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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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Abujaber AA, Nashwan AJ. Unravelling the complexities of nutritional behaviours in hospital nurses: a commentary on enablers and barriers to healthy eating. Evid Based Nurs 2024; 27:57. [PMID: 37479469 DOI: 10.1136/ebnurs-2023-103707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/07/2023] [Indexed: 07/23/2023]
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3
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Nerek A, Wesołowska-Górniak K, Czarkowska-Pączek B. Enhancing feedback by health coaching: the effectiveness of mixed methods approach to long-term physical activity changes in nurses. An intervention study. BMC Nurs 2024; 23:196. [PMID: 38519943 PMCID: PMC10958873 DOI: 10.1186/s12912-024-01815-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Accepted: 02/21/2024] [Indexed: 03/25/2024] Open
Abstract
BACKGROUND Although knowledge of the barriers and motivators to physical activity participation among nurses is increasing, the factors influencing motivation methods' effectiveness are not completely defined. This study aimed to identify the methods that support increasing the level of daily physical activity and the factors that influence the effectiveness of motivation methods among nurses. METHODS This study was based on an intervention study protocol. All registered nurses in clinical settings were invited to participate in the study. The study involved 71 professionally active nurses. A self-reported questionnaire was used to collect sociodemographic and employment data. The level of physical activity was assessed using the International Physical Activity Questionnaire, and the daily number of steps was assessed using a pedometer. Body composition was measured using a bioimpedance method, and the 5-year risk of cardiovascular events was assessed using the Harvard Score. The intervention included self-monitoring daily steps using a pedometer and completing a diary daily for one month. Additionally, a few-minute speech was sent to each participant via email on the intervention's 7th, 14th, and 21st days. RESULTS The analysis revealed a higher value of physical activity recorded in the follow-up compared to the initial and final measurement in the Recreation domain [Met] (p < 0.001) and a higher value of daily steps in the follow-up compared to the final measurement (p = 0.005). Participants with a higher Harvard Score were more likely to increase their daily number of steps (OR = 6.025; 95% CI = 1.70-21.41), and nurses working in hospital wards were less likely to do so (OR = 0.002; 95% CI = 0.00-0.41). CONCLUSIONS Recommendations for physical activity in the nursing population should focus on increasing leisure time physical activity and regular risk assessment of cardiovascular events. A mixed methods approach, such as feedback enhanced by health coaching, effectively achieves long-term physical activity changes in nurses.
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Affiliation(s)
- Agnieszka Nerek
- Department of Clinical Nursing, Medical University of Warsaw, Ciołka 27, 01-445, Warsaw, Poland
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Bartosiewicz A, Matłosz P, Wyszyńska J, Łuszczki E, Oleksy Ł, Adamska O, Martínez-Rodríguez A, Mazur A. Levels of actigraphy-derived physical activity among Polish nurses: factors associated with the prevalence of selected metabolic disorders. Front Public Health 2023; 11:1300662. [PMID: 38222090 PMCID: PMC10787602 DOI: 10.3389/fpubh.2023.1300662] [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: 09/25/2023] [Accepted: 12/15/2023] [Indexed: 01/16/2024] Open
Abstract
Numerous studies demonstrate a relationship between physical activity and the development of non-communicable diseases. Nurses play a crucial role in the healthcare system, and their demanding work can have an impact on their health. The objective of this cross-sectional study was to assess physical activity in relation to factors predisposing to the occurrence of specific metabolic disorders among Polish nurses. The measurements included physical activity level using ActiGraph GT3X, body weight composition using Tanita MC-980, body mass index, waist circumference, blood pressure using Welch Allyn 4200B, lipid profile, and fasting blood glucose using CardioChek PA. The results indicate that nearly one-third (31.75%) of the total sample of studied nurses do not meet the criteria for the minimum amount of physical activity of at least moderate intensity. Furthermore, over half of the surveyed nurses (55.5%) were classified as overweight or obese based on BMI, and almost half (42.86%) had abdominal obesity. The regression model, employing linear regression, revealed that factors predisposing to selected metabolic disorders were age, engaging in multiple jobs, and the number of steps per day. There is a pressing need to implement comprehensive and supportive initiatives to improve the overall health condition of nurses in Poland through increased physical activity. Activating and supporting this professional group is an investment that benefits not only the nurses themselves but also the healthcare system and the entire nation.
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Affiliation(s)
- Anna Bartosiewicz
- Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland
| | - Piotr Matłosz
- Institute of Physical Culture Sciences, Medical College of Rzeszów University, Rzeszów, Poland
| | - Justyna Wyszyńska
- Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland
| | - Edyta Łuszczki
- Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland
| | - Łukasz Oleksy
- Department of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland
| | - Olga Adamska
- Department of Orthopedics and Rehabilitation, Medical University of Warsaw, Warsaw, Poland
| | | | - Artur Mazur
- Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszów, Poland
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Mahoney C, Hoyle L, Van Splunter C, Kyle RG. Wearable activity trackers for nurses' health: A qualitative acceptability study. Nurs Open 2023; 10:6357-6368. [PMID: 37329131 PMCID: PMC10415986 DOI: 10.1002/nop2.1884] [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: 03/29/2022] [Revised: 05/17/2023] [Accepted: 05/29/2023] [Indexed: 06/18/2023] Open
Abstract
AIM To assess the practical, social and ethical acceptability of the use of a POLAR® H7 chest-strap wearable device to influence health behaviours among pre-registered nurses. DESIGN Qualitative acceptability study including a simulated test of use reported using COREQ guidelines. METHODS Pre-registered nurses simulated nine nursing tasks while wearing the chest strap in a clinical simulation facility in a Scottish university in 2016. Focus groups and semi-structured interviews were conducted to assess technology acceptance with participants who did and did not participate in the simulated nursing tasks. Focus groups and interviews were transcribed and analysed thematically guided by a theoretical model of technology acceptance. RESULTS Pre-registered nurses thought the use of chest-strap devices to monitor their own health in real-time was acceptable. However, participants shared that it was important that the use of technology was inclusive and supportive of nurses' health and cautioned against misuse of data from wearable devices for individual performance management or stigmatisation.
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Affiliation(s)
- Catherine Mahoney
- School of Health and Social CareEdinburgh Napier UniversityEdinburghUK
| | - Louise Hoyle
- Faculty of Health Science & SportUniversity of StirlingStirlingUK
| | | | - Richard G. Kyle
- Academy of NursingDepartment of Health and Care ProfessionsFaculty of Health and Life SciencesUniversity of ExeterExeterUK
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Quiroga-Sánchez E, Calvo-Ayuso N, Liébana-Presa C, Trevissón-Redondo B, Marqués-Sánchez P, Arias-Ramos N. Life Habits of Healthcare Professionals during the Third Wave of COVID-19: A Cross-Sectional Study in a Spanish Hospital. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4126. [PMID: 36901137 PMCID: PMC10001878 DOI: 10.3390/ijerph20054126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 02/23/2023] [Accepted: 02/23/2023] [Indexed: 06/18/2023]
Abstract
(1) Background: To describe sleep quality, eating behaviour and alcohol, tobacco and illicit drug use among healthcare staff in a Spanish public hospital. (2) Methods: Cross-sectional descriptive study examining sleep quality (Pittsburg Sleep Quality Index), eating behaviour (Three Factor Eating Questionnaire (R18)), tobacco and drug use (ESTUDES questionnaire) and alcohol use (Cut down, Annoyed, Guilty, Eye-opener). (3) Results: 178 people, of whom 87.1% (155) were women, with an average age of 41.59 ± 10.9 years. A total of 59.6% of the healthcare workers had sleep problems, to a greater or lesser degree. The average daily consumption was 10.56 ± 6.74 cigarettes. The most commonly used drugs included cannabis, occasionally used by 88.37%, cocaine (4.75%), ecstasy (4.65%) and amphetamines (2.33%). A total of 22.73% of participants had increased their drug use, and 22.73% had increased their consumption during the pandemic, with beer and wine accounting for 87.2% of drinks consumed during this period. (4) Conclusions: In addition to the psychological and emotional impact already demonstrated, the COVID-19 crisis has repercussions on sleep quality, eating behaviour and alcohol, tobacco and drug consumption. Psychological disturbances have repercussions on physical and functional aspects of healthcare workers. It is feasible that these alterations are due to stress, and it is necessary to act through treatment and prevention as well as promote healthy habits.
