão, Portugal;
- LAQV-Requimte—R. D. Manuel II, Apartado 55142, 4051-401 Porto, Portugal
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal
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Hicking-Woodison LE. Providing patient education on portion control and healthy eating. Nurs Stand 2021; 36:45-50. [PMID: 33764017 DOI: 10.7748/ns.2021.e11670] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/23/2021] [Indexed: 11/09/2022]
Abstract
Maintaining a balanced and nutritious diet is essential to support optimal health and well-being. However, rates of overweight and obesity in the UK and internationally have risen significantly, alongside increases in food portion sizes. While it can be challenging to work in partnership with patients towards achieving a healthy weight, it is crucial that nurses are able to offer patients advice and support to assist them in following dietary guidelines. This article explores the development and practical application of recommended dietary guidelines such as the Eatwell Guide. It also discusses practical interventions that nurses can use to advise patients on healthy eating, such as using the hands as a guide to portion size.
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Affiliation(s)
- Lorraine Elizabeth Hicking-Woodison
- Hawkinge and Elham Valley Practice, Folkestone, England; healthcare support worker and training lead, Invicta Health Learning, Canterbury, England
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Davies R. Promoting healthy eating in nurses. Nurs Manag (Harrow) 2021; 28:34-40. [PMID: 33755372 DOI: 10.7748/nm.2021.e1974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/06/2021] [Indexed: 11/09/2022]
Abstract
Across the world obesity rates in the general population have been increasing in recent years, a trend that has also been seen among nurses. Alongside the negative health effects of obesity such as type 2 diabetes mellitus and cardiovascular disease, the condition affects an individual's ability to work and results in increasing rates of absenteeism. However, the nature of nursing shift patterns and the healthcare workplace itself can influence a nurse's ability to eat healthily. This article discusses how obesity and healthy eating can affect the nursing role, as well as examining leadership and management practices that can support healthy eating in the workplace. The article is aimed at supporting nurse managers to reflect on their own lifestyle behaviour, which in turn will enable them to engage more with the topic of healthy eating among staff.
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Affiliation(s)
- Robert Davies
- Faculty of Health and Life Sciences, Dietetics, Coventry University, Coventry, England
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Faruque M, Barua L, Banik PC, Sultana S, Biswas A, Alim A, Gupta PKS, Ali L. Prevalence of non-communicable disease risk factors among nurses and para-health professionals working at primary healthcare level of Bangladesh: a cross-sectional study. BMJ Open 2021; 11:e043298. [PMID: 33741665 PMCID: PMC7986941 DOI: 10.1136/bmjopen-2020-043298] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 03/02/2021] [Accepted: 03/05/2021] [Indexed: 01/14/2023] Open
Abstract
OBJECTIVE To determine the prevalence of non-communicable disease (NCD) risk factors among nurses and para-health professionals (PHPs) working at primary healthcare centres in Bangladesh. In addition to this, we also investigated the association of these risk factors with the categories of health professions. DESIGN Cross-sectional study and the sampling technique was a census. SETTING The study site was a medical university of Bangladesh where the study population was recruited by NCD Control Programme of Directorate General of Health Services to participate in a 3-day training session from November 2017 to May 2018. PARTICIPANTS A total of 1942 government-employed senior staff nurses (SSNs) and PHPs working at Upazila Health Complexes. PRIMARY AND SECONDARY OUTCOME MEASURES The data were collected using a modified STEPwise approach to NCD risk factors surveillance questionnaire of the World Health Organisation (V.3.2). The prevalence of NCD risk factors was presented descriptively and the χ² test was used to determine the association between NCD risk factors distribution and categories of health professions. RESULTS The mean age of the participants was 37.6 years (SD 9.5) and most of them (87.6%) had a diploma in their respective fields. Physical inactivity (86.9%), inadequate fruits and/vegetable intake (56.3%) and added salt intake (35.6%) were the most prevalent behavioural risk factors. The prevalence of central obesity, overweight, raised blood glucose and raised BP were 83.5%, 42.6%, 19.2% and 12.8% respectively. Overall, the NCD risk factors prevalence was higher among PHPs compared with SSNs. A highly significant association (p<0.001) was found between risk factors and the categories of health professions for tobacco use, alcohol intake, added salt intake and physical inactivity. CONCLUSION High NCD risk factors prevalence and its significant association with SSNs and PHPs demand an appropriate risk-reduction strategy to minimise the possibility of chronic illness among them.
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Affiliation(s)
- Mithila Faruque
- Department of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh
| | - Lingkan Barua
- Department of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh
| | - Palash Chandra Banik
- Department of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh
| | - Sharmin Sultana
- Department of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh
| | - Animesh Biswas
- Department of Applied Laboratory Sciences, Bangladesh University of Health Sciences, Dhaka, Bangladesh
| | - Abdul Alim
- Noncommunicable Disease Control Program, Directorate General of Health Service, Government of the People's Republic of Bangladesh, Dhaka, Bangladesh
| | | | - Liaquat Ali
- Department of Biochemistry and Cell Biology, Bangladesh University of Health Sciences, Dhaka, Bangladesh
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Scander H, Lennernäs Wiklund M, Yngve A. Assessing Time of Eating in Commensality Research. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:2941. [PMID: 33805618 PMCID: PMC8000786 DOI: 10.3390/ijerph18062941] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 03/05/2021] [Accepted: 03/10/2021] [Indexed: 11/17/2022]
Abstract
Commensal meals seem to be related to a better nutritional and metabolic health as well as an improved quality of life. The aim of this paper was to examine to what extent research was performed using the search term commensality related to assessment of timing of meals. A scoping review was performed, where 10 papers were identified as specifically addressing the assessment of timing of commensality of meals. Time use studies, questionnaires, and telephone- and person-to-person interviews were used for assessing meal times in relation to commensality. Four of the studies used a method of time use registration, and six papers used interviews or questionnaires. Common meals with family members were the most common, and dinners late at night were often preferred for commensal activities among the working population. In conclusion, the family meal seemed to be the most important commensal meal. It is clear from the collected papers and from previous systematic reviews that more studies of commensal meals in general and about timing aspects in particular and in relation to nutritional health are essential to provide a solid background of knowledge regarding the importance of timing in relation to commensal meals.
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Affiliation(s)
- Henrik Scander
- School of Hospitality, Culinary Arts and Meal Science, Örebro University, 712 02 Grythyttan, Sweden
| | - Maria Lennernäs Wiklund
- Department of Occupational and Public Health Sciences, Gävle University, 801 76 Gävle, Sweden;
| | - Agneta Yngve
- School of Health Sciences, Örebro University, 702 81 Örebro, Sweden;
- Department of Nutrition, Dietetics and Food Studies, Uppsala University, 751 22 Uppsala, Sweden
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The Project Collection Food, Nutrition and Health, with a Focus on Eating Together. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041572. [PMID: 33562352 PMCID: PMC7914465 DOI: 10.3390/ijerph18041572] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 02/04/2021] [Indexed: 01/04/2023]
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