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Affiliation(s)
- Enedina Quiroga-Sánchez
- SALBIS Research Group, Department of Nursing and Physiotherapy, Campus of Ponferrada, University of León, 24400 Ponferrada, Spain
| | - Natalia Calvo-Ayuso
- Department of Nursing and Physiotherapy, Campus of Ponferrada, University of León, 24400 Ponferrada, Spain
| | - Cristina Liébana-Presa
- SALBIS Research Group, Department of Nursing and Physiotherapy, Campus of Ponferrada, University of León, 24400 Ponferrada, Spain
| | - Bibiana Trevissón-Redondo
- SALBIS Research Group, Department of Nursing and Physiotherapy, Campus of Ponferrada, University of León, 24400 Ponferrada, Spain
| | - Pilar Marqués-Sánchez
- SALBIS Research Group, Department of Nursing and Physiotherapy, Campus of Ponferrada, University of León, 24400 Ponferrada, Spain
| | - Natalia Arias-Ramos
- SALBIS Research Group, Department of Nursing and Physiotherapy, Campus of Ponferrada, University of León, 24400 Ponferrada, Spain
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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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Barinas JL, McDermott RC, Williams SG, Fruh SM, Hauff C, Hudson GM, Graves RJ, Melnyk BM. Positive and negative psychosocial factors related to healthy and unhealthy weight control among nursing students. J Prof Nurs 2022; 42:290-300. [PMID: 36150873 PMCID: PMC9783016 DOI: 10.1016/j.profnurs.2022.07.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 07/21/2022] [Accepted: 07/25/2022] [Indexed: 12/27/2022]
Abstract
BACKGROUND Although nursing students are educated on the importance of exercising regularly and maintaining a well-balanced diet, many do not practice healthy weight management behaviors, and some even use unhealthy weight loss methods. Yet, little research has examined both positive and negative psychosocial variables related to weight control among nursing students. PURPOSE The present study aimed to identify the most salient psychosocial variables related to healthy and unhealthy weight control among nursing students. METHOD Using survey data from 241 nursing students, structural equation modeling was conducted to examine the relative contributions of eight interrelated psychosocial variables, including constructs from a strengths perspective (health-specific hope, health self-efficacy, social support, and body satisfaction) and from a deficit perspective (depression, anxiety, weight perception, and barriers to physical activity). RESULTS Results showed that the degree to which individuals perceive themselves to be overweight was related to both healthy and unhealthy weight control. Aside from weight perception, health self-efficacy produced the strongest association with healthy weight control, and anxiety produced the strongest association with unhealthy weight control. The structural model explained 23 % of the variance in healthy weight control and 29 % of the variance in unhealthy weight control. CONCLUSIONS These findings emphasize the need for tailored, integrated weight management interventions for nursing students that equip them with effective anxiety management skills and build self-efficacy.
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Affiliation(s)
- Jennifer L Barinas
- Department of Psychology, University Commons 1000, University of South Alabama, Mobile, AL 36608, United States of America.
| | - Ryon C McDermott
- Department of Counseling and Instructional Sciences, University Commons 3800, University of South Alabama, Mobile, AL 36688, United States of America
| | - Susan G Williams
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Sharon M Fruh
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Caitlyn Hauff
- Department of Health, Kinesiology, and Sport, Suite 1016, University of South Alabama, Mobile, AL 36688, United States of America
| | - Geoffrey M Hudson
- Department of Health, Kinesiology, and Sport, Suite 1016, University of South Alabama, Mobile, AL 36688, United States of America
| | - Rebecca J Graves
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Bernadette Mazurek Melnyk
- College of Nursing, 1585 Neil Avenue, The Ohio State University, Columbus, OH 43210, United States of America
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Self-Care and Sense of Coherence: A Salutogenic Model for Health and Care in Nursing Education. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159482. [PMID: 35954838 PMCID: PMC9368734 DOI: 10.3390/ijerph19159482] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Revised: 07/27/2022] [Accepted: 07/31/2022] [Indexed: 02/01/2023]
Abstract
Background: Effective advocacy on self-care and the enhancement of a sense of coherence among nurses don’t only benefit control over one’s health and personal performance, but it may have a direct impact on clinical care and on the entire healing system. In this regard, nursing curricula grounded on a salutogenic model of health (SMH) operate with strategies to engage students in self-care and contribute to improving their mental health and wellbeing. The aim of this study was to explore the relationships between self-care agency and a sense of coherence as dependent variables and the age and self-reported academic performance as independent variables in nursing assistant students. Methods: For this cross-sectional study, data were collected from a full sample of 921 Certified Nursing Assistant (CNA) Spanish students. A self-administered questionnaire, including sociodemographic variables, the ‘appraisal of self-care agency’ (ASA), and the ‘sense of coherence’ (SOC) constructs, was administered. Results: Results: Older participants presented significantly stronger values of both constructs. Apart from a significant and positive correlation between ASAS and SOC, ANOVA analyses indicate signif-icant differences in terms of academic performance according to different ASAS and SOC de-grees. Conclusion: The findings of this study endorse the assumption that there is a consistent relationship between ASA and SOC constructs that might, indeed, have a potential effect on stu-dents’ academic performance. In practical terms, it seems relevant to try to recognise the stu-dents’ self-care agency and the sense of coherence as forceful predictive variables of mental health and wellbeing, in addition to academic success as a strength implied in the future career achievement.
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The Relationship between Sociodemographic, Professional, and Incentive Factors and Self-Reported Level of Physical Activity in the Nurse Population: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127221. [PMID: 35742469 PMCID: PMC9223668 DOI: 10.3390/ijerph19127221] [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: 05/21/2022] [Revised: 06/10/2022] [Accepted: 06/11/2022] [Indexed: 02/01/2023]
Abstract
Research indicates that while nurses are aware of the benefits of physical activity (PA), their adherence to PA is low. The results of workplace interventions that increase PA are inconsistent. The study aim was identification the sociodemographic, professional, and incentive factors influencing nurses’ PA and investigation its relationship with the level of PA that they report. This study was based on observational cross-sectional research conducted among professionally active nurses working in a clinical setting (n = 350). The self-reported questionnaire was used to collect sociodemographic and employment data and motivators and barriers of participating in PA. The level of PA was assessed using International Physical Activity Questionnaire. The analysis revealed significant differences in the Total Physical Activity Score (TPAS) depending on the variables related to professional activity (working in a management position: p = 0.015; workplace: p = 0.01; shift type: p ≤ 0.002). Cluster analysis revealed that the most important statement in the group division about motivation was fear of the pain occurring after exercise. Nurses who were more motivated to be active showed a higher level of leisure-time PA than less motivated nurses. The recommendation of PA in the nursing population should be focused on increasing the leisure time PA, ensuring the appropriate time to recovery, and compliance with the principles of work ergonomics to prevent musculoskeletal disorders.
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Analysis of the Lifestyle of Spanish Undergraduate Nursing Students and Comparison with Students of Other Degrees. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095765. [PMID: 35565155 PMCID: PMC9103797 DOI: 10.3390/ijerph19095765] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 05/03/2022] [Accepted: 05/07/2022] [Indexed: 02/06/2023]
Abstract
Background: Nursing students are exposed to concepts of healthy lifestyles while they are attending university. Objective: The aim of this study was to analyze whether nursing students have a healthier lifestyle than non-nursing students and to determine whether their behaviour is consistent with their beliefs. Methods: A cross-sectional study, with 293 university students was performed by using a validated questionnaire to measure beliefs and behaviour regarding health. Results: The lifestyle pattern of the nursing students evaluated was characterised by a high percentage of nurses with low levels of physical activity, poor balanced diet and smoking habits. The comparative analysis showed no significant differences between nursing students and students from other degrees. Conclusions: Students have a positive attitude and knowledge about healthy lifestyle, but do not transfer it to their own lives. Nurses’ lifestyle can unintentionally affect the behaviour of other people through their own behaviour and beliefs because they serve as a model for a healthy lifestyle. These findings support that nurse educators have an active role as promoter of health by using lessons to modify the behaviour of their students.
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Factors Influencing Long-Term Care Workers' Self-Efficacy for Encouraging Residents to Engage in Physical Activity. J Aging Phys Act 2022; 30:987-994. [PMID: 35303711 DOI: 10.1123/japa.2021-0299] [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: 08/06/2021] [Revised: 02/08/2022] [Accepted: 02/09/2022] [Indexed: 11/18/2022]
Abstract
We aimed to assess work-related factors and their association with long-term care workers' self-efficacy for encouraging and engaging residents in physical activity. Baseline data from a worksite wellness study with 98 workers were used. We used a linear regression model, to assess if job satisfaction, work ability, and social support for staff health behaviors from coworkers and supervisors were associated with staffs' self-efficacy for Function-Focused Care (FFC) and Staffs' Outcome Expectations for FFC. Staffs' social support for healthy behaviors from coworkers was the only factor that was significantly associated with Staffs' Outcome Expectations for FFC and staffs' self-efficacy-FFC, respectively explaining 19% and 14% of the variance. Our findings show that staffs' social support from coworkers is associated with higher self-efficacy for encouraging and engaging residents in physical activity suggests future worksite wellness studies with long-term care workers may wish to consider assessing program impacts on residents' physical activity levels.
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Austin D, May J, Andrade J, Nichols A. Exploring barriers, motivators and solutions to achieve a healthy lifestyle among undergraduate student nurses. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2022; 31:240-246. [PMID: 35220744 DOI: 10.12968/bjon.2022.31.4.240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Many preregistration student nurses tend to be overweight or obese and have unhealthy lifestyles. AIMS This study aimed to quantify the prevalence of these issues, to identify barriers to adopting a healthy lifestyle as well as potential solutions, and to explore the use of smartphone health apps. METHODS An online questionnaire examined diet and physical activity habits, general health and attitudes to eHealth. An in-class questionnaire with a new sample assessed current lifestyle, barriers to healthier living, support needed to achieve goals and the use of health apps. FINDINGS Half of student nurses were overweight or obese and only 41% met the recommended levels of physical activity. An in-class questionnaire revealed that more than half of them wanted to have a better diet and to exercise more. CONCLUSION Generally, student nurses were not satisfied with their current lifestyles. A lack of motivation and time were the most frequently reported barriers; an intervention focusing on motivational support could be an acceptable and effective means of achieving and sustaining positive behaviour change.
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Affiliation(s)
- Daniela Austin
- Research Associate, School of Psychology, Faculty of Health, University of Plymouth, Plymouth, daniela
| | - Jon May
- Professor, School of Psychology, Faculty of Health, University of Plymouth, Plymouth
| | - Jackie Andrade
- Professor, School of Psychology, Faculty of Health, University of Plymouth, Plymouth
| | - Andy Nichols
- Lecturer in Nursing Studies, School of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth
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Jung YM, Yoo IY. Career education needs of Korean nursing students and professionals: A cross-sectional survey. NURSE EDUCATION TODAY 2022; 108:105209. [PMID: 34768154 DOI: 10.1016/j.nedt.2021.105209] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 10/21/2021] [Accepted: 11/05/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND The career education needs of nursing students and professionals can be met by analyzing the differences between the importance and need levels of their various career education needs, determining priorities, and developing a career education program reflecting these. This approach will enable learner-centered customized career education. OBJECTIVES To investigate the differences in career education needs between nursing students and professionals, determine their respective priorities, and assess changes in needs between the two survey periods. DESIGN Descriptive survey study. PARTICIPANTS The first survey (2017) included 206 nursing students and 40 nursing professionals, while the second survey (2020) included 219 nursing students and 100 nursing professionals. METHODS Data for the two surveys were collected through face-to-face, postal, and online questionnaire surveys. The research tool to measure career education needs was developed based on an existing tool, top queries on a website for nursing students' career education, literature review, expert opinions, and in-depth interviews with nursing students. RESULTS The 10 top-ranked items in Jo and Lee's model reflecting the career education needs of nursing students and professionals were as follows: workplace and social etiquette, changes in the healthcare environment and global issues, setting up my career roadmap, interpersonal and communication skills, nursing professionalism and nursing ethics, understanding the latest healthcare policies, my personality type and values, roles and duties of clinical nurses, my aptitude and interest, and nurses' healthcare. Comparing the career education needs of nursing students and professionals between the two survey periods revealed higher scores in the education category of "understanding career" in the second survey. CONCLUSION Nursing students' career awareness and development will be positively affected by a customized career education program based on the priority items derived from this study; such a program will help them attain nursing professionalism and enhance their occupational identity and job satisfaction.
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Affiliation(s)
- Young-Mi Jung
- Department of Nursing, Daegu Haany University 1, Hanuidae-ro, Gyeongsan-si, Gyeongsangbuk-do 38610, Republic of Korea.
| | - In-Young Yoo
- Department of Nursing, Jeonju University 303, Cheonjam-ro, Wansan-gu, Jeollabuk-do 55069, Republic of Korea.
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Smoking Status and Health Beliefs Related to Smoking of Nurses in Working a Cancer Hospital, in Turkey. JOURNAL OF BASIC AND CLINICAL HEALTH SCIENCES 2021. [DOI: 10.30621/jbachs.915542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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16
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Obesity and Diet Predict Attitudes towards Health Promotion in Pre-Registered Nurses and Midwives. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413419. [PMID: 34949025 PMCID: PMC8708316 DOI: 10.3390/ijerph182413419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 12/08/2021] [Accepted: 12/14/2021] [Indexed: 12/03/2022]
Abstract
Nurses and midwives are integral to public health promotion; in the UK, they are advised to act as role models by their governing body, but overweight or obesity rates are high. We explored whether obesity and dietary habits are related to attitudes towards healthy role modelling and health promotion practice. A total of 346 pre-registered UK nurses and midwives (92.6% female; 18–53 years) completed an online survey. Items included body composition, dietary habits assessed by the Lifestyle Behaviour Questionnaire (LBQ), attitudes towards being role models for health (RA: role attitudes) and attitudes toward health promotion practice (ATHPP): 33.8% of the sample self-reported as overweight or obese; 67.6% did not consume 5-a-day portions of fruit/veg; 31.5% reported a healthy diet; and 89.6% believed their diet could be healthier. Positive RA was significantly linked to health promotion engagement (HP) (ß = 0.33, p < 0.001). Positive ATHPP was significantly predicted by lower BMI (ß = −0.08, p = 0.078), positive RA (ß = 0.67, p < 0.001), lower HP (ß = −0.25, p < 0.001) and male gender (ß = 0.09, p = 0.02). Greater confidence in patients valuing healthcare professional’s advice was predicted by healthier diet (ß = 0.11, p = 0.03), lower BMI (ß = −0. 16, p < 0.01), more positive RA (ß = 0.14, p < 0.01) as well as HP engagement during training (ß = 0.20, p < 0.01). One’s own motivation to promote health, similarly to ATHPP, was predicted by RA (ß = 0.17, p = 0.001) and previous HP engagement (ß = 0.39, p < 0.001). Findings show that overweight and obesity are prevalent in pre-registered nurses and midwives; the majority did not consume a healthy diet. Individual’s body composition, diet and attitudes towards role modelling are positively associated with their attitudes towards, and confidence in, health promotion practice. Experiences of health promotion practice during training can have either a positive or a negative influence on attitudes. Mentors and educators could actively promote healthy lifestyles for pre-registered nurses and midwives and facilitate more opportunities for health promotion practice during placements, which includes time for reflection.
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Berent D, Skoneczny M, Macander M, Wojnar M. The association among health behaviors, shift work and chronic morbidity: A cross-sectional study on nurses working in full-time positions. J Public Health Res 2021; 11. [PMID: 34351093 PMCID: PMC8847952 DOI: 10.4081/jphr.2021.2099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Accepted: 06/11/2021] [Indexed: 11/29/2022] Open
Abstract
Background: Nurses are known to work in conditions of stress and physical overload. Health behaviors are modifiable factors that may reduce the adverse effects of work on general health. The present study examined health-related behaviors and their association with current night shift work and chronic morbidity among female nurses. Design and Method: Four hundred seventy-two female nurses (M ± SD = 44.28±7.14 years) self-reported their health habits, physical activity, body mass index (BMI), and chronic disorders that required current treatment. Instruments used in the study consisted of an author-developed questionnaire and the Health Behavior Inventory (HBI). Reported diagnoses were classified as cardio-vascular, gastro-intestinal, malignant neoplastic, endocrine, or other. Results: The most common reported disorders were cardiovascular disorders (5.7% of nurses) followed by other (7.6%), endocrine (7.4%), gastro-intestinal (6.4%), and malignancy (0.2%). On average, health-related behaviors on the HBI were average (83.49 ± 14.33). Overweight and/or obesity (i.e., BMI ≥25 kg/m2) were reported by 41.5% of nurses, 24.2% were current smokers, and 36% reported no recreational physical activity. The remaining 64% of nurses who performed physical activity did not report activity levels that met World Health Organization recommendations. Physical activity and HBI scores (total and subscales; i.e., positive attitude, preventive behaviors, proper dietary habits, health-related practices) were not associated with current night shift work or morbidity. Conclusion: Health-promoting programs are needed to support weight control and promote health-related behaviors among nurses. Future research should identify potential barriers to healthy lifestyle recommendations in the workplace. Significance for public health International studies suggest that strategies are needed to prevent adverse health outcomes among nurses. This study examined health behaviors and their association with current night shift work and chronic morbidity among female nurses. We found, i.e.: health behaviors were average, overweight and/or obesity were reported by 41.5% of nurses, 24.2% were current smokers, over 33% reported at least one currently treated chronic disorder, and 36% reported no recreational physical activity. Health behaviors were not associated with current shift work and chronic, currently treated, disorders. Our findings indicate that health-promoting programs are needed to support weight control and promote health-related behaviors among nurses. Although knowledge about health promotion and health behaviors does not always transfer to nurses’ own behaviors, future research should also identify potential barriers to healthy lifestyle recommendations in the nurses’ workplace.
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Affiliation(s)
| | - Mariusz Skoneczny
- Regional Pirogow's Memorial Hospital, Urology and Renal Transplantology Unit, Łódź.
| | - Marian Macander
- Military Institute of Aviation Medicine, Aviation Pathophysiology and Safety Flight Department, Warsaw.
| | - Marcin Wojnar
- Department of Psychiatry, Medical University of Warsaw.
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18
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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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19
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Das BM, Adams BC. Nurses' physical activity exploratory study: Caring for you so you can care for others. Work 2021; 68:461-471. [PMID: 33522994 DOI: 10.3233/wor-203386] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Nurses report the greatest stress of all health care workers. Although physical activity (PA) is associated with health benefits among other populations, nurses have stressors that other occupations do not typically encounter. It is important for nurses to identify techniques for stress management since stressors negatively impact their health and patient care. OBJECTIVE We aimed to examine the relationship between PA levels and physical, mental, and occupational health among nurses. METHODS Nurses (N = 62) completed measures of anthropometrics, demographics, and domains of physical, mental, and occupational health. Pearson correlations determined the relationship between PA and measures health along with the relationship between PA and health among active versus inactive nurses. RESULTS Fatigue was significantly correlated with moderate-to-vigorous PA (r = -0.27, p < 0.05). Relationships were found between mental health and light and moderate intensity PA (r = 0.40, p < 0.001; r = 0.30, p < 0.05). CONCLUSIONS Stress is prevalent among nurses and negatively impacts a nurse's health along with patient care. Findings suggest health benefits associated with PA among nurses. PA interventions among nurses may be needed to fully see the effects of PA on physical, mental, and occupational health, and ultimately patient health and safety.
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Affiliation(s)
- Bhibha M Das
- Department of Kinesiology, East Carolina University, Greenville, NC, USA
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20
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Brunet J, Tulloch HE, Wolfe Phillips E, Reid RD, Pipe AL, Reed JL. Motivation Predicts Change in Nurses' Physical Activity Levels During a Web-Based Worksite Intervention: Results From a Randomized Trial. J Med Internet Res 2020; 22:e11543. [PMID: 32915158 PMCID: PMC7519423 DOI: 10.2196/11543] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Revised: 12/27/2018] [Accepted: 09/03/2019] [Indexed: 11/21/2022] Open
Abstract
Background Low physical activity levels can negatively affect the health of nurses. Given the low physical activity levels reported by nurses, there is a clear need for brief and economical interventions designed to increase physical activity levels in this population. We developed a web-based intervention that used motivational strategies to increase nurses’ physical activity levels. The intervention provided the nurses with feedback from an activity monitor coupled with a web-based individual, friend, or team physical activity challenge. Objective In this parallel-group randomized trial, we examine whether nurses’ motivation at baseline predicted changes in objectively measured physical activity levels during the 6-week intervention. Methods The participants were 76 nurses (n=74, 97% female; mean age 46, SD 11 years) randomly assigned to 1 of 3 physical activity challenge conditions: (1) individual, (2) friend, or (3) team. The nurses completed a web-based questionnaire designed to assess motivational regulations for physical activity levels before the intervention and wore a Tractivity activity monitor before and during the 6-week intervention. We analyzed data using multilevel modeling for repeated measures. Results The nurses’ physical activity levels increased (linear estimate=10.30, SE 3.15; P=.001), but the rate of change decreased over time (quadratic estimate=−2.06, SE 0.52; P<.001). External and identified regulations (ß=−2.08 to 11.55; P=.02 to .04), but not intrinsic and introjected regulations (ß=−.91 to 6.29; P=.06 to .36), predicted changes in the nurses’ physical activity levels. Conclusions Our findings provide evidence that an intervention that incorporates self-monitoring and physical activity challenges can be generally effective in increasing nurses’ physical activity levels in the short term. They also suggest that drawing solely on organismic integration theory to predict changes in physical activity levels among the nurses participating in web-based worksite interventions may have been insufficient. Future research should examine additional personal (eg, self-efficacy) and occupational factors (eg, shift length and shift type) that influence physical activity levels to identify potential targets for intervention among nurses. Trial Registration ClinicalTrials.gov NCT04524572; https://clinicaltrials.gov/ct2/show/NCT04524572
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Affiliation(s)
- Jennifer Brunet
- Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.,Institut du savoir de l'Hôpital Montfort, Hôpital Montfort, Ottawa, ON, Canada.,Cancer Therapeutic Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | - Heather E Tulloch
- Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | | | - Robert D Reid
- Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada.,Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Andrew L Pipe
- Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada.,Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Jennifer L Reed
- Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada.,Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
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21
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Bak MAR, Hoyle LP, Mahoney C, Kyle RG. Strategies to promote nurses' health: A qualitative study with student nurses. Nurse Educ Pract 2020; 48:102860. [PMID: 32890934 DOI: 10.1016/j.nepr.2020.102860] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 07/21/2020] [Accepted: 08/13/2020] [Indexed: 10/23/2022]
Abstract
Developing strategies to support student nurses' health is a global priority for healthcare organisations and governments. This is because emerging international evidence indicates that improvements in student nurses' health are required to increase the longevity of careers and reduce the loss of time, skill and financial cost of sickness absence and workforce exit. However, we do not know what intervention strategies student nurses think would support their health. The study aim was to explore student nurses' views on factors that influence health-related behaviours and strategies that could improve health. Data were collected through participatory activities during focus groups with student nurses in Scotland. Analysis was theoretically informed and involved mapping to the Behaviour Change Wheel framework. Students identified several factors that influenced health-related behaviours. Four were ranked most important: knowledge, culture, time constraints, and stress. Strategies student nurses thought should be prioritised to improve nurses' health-related behaviours were: stimulating a health-promoting environment by reviewing shift work, improving workplace support, increasing staffing levels, subsidising and role-modelling of healthy food and exercise; and creating applied health-promoting curricula by integrating time and stress management training and lifestyle advice into nursing education. Educational and environmental interventions are needed to support student nurses' health.
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Affiliation(s)
- Marieke A R Bak
- Section of Medical Ethics, Department of General Practice, Amsterdam UMC, University of Amsterdam, Meibergdreef 15, 1105 AZ, Amsterdam, the Netherlands.
| | - Louise P Hoyle
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK.
| | - Catherine Mahoney
- School of Health & Social Care, Edinburgh Napier University, Edinburgh, EH11 4BN, UK.
| | - Richard G Kyle
- School of Health & Social Care, Edinburgh Napier University, Edinburgh, EH11 4BN, UK; Research and Evaluation Division, Public Health Wales, Cardiff, CF10 4BZ, UK.
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22
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Factors Affecting Health-Promoting Behaviors among Nursing Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17176291. [PMID: 32872367 PMCID: PMC7503930 DOI: 10.3390/ijerph17176291] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Revised: 08/18/2020] [Accepted: 08/24/2020] [Indexed: 11/17/2022]
Abstract
Health-promoting behaviors help prevent chronic illness. Health-promoting behaviors of nursing students can affect not only their own health, but also the health of their future patients, for whom they can act as role models. Nursing students should participate in health-promoting behaviors; however, nursing students often have unhealthy behaviors. This study aimed to investigate the factors affecting health-promoting behaviors in nursing students. A descriptive, self-report survey of 304 nursing students from three universities in South Korea was conducted. Subjects' general characteristics, health perceptions, health concerns, and health-promoting behaviors were collected. Of the total participants, 90.1% were female and the mean age was 20.4 years. The mean score for health-promoting behaviors was 2.47, higher than the midpoint. The mean for the subscale of physical activity among health-promoting behaviors was the lowest. The main factors affecting health-promoting behaviors were gender, health perceptions, health concern, and time per week spent searching online for health-related information. The main factors affecting physical activity were gender, health concern, and time per week spent searching online for health-related information. Based on the study findings, it is recommended that a program to empower nursing students to perform health-promoting behaviors be incorporated into the nursing education curriculum with regard to unique needs based on gender. Specifically, it would be effective to develop programs that are easily accessible via the Internet.
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23
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Gabal HAMS, Wahdan MM, Eldin WS. Perceived benefits and barriers towards exercise among healthcare providers in Ain Shams University Hospitals, Egypt. J Egypt Public Health Assoc 2020; 95:19. [PMID: 32813187 PMCID: PMC7427824 DOI: 10.1186/s42506-020-00042-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2019] [Accepted: 05/08/2020] [Indexed: 11/13/2022]
Abstract
Background Physical inactivity is considered a problem with great impact on morbidity and mortality. There is a necessity to combat this behavior through an assessment of barriers and benefits perceived by subjects. Objectives The current study aimed to measure exercise intention, in addition to identifying physical exercise predictors, including perceived barriers and benefits among healthcare providers (HCPs) in Ain Shams University Hospitals. Methods A cross-sectional study was performed on a sample (n = 327) of healthcare providers (physicians and nurses) in Ain Shams University Hospitals in Cairo, Egypt, using anonymous self-administrated questionnaires and relevant scales. Results Out of 327 healthcare providers approached, 52.6% of them were males and the mean age of participants was (29.34 ± 7.84 years). Physical exercise was reported by 44.6% of participants. The most significant factors associated with physical exercise engagement were male gender, participants with lower body mass index (BMI), and those with higher perceived “life enhancement subscale” benefit score and lower perceived exercise milieu and physical exertion barriers subscale scores. Exercisers showed significantly higher total overall (benefits and barriers) score compared to non-exercisers. Physicians showed a significantly higher total score compared to nurses. Conclusion and recommendations The prevalence of regular exercise is low and inversely related to the female gender, BMI, Exercise milieu, and Physical exertion barriers subscale scores, and directly related to life enhancement benefit subscale score. Health education program about the benefits and barriers of exercise is recommended to encourage healthcare personnel to follow a healthy lifestyle as a role model to their patients and to act as health promoters to them.
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Affiliation(s)
- Hebat-Allah M S Gabal
- Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
| | - Maha M Wahdan
- Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Waleed Salah Eldin
- Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
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24
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Kritsotakis G, Georgiou ED, Karakonstandakis G, Kaparounakis N, Pitsouni V, Sarafis P. A longitudinal study of multiple lifestyle health risk behaviours among nursing students and non-nursing peers. Int J Nurs Pract 2020; 26:e12852. [PMID: 32645751 DOI: 10.1111/ijn.12852] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 04/18/2020] [Accepted: 05/01/2020] [Indexed: 11/30/2022]
Abstract
AIM The aim of this paper is to compare the evolution of health risk behaviours between undergraduate nursing and social work students. BACKGROUND Nursing includes the promotion of health and the shaping of healthy behaviours. An important determinant for providing lifestyle advice is the lifestyle of nurses themselves. DESIGN Longitudinal comparative study. MEASUREMENTS We compared lifestyle risk behaviours (binge drinking, cannabis/hashish/marijuana use, smoking, oral hygiene/toothbrushing, breakfast/fruit/vegetable consumption, physical activity and screen time/sedentary behaviours) using a self-administered standardized questionnaire in nursing (n = 121) and social work (n = 140) students at the beginning (2012) and the end of their studies (2015). Adjusted multivariable logistic/Poisson regression models were performed. RESULTS There were no statistically significant differences between the departments in most risk factors in both assessments. However, in relation to their first year, both nursing and social work students displayed higher relative risk of engaging in more behavioural risk factors at the end of their studies (in delivery/junk food consumption, sunburns, hashish/marijuana use and multiple sexual partners). Social work students displayed better behaviours in physical activity and breakfast intake. CONCLUSION Nursing students share the patterns of their nonnursing peers in behavioural risk factors compromising their future health and health-promoting role. We need strategies to safeguard the professional nursing practice.
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Affiliation(s)
- George Kritsotakis
- Laboratory of Epidemiology, Prevention & Management of Diseases, Nursing Department, Hellenic Mediterranean University, Crete, Greece
| | - Evangelos D Georgiou
- University Centre for Field Studies, Department of Psychology, University of Cyprus, Lefkosia, Cyprus
| | - Georgios Karakonstandakis
- Laboratory of Epidemiology, Prevention & Management of Diseases, Nursing Department, Hellenic Mediterranean University, Crete, Greece
| | - Nikos Kaparounakis
- Laboratory of Epidemiology, Prevention & Management of Diseases, Nursing Department, Hellenic Mediterranean University, Crete, Greece
| | | | - Pavlos Sarafis
- Nursing Department, Cyprus University of Technology, Limassol, Cyprus
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25
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Owusu-Sekyere F. Assessing the effect of physical activity and exercise on nurses' well-being. Nurs Stand 2020; 35:45-50. [PMID: 32216247 DOI: 10.7748/ns.2020.e11533] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2020] [Indexed: 06/10/2023]
Abstract
It is generally accepted that physical activity has many health benefits, such as improved cardiorespiratory fitness, muscular fitness and bone health. Despite this, inactivity remains a significant health challenge in the UK and globally, contributing to conditions such as coronary heart disease and diabetes mellitus. Nurses have an important health promotion role in recommending the potential benefits of physical activity to the general public. However, research suggests that many nurses may not be undertaking enough physical activity themselves, despite the active nature of the nursing role. This article investigates the evidence that increased physical activity has the potential to improve the well-being of nurses. The article also examines the effect of physical activity on indicators of well-being, including feeling states such as affect, mood and emotion; depression; and sleep.
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26
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Song M, Nam S, Buss J, Lee SJ. Assessing the prevalence of meeting physical activity recommendations among U.S. healthcare workers: Data from the 2015 National Health Interview Survey. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2020; 75:422-430. [PMID: 32202219 PMCID: PMC9301781 DOI: 10.1080/19338244.2020.1743960] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
We examined the prevalence of U.S. healthcare workers who met the 2008 Physical Activity Guidelines for Americans (2008 Guidelines), and the relationships among meeting the 2008 Guidelines and health behaviors, musculoskeletal symptoms, and occupational- and workplace- factors. We estimated prevalence of meeting the 2008 Guidelines for aerobic and muscle-strengthening activity using data from the 2015 National Health Interview Survey. Among 1,502 U.S. healthcare workers, 56.2% met the recommended guideline for aerobic activity; 30.1% met the recommended guideline for muscle-strengthening activity; and 25.3% met both recommended guidelines. Adjusting for covariates, meeting the 2008 Guidelines was associated with no history of smoking, current alcohol consumption, type of occupation, occupational activities, and availability of a health promotion program at work. Our findings suggest multi-level approaches (combining individual and organizational level efforts) are needed.
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Affiliation(s)
- MinKyoung Song
- School of Nursing, Oregon Health & Science University, Portland, Oregon, United States
| | - Soohyun Nam
- School of Nursing, Yale University, Orange, CT, United States
| | - Julia Buss
- School of Nursing, UCSF, San Francisco, CA, United States
| | - Soo-Jeong Lee
- School of Nursing, UCSF, San Francisco, CA, United States
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27
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Avraham R, Simon-Tuval T, Van Dijk D. The effect of regulatory focus and time preference on the dual process of physical activity: A cross-sectional study among nurses. J Adv Nurs 2020; 76:1404-1415. [PMID: 32153039 DOI: 10.1111/jan.14348] [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] [Received: 06/26/2019] [Revised: 02/04/2020] [Accepted: 03/03/2020] [Indexed: 11/30/2022]
Abstract
AIMS To examine the dual process of physical activity adoption among nurses and its relationships with two personal orientations-regulatory focus-the tendency to focus on promotion (vs. prevention) goals and time preference as measured by delay discounting: the tendency to overvalue immediate rewards over long-term ones. BACKGROUND The dual process theory suggests that both conscious and non-conscious processes influence the adoption of physical activity. However, the role of regulatory focus and time preference in this process was not yet examined. DESIGN A cross-sectional online survey among 143 nurses during August-November 2017. METHODS Validated measures were used to estimate physical activity habit strength (a non-conscious process) and intention, planning and behaviour control (conscious processes), physical activity level, regulatory focus and time preference. Multivariable ordered logit and logistic models were specified to examine determinants of both processes. RESULTS Promotion focus was positively associated with having a strong habit of physical activity among nurses with moderate-to-low activity levels, but it was negatively associated with habit for active nurses. As for time preference, higher delay discounting was negatively associated with nurses' conscious intention to adopt physical activity and with their action planning. CONCLUSION Promotion focus and time preference are associated with both conscious and non-conscious processes of physical activity adoption among nurses and should be considered in future health promotion interventions targeted to this population. IMPACT Promotion focus and time preference have a significant role in this dual process. Enhancing physical activity of health providers by adjusting the intervention to personal orientations may improve public health.
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Affiliation(s)
- Rinat Avraham
- Department of Nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beersheba, Israel.,Department of Health Systems Management, Faculty of Health Sciences & Guilford Glazer Faculty of Business & Management, Ben-Gurion University of the Negev, Beersheba, Israel
| | - Tzahit Simon-Tuval
- Department of Health Systems Management, Faculty of Health Sciences & Guilford Glazer Faculty of Business & Management, Ben-Gurion University of the Negev, Beersheba, Israel
| | - Dina Van Dijk
- Department of Health Systems Management, Faculty of Health Sciences & Guilford Glazer Faculty of Business & Management, Ben-Gurion University of the Negev, Beersheba, Israel
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28
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Leader C. Nurses' health and wellbeing. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2020; 29:188. [PMID: 32105541 DOI: 10.12968/bjon.2020.29.4.188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- Claire Leader
- Senior Lecturer in Adult Nursing, Northumbria University
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29
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Perceived Facilitators and Barriers to Nigerian Nurses' Engagement in Health Promoting Behaviors: A Socio-Ecological Model Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041314. [PMID: 32085607 PMCID: PMC7068510 DOI: 10.3390/ijerph17041314] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Revised: 02/13/2020] [Accepted: 02/14/2020] [Indexed: 01/06/2023]
Abstract
Nurses make up the single largest healthcare professional group in the Nigerian healthcare system. As frontline healthcare providers, they promote healthy lifestyles to patients and families. However, the determinants of Nigerian nurses’ personal health promoting behaviors (HPBs) remain unknown. Utilizing the socio-ecological model (SEM) approach, this study aimed to explore the perceived facilitators and barriers to Nigerian nurses’ engagement in HPBs. HPBs were operationalized to comprise of healthy dietary behaviors, engagement in physical activity, low-risk alcohol consumption, and non-smoking behaviors. Our study was carried out in a large sub-urban tertiary health facility in Nigeria. Data collection was via face-to-face semi-structured interviews and participants were registered nurses (n = 18). Interview data were transcribed verbatim and analyzed thematically to produce nine themes that were mapped onto corresponding levels of influence on the SEM. Findings show that in Nigeria, nurses perceive there to be a lack of organizational and policy level initiatives and interventions to facilitate their engagement in HPBs. The determinants of Nigerian nurses’ HPBs span across all five levels of the SEM. Nurses perceived more barriers to healthy lifestyle behaviors than facilitators. Engagement in healthy behaviors was heavily influenced by: societal and organizational infrastructure and perceived value for public health; job-related factors such as occupational stress, high workload, lack of protected breaks, and shift-work; cultural and religious beliefs; financial issues; and health-related knowledge. Organizations should provide facilities and services to support healthy lifestyle choices in Nigeria nurses. Government policies should prioritize the promotion of health through the workplace setting, by advocating the development, implementation, regulation, and monitoring of healthy lifestyle policies.
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Aho H, Pietilä I, Joronen K. Practical nursing students' discursive practices on smoking in Finland. Int J Qual Stud Health Well-being 2020; 14:1610274. [PMID: 31107188 PMCID: PMC6534216 DOI: 10.1080/17482631.2019.1610274] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Purpose: Based on focus groups, we analyse how practical nursing students deal with being as smokers and future healthcare workers. The way they justify their smoking is discussed within a group of peers. Methods: The study has a qualitative design with an inductive approach using focus group interviews (FGIs) for data collection. A total of 29 students were interviewed in five groups of five and one group of four participants. Results: In the analysis, we found four different discursive practices the students utilized for rationalizing their own smoking and coping with the moral dilemma of smoking in a context of health care where smoking is forbidden: (1) students normalized smoking with references to its prevalence within their social circles, (2) the students asserted that their smoking was under control, (3) students considered themselves responsible smokers, and (4) students identified smoking as a part of their identity. Conclusion: Training should support the growth of professional identity and address the smoker’s identity right from the start of education. Smokers need special attention in the formulation of professional identity, however, without being stigmatized any further.
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Affiliation(s)
- Hanna Aho
- a Faculty of Social Science , Health Sciences, University of Tampere , Tampere , Finland.,b Department of Musculoskeletal Diseases , Tampere University Hospital , Tampere , Finland
| | - Ilkka Pietilä
- c Faculty of Social Sciences, Social and Public Policy , University of Helsinki , Helsinki , Finland
| | - Katja Joronen
- a Faculty of Social Science , Health Sciences, University of Tampere , Tampere , Finland
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Gormley N, Melby V. Nursing students' attitudes towards obese people, knowledge of obesity risk, and self-disclosure of own health behaviours: An exploratory survey. NURSE EDUCATION TODAY 2020; 84:104232. [PMID: 31683140 DOI: 10.1016/j.nedt.2019.104232] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 06/03/2019] [Accepted: 09/22/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND The rates of people being overweight and obese are recognised as global public health concerns. Negative attitudes towards obese and overweight people are prevalent among health care professionals. Nurses and nursing students have a significant role in health promotion of people who are obese or overweight and can assist people in achieving healthy lifestyles. However, evidence suggests that nurses and nursing students fail to engage in healthy lifestyles themselves and display negative attitudes towards obese and overweight people. Such negative behaviours put nurses and nursing students in a precarious position when advising overweight and obese people to adopt healthy lifestyles. OBJECTIVES This study aimed to ascertain nursing students' obesity risk knowledge, their attitudes towards obese and overweight people, and their own health promoting lifestyle behaviours. DESIGN A descriptive correlational study was used. SETTING One university in the United Kingdom. PARTICIPANTS A total of 210 nursing students enrolled on a university degree course in Adult or Mental Health Nursing in years 1, 2 and 3. METHODS Data were collected using three valid and reliable questionnaires: Obesity Risk Knowledge Scale, Attitudes Towards Obese Persons Scale and the Health Promoting Lifestyle Profile. Dependent variables were correlated with independent variables on field of study, year of study, and gender. RESULTS Results showed that nursing students engage in unhealthy lifestyle behaviours and fail to meet government recommended levels for physical activity. Nursing students had poor knowledge on obesity risk and displayed neutral attitudes towards overweight and obese people. CONCLUSIONS Educational providers of nursing courses should embrace the need for nursing students to interrogate and enhance their own healthy lifestyle behaviours as an integral component of the pre-registration education course. This may strengthen the credibility and suitability of nursing students as future nurses in health promoting activities of patients who are overweight and obese.
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Affiliation(s)
| | - Vidar Melby
- School of Nursing and Institute of Nursing and Health Research, Ulster University, Derry BT48 7JL, UK.
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Zhang KM, Tulloch HE, Brunet J, Pipe AL, Reid RD, Prince SA, Reed JL. What Motivates Nurses to Exercise? Determinants of Physical Activity Among Canadian Nurses Using Self-Determination Theory. Ann Behav Med 2019; 54:381-390. [DOI: 10.1093/abm/kaz055] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
AbstractBackgroundNurses’ suboptimal physical activity (PA) levels place them at high risk for cardiovascular diseases. Little is known about the motivational factors that influence their PA behavior.PurposeThis study drew on the Self-Determination Theory (SDT) to investigate whether associations between nurses’ levels of mood disturbance, psychological need satisfaction (competence, autonomy, and relatedness), and self-determined motivation predict levels of objectively assessed PA.MethodsA total of 363 nurses recruited from 14 hospitals in the Champlain region of Ontario, Canada, wore ActiGraph GT3X accelerometers and completed standardized questionnaires assessing sociodemographic and work characteristics, mood disturbance, and SDT variables. Levels of moderate-to-vigorous intensity PA (MVPA) were measured in minutes/week in bouts ≥10 min. Data were analyzed using path analysis and multiple mediational model.ResultsThe model predicting MVPA showed good fit to the data, χ 2 (4, n = 363) = 7.82, p = .10; comparative fit index = .991; Tucker–Lewis Index = .967; root mean square error of approximation = .051. Higher mood disturbance was associated with lower perceived competence (β = −.29, p = .002), autonomy (β = −.29, p = .002), and relatedness (β = −.19, p = .002). Lower perceived competence (β = .46, p = .003) and autonomy (β = .14, p = .011), as well as higher mood disturbance (β = −.16, p = .016), were associated with less self-determined motivation for PA. Lower self-determined motivation was associated with lower levels of MVPA among nurses.ConclusionsInterventions targeting low mood, as well as perceived competence and autonomy in exercise, may promote MVPA among nurses and reduce cardiac risk.
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Affiliation(s)
- Karen M Zhang
- Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
- Juravinski Cancer Centre, Hamilton Health Sciences, Hamilton, Canada
| | - Heather E Tulloch
- Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | - Jennifer Brunet
- School of Human Kinetics, University of Ottawa, Ottawa, Canada
| | - Andrew L Pipe
- Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | - Robert D Reid
- Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | - Stephanie A Prince
- Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | - Jennifer L Reed
- Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
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Darch J, Baillie L, Gillison F. Preparing student nurses to be healthy role models: A qualitative study. Nurse Educ Pract 2019; 40:102630. [PMID: 31586860 DOI: 10.1016/j.nepr.2019.102630] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 09/04/2019] [Accepted: 09/24/2019] [Indexed: 02/04/2023]
Abstract
There are national and international expectations for nurses to be healthy role models. This study aimed to investigate student nurses', nurse educators' and registered nurses' experiences and perceptions about being healthy role models and to explore whether nurse education prepares students to become healthy role models. The study used an exploratory qualitative design and was based in the south of England. Participants (n = 39) included student nurses, nurse lecturers and registered nurses. Data collection was conducted through focus groups and data were analysed using thematic analysis. The themes highlighted nurses' understanding of the key features of being a healthy role model, and perceptions that working as nurses does not support individuals to be healthy. Participants had varied views about whether they should be healthy role models or mirror society and share the same struggles with their health. Students and registered nurses reported inadequate understanding of health promotion and that there was a lack of healthy lifestyle content within undergraduate nurse education. Participants also considered that role modelling healthy behaviour would not in itself influence behaviour change. In conclusion, there needs to be preparation and support for student nurses to be healthy role models from the outset of nurse education.
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Affiliation(s)
- Joy Darch
- University of Gloucestershire, Oxstalls Lane, Gloucestershire, GL2 9HW, UK.
| | - Lesley Baillie
- London South Bank University, 103 Borough Road, London, SE1 0AA, UK.
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A whole-food plant-based experiential education program for health care providers results in personal and professional changes. J Am Assoc Nurse Pract 2019; 32:788-794. [PMID: 31577667 DOI: 10.1097/jxx.0000000000000305] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Diet-related diseases are the primary contributor to morbidity and mortality. The risk for these diseases can be reduced with a whole-food plant-based (WFPB) diet, but most people are never counseled on this dietary pattern. An experiential education program was designed and conducted in which sample of 30 nurse practitioners, registered nurses, and physicians learned about and followed a WFPB diet for 3 weeks. The objective was for the health care providers to increase their knowledge and acceptance of WFPB diets and increase their likelihood of counseling patients on this dietary pattern. Participants completed preintervention and postintervention questionnaires assessing dietary intake, knowledge, weight, mood, energy, benefits, barriers, self-efficacy, and likelihood of continuing to follow, or counsel patients about a WFPB diet. Participants decreased intake of animal-derived foods, increased intake of WFPB foods, had improvements in mood and energy, and lost weight. Perceived barriers to following and counseling about a WFPB diet declined and self-efficacy improved. Participants were likely to continue a WFPB diet and discuss the diet with their patients. The three-week intervention changed providers' knowledge, skills, and attitudes about WFPB diets. If nurse practitioners and other providers accept WFPB diets, more patients may be educated on this dietary pattern, helping to reduce the burden of diet-related chronic diseases.
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Hunt SA. Women's changing relationship with alcohol calls for a change in health messages and brief alcohol interventions. Nurs Health Sci 2019; 21:279-281. [DOI: 10.1111/nhs.12638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2019] [Revised: 07/11/2019] [Accepted: 07/16/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Sally A. Hunt
- School of PsychologyThe University of Newcastle Callaghan New South Wales Australia
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Resendiz M, Lustik MB, Conkright WR, West GF. Standing desks for sedentary occupations: Assessing changes in satisfaction and health outcomes after six months of use. Work 2019; 63:347-353. [PMID: 31256104 DOI: 10.3233/wor-192940] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Standing desks are a low cost option for the reduction of sedentary behavior. OBJECTIVE This study evaluated changes in utility and health outcomes during a standing desk intervention. METHODS Thirty-five participants (BMI >25) who reported sitting an average of≥six hours per workday were recruited. Participants were randomized into a control or intervention group. Eleven were enrolled in the control group and 24 in the intervention group. Participants in the intervention group were outfitted with an adjustable standing desktop accessory while participants in the control group maintained a standard work desk. Self-reported and objective measures of sedentary time during an eight hour workday were captured for a baseline and intervention period. Changes in health outcomes and workplace satisfaction were assessed after six months. RESULTS Self-recorded sedentary behavior decreased by 25% after six months though no changes in health outcomes were observed. Subjective assessments of standing time were over-estimated by 10% (compared to accelerometer recordings) in the intervention group. The intervention group reported higher levels of satisfaction with comfort, customizability, and overall personal workplace. CONCLUSIONS Despite a decrease in sedentary behavior, no changes in health outcomes occurred after a six month intervention. Future studies should incorporate objective measures of diet and physical activity to assess compensatory behaviors that may offset sedentary reduction. More sensitive health outcome measures should also be considered.
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Allan J, Sadko K, Bell C, Johnston D. How many calories do nurses burn at work? A real-time study of nurses' energy expenditure. J Res Nurs 2019; 24:488-497. [PMID: 34394566 DOI: 10.1177/1744987119837586] [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: 11/16/2022] Open
Abstract
Background Nurses have high rates of overweight and obesity, and physical inactivity is one key determinant of weight gain. Aims The present study aims to quantify nurses' energy expenditure over a standard 12-hour shift to establish whether activity levels at work are too low to maintain a healthy body weight. Methods Ward-based nurses (n = 96, 90 female, mean age = 36 years, mean experience = 10 years, mean body mass index = 26.6) wore heart rate and physical activity monitors for the duration of one full working shift. Heart rate and activity data were used in combination with demographic information to estimate each nurse's energy expenditure over 12 hours. Results On average, nurses burned 2.12 kcals per minute while at work, equating to 1521 kcals/6364 kJ (SD = 403 kcals/1686 kJ) per 12-hour shift. Energy expenditure over 12 hours varied markedly between nurses (from 812 kcals/3397 kJ to 3005 kcals/12,573 kJ) but was sufficient in 72% of participants (assuming minimal resting levels of energy expenditure for the 12 hours not at work) to burn off a daily calorie intake of 2000 kcals. Conclusions Three-quarters of nurses expend more energy on working days than is required to maintain a healthy body weight if dietary intake does not exceed recommended levels.
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Affiliation(s)
- Julia Allan
- Senior Lecturer, Institute of Applied Health Sciences, University of Aberdeen, UK
| | | | - Cheryl Bell
- Institute of Applied Health Sciences, University of Aberdeen, UK
| | - Derek Johnston
- Emeritus Professor, School of Psychology, University of Aberdeen, UK
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Pierce H, Perry L, Gallagher R, Chiarelli P. Culture, teams, and organizations: A qualitative exploration of female nurses’ and midwives’ experiences of urinary symptoms at work. J Adv Nurs 2019; 75:1284-1295. [DOI: 10.1111/jan.13951] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2018] [Revised: 11/01/2018] [Accepted: 11/21/2018] [Indexed: 12/15/2022]
Affiliation(s)
- Heather Pierce
- Faculty of Health University of Technology Sydney Sydney NSW Australia
| | - Lin Perry
- Faculty of Health University of Technology Sydney Sydney NSW Australia
- Prince of Wales Hospital Sydney Hospital and Sydney Eye Hospital Sydney NSWAustralia
| | - Robyn Gallagher
- Charles Perkins Centre Sydney School of Nursing University of Sydney Sydney NSWAustralia
| | - Pauline Chiarelli
- School of Health Sciences University of Newcastle Callaghan Australia
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Schneider A, Bak M, Mahoney C, Hoyle L, Kelly M, Atherton IM, Kyle RG. Health-related behaviours of nurses and other healthcare professionals: A cross-sectional study using the Scottish Health Survey. J Adv Nurs 2019; 75:1239-1251. [PMID: 30536909 DOI: 10.1111/jan.13926] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Revised: 10/17/2018] [Accepted: 11/13/2018] [Indexed: 11/28/2022]
Abstract
AIMS To estimate the prevalence and co-occurrence of health-related behaviours among nurses in Scotland relative to other healthcare workers and those in non-healthcare occupations. DESIGN Secondary analysis of nationally representative cross-sectional data, reported following STROBE guidelines. METHODS Five rounds (2008-2012) of the Scottish Health Survey were aggregated to estimate the prevalence and co-occurrence of health-related behaviours (smoking, alcohol consumption, physical activity, fruit/vegetable intake). The weighted sample (n = 18,820) included 471 nurses (3%), 433 other healthcare professionals (2%), 813 unregistered care workers (4%), and 17,103 in non-healthcare occupations (91%). Logistic regression models compared the prevalence of specific health-related behaviours and principal component analysis assessed co-occurrence of health-related behaviours between occupational groups. RESULTS Nurses reported significantly better health-related behaviours relative to the general working population for smoking, fruit/vegetable intake, and physical activity. No significant difference was found for alcohol consumption between occupational groups. Nurses reported lower levels of harmful co-occurring behaviours (tobacco smoking and alcohol consumption) and higher levels of preventive behaviours (physical activity and fruit/vegetable intake) compared with the general working population. Other healthcare professionals had the lowest level of harmful health behaviours and the highest level of preventive health behaviours. Health-related behaviours were poorest among unregistered care workers. CONCLUSION Nurses' health-related behaviours were better than the general population but non-adherence to public health guidelines was concerning. IMPACT Nurses play an important role in health promotion through patient advice and role-modelling effects. To maximise their impact, healthcare providers should prioritise increasing access to healthy food, alcohol awareness, and smoking cessation programmes.
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Affiliation(s)
- Anna Schneider
- School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK
| | - Marieke Bak
- Section of Medical Ethics, Department of General Practice, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands
| | - Catherine Mahoney
- School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK
| | - Louise Hoyle
- Faculty of Health Sciences & Sport, University of Stirling, Stirling, UK
| | - Muireann Kelly
- School of Health & Social Care, London South Bank University, London, UK
| | - Iain M Atherton
- School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK
| | - Richard G Kyle
- School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK
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Doran K, Resnick B. Staff Self-Efficacy and Staff Outcome Expectations for Function-Focused Care: Rasch Testing. J Nurs Meas 2018; 26:589-600. [PMID: 30593580 DOI: 10.1891/1061-3749.26.3.589] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND PURPOSE The purpose of this study was to test the reliability and validity for two new scales. METHODS We used baseline data from a worksite health promotion project with 98 long-term care staff and Pearson correlations and Rasch analysis testing. RESULTS For Staff Self-Efficacy for Function Focused Care and Staff Outcome Expectations for Function Focused Care item, reliability was .80 and .83, respectively. All items except one had acceptable INFIT and OUTFIT mean square statistics. Both new scales were significantly correlated (r = .342, p = .007), but neither of the scales were correlated with participants' baseline exercise levels (r = .014, p = .918; r = .092, p = .454, respectively). CONCLUSIONS There was some evidence of validity and internal consistency for both scales. Suggestions are provided to improve the measures for future use.
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Affiliation(s)
- Kelly Doran
- University of Maryland School of Nursing, Baltimore, Maryland
| | - Barbara Resnick
- University of Maryland School of Nursing, Baltimore, Maryland
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Betancourt-Nuñez A, Márquez-Sandoval F, González-Zapata LI, Babio N, Vizmanos B. Unhealthy dietary patterns among healthcare professionals and students in Mexico. BMC Public Health 2018; 18:1246. [PMID: 30413146 PMCID: PMC6230242 DOI: 10.1186/s12889-018-6153-7] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 10/26/2018] [Indexed: 12/17/2022] Open
Abstract
Background While dietary patterns (DPs) enable the combination of foods that make up a person’s habitual diet to be known, little is known about the DPs of health sector professionals. The objective of this study was to describe the DPs of healthcare students and professionals and assess their association with sociodemographic, lifestyle, anthropometric and biochemical characteristics. Methods Cross-sectional design. A sample (n = 319) of healthcare students and professionals in apparent good health who studied or worked at the University of Guadalajara (Mexico) was selected. A semiquantitative food intake frequency questionnaire validated on a Mexican population was administered. Questions covering sociodemographic factors, smoking habits and physical activity were asked. Weight, height, waist circumference, blood pressure, triglycerides, glucose, HDL-cholesterol, LDL-cholesterol and total cholesterol were also measured. DPs were generated from a principal components analysis of 25 food groups, and associations were analyzed using logistic regression adjusted for age and sex. Results The majority of participants were younger than 29 years (84%), women (71.2%) and students (59.6%). Three DPs were identified: “Traditional Westernized”, “Healthy” and “Animal protein and alcoholic beverages”. After adjustment, the “Traditional Westernized” DP was positively associated with being younger than 22 years (OR: 2.15; 95%CI: 1.1–4.1); the “Healthy” DP was positively associated with having a daily energy expenditure from physical activity greater than 605 kcal (OR: 4.19; 95%CI: 2.3–7.5), and it was negatively associated with being younger than 22 years (OR: 0.48; 95%CI: 0.2–0.9); and the “Animal protein and alcoholic beverages” DP was positively associated with being male (OR: 3.07; 95%CI: 1.8–5.1) and a smoker (OR: 2.77; 95%CI: 1.2–6.3). No association was found between DPs and anthropometric and biochemical characteristics. Conclusions Among the participants evaluated, healthy DP was associated with being physically active while unhealthy DPs were associated with being younger than 22 years, male and a smoker. These data suggest that being knowledgeable about health does not ensure that individuals will engage in healthy behaviors. As is the case among the general population, training and individual efforts aimed at achieving healthy behaviors must be reinforced by initiatives undertaken by social groups, social institutions, the community at large as well as political and business leaders.
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Affiliation(s)
- Alejandra Betancourt-Nuñez
- Cuerpo Académico UDG-454, Alimentación y Nutrición en el proceso Salud Enfermedad. Departamento de Disciplinas Filosófico, Metodológico e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Sierra Mojada # 950, CP, 44340, Guadalajara, Jalisco, Mexico
| | - Fabiola Márquez-Sandoval
- Doctorado en Ciencias de la Nutrición Traslacional. Cuerpo Académico UDG-454, Alimentación y Nutrición en el proceso Salud Enfermedad. Departamento de Reproducción Humana, Crecimiento y Desarrollo Infantil, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Sierra Mojada # 950, CP, 44340, Guadalajara, Jalisco, Mexico
| | - Laura I González-Zapata
- Grupo de Investigación en Determinantes Sociales del Estado de la Salud y la Nutrición, Escuela de Nutrición y Dietética, Universidad de Antioquia, Medellín, Antioquia, Colombia
| | - Nancy Babio
- Human Nutrition Unit. Department of Biochemistry and Biotechnology, Rovira i Virgili University, Sant Joan de Reus Hospital. IISPV, Reus, Spain.,CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Barbara Vizmanos
- Doctorado en Ciencias de la Nutrición Traslacional. Cuerpo Académico UDG-454, Alimentación y Nutrición en el proceso Salud Enfermedad. Departamento de Reproducción Humana, Crecimiento y Desarrollo Infantil, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Sierra Mojada # 950, CP, 44340, Guadalajara, Jalisco, Mexico.
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Panczyk M, Woynarowska-Sołdan M, Żmuda-Trzebiatowska H, Gotlib J. Health-enhancing behaviours of nurses in Poland and their association with shift work and age. Collegian 2018. [DOI: 10.1016/j.colegn.2017.07.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Demographics and Psychological Factors Associated with Adiposity in Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15040634. [PMID: 29601502 PMCID: PMC5923676 DOI: 10.3390/ijerph15040634] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Revised: 02/24/2018] [Accepted: 03/10/2018] [Indexed: 12/22/2022]
Abstract
Adiposity-based chronic disease (ABCD), overweight-Ow- or obesity-Ob-) in health personnel is as frequent as in the general population, even though they understand well the importance of maintaining a healthy weight. Thus, it is highly likely that certain demographic and psychological conditions, independently of knowledge, are contributing to develop ABCD. The aim of this study was to examine the association between these factors and ABCD in nurses. Data were collected from a cross-sectional study conducted in a tertiary level institute in Mexico City from 2012 to 2013. All the nurses of the institute of any age, shift, service area and seniority were invited to participate and 55% (265) accepted. We found that ABCD was present in 79.6%, and low self-esteem and emotional distress in 26% and 10%, respectively. Working in the night shift (p = 0.031), labor seniority ≥15 years (p = 0.006), having 1 or more children (p = 0.021) and sessions of physical activity <30 min (p = 0.03) were associated with ABCD. Low self-esteem (OR = 2, 95% CI 1.150–3.07, p = 0.023) and emotional distress (OR = 4, 95% CI 1.472–13.078, p = 0.012) were associated with unhealthy lifestyle (less of 3 days per week and/or less of 30 min per session of physical activity and poor dietary habits). Therefore, strategies to prevent and treat ABCD must consider each context among nurses and psychological disorders need be identified to avoid an unhealthy lifestyle.
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Health Behaviour among Nurses Working in Public Hospitals in Kakamega County, Kenya. Nurs Res Pract 2018; 2017:4683189. [PMID: 29464118 PMCID: PMC5804103 DOI: 10.1155/2017/4683189] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Accepted: 10/31/2017] [Indexed: 12/03/2022] Open
Abstract
Health behaviour refers to actions undertaken by a person who perceives self to be ill for the purpose of finding an appropriate remedy. Nurses as gate keepers of health are expected to seek formal treatment when they are taken ill because this is what they teach their patients. Nurses' working conditions all over the world are described as squalid with long working hours and workload. This scenario predisposes them to occupational health hazards and at the same time denies them time for self-care. Although nurses are knowledgeable about disease and its treatment and have access to health care, they engage in self-treatment in contrast to what they teach patients. Health behaviour among nurses in Kakamega County was investigated using a cross-sectional design. Data was collected using self-administered questionnaires and subjected to bivariate and logistic regression analyses. The study found that health behaviour of nurses in Kakamega County is below expectation, as 33% (n = 61) engaged in voluntary screening services. Further, 34.8% (n = 65) said that their health would improve if they engaged in health promotion activities. The study recommends empowering nurses to engage in positive health behaviour through education. The county should also provide affordable screening services to its nurses.
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Kasila K, Hallman M, Kautiainen H, Vanhala M, Kettunen T. The gap between behavioral risk status and willingness to change behavior among healthcare professionals. Perspect Public Health 2018; 138:311-315. [DOI: 10.1177/1757913917751564] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Aims: This study explored behavioral health risk factors among healthcare professionals and investigated the at-risk persons’ satisfaction with their health habits and ongoing change attempts. Methods: The study was based on a cross-sectional web-based survey directed at the nurses and physicians ( N = 1233) in Finnish healthcare. Obesity, low physical activity, smoking, and risky alcohol drinking were used as behavioral health risk factors. Results: In all, 70% of the participants had at least one behavioral risk factor, and a significant number of at-risk persons were satisfied with their health habits and had no ongoing change process. Good self-rated health and good self-rated work ability were significantly associated with whether a participant had a behavioral health risk factor. Conclusion: Overall, unhealthy behaviors and a lack of ongoing change attempts were commonly observed among healthcare professionals. Work in healthcare is demanding, and healthy lifestyles can support coping. Thus, healthy lifestyle programs should also be targeted to healthcare professionals.
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Affiliation(s)
- K Kasila
- Faculty of Sport and Health Sciences, University of Jyvaskyla, PO Box 35, FI-40014 University of Jyväskylä, Finland
| | - M Hallman
- Unit of Primary Health Care, Central Finland Health Care District, Jyväskylä, Finland
| | - H Kautiainen
- Unit of Primary Health Care, Helsinki University Central Hospital, Helsinki, Finland; Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland; Unit of Primary Health Care, Turku University Hospital, Turku, Finland
| | - M Vanhala
- Unit of Primary Health Care, Central Finland Health Care District, Jyväskylä, Finland; Unit of Primary Health Care, University of Eastern Finland, Kuopio, Finland
| | - T Kettunen
- Faculty of Sport and Health Sciences, University of Jyvaskyla, Jyväskylä, Finland; Unit of Primary Health Care, Central Finland Health Care District, Jyväskylä, Finland
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Kim S, Park EY. Influence of Knowledge and Attitude of Cancer on Cancer Prevention Health Promoting Behavior in General Hospital Nurses. ASIAN ONCOLOGY NURSING 2018. [DOI: 10.5388/aon.2018.18.3.163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- SooHyeon Kim
- Naeun Hospital International Medical Institute, Incheon, Korea
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Gartshore E, Briggs L, Blake H. Development and evaluation of an educational training package to promote health and wellbeing. ACTA ACUST UNITED AC 2017; 26:1182-1186. [DOI: 10.12968/bjon.2017.26.21.1182] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Emily Gartshore
- Nurse and Doctoral Student, Nottingham Business School, University of Nottingham
| | - Lydia Briggs
- Nurse and NIHR Masters Student, School of Health Sciences, University of Nottingham
| | - Holly Blake
- Associate Professor of Behavioural Science, School of Health Sciences, University of Nottingham
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Blake H, Stanulewicz N, Griffiths K. Healthy Lifestyle Behaviors and Health Promotion Attitudes in Preregistered Nurses: A Questionnaire Study. J Nurs Educ 2017; 56:94-103. [PMID: 28141883 DOI: 10.3928/01484834-20170123-06] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Accepted: 10/26/2016] [Indexed: 12/23/2022]
Abstract
BACKGROUND Nurses report inadequacies in health promotion practices. This study investigated attitudes toward being role models for healthy eating, and examined predictors of health promotion attitudes in preregistered nurses. METHOD A questionnaire was completed by 493 preregistered nurses. Measures included health promotion attitudes, healthy lifestyle index, self-esteem, and body satisfaction. RESULTS Preregistered nurses (89.5%) felt that nurses should be role models for health. However, 37% had a negative health promotion attitude and were more likely to be dissatisfied with their body and lead less healthy lifestyles. Most preregistered nurses (96%) felt that delivering health promotion would be a key element of their job and held positive health promotion attitudes. Healthy lifestyle was the most consistent significant predictor of health promotion attitude. CONCLUSION Preregistered nurses with an unhealthy lifestyle and lower self-esteem held a more negative health promotion attitude. Intervention is needed to support preregistered nurses in making healthy lifestyle choices, improving their self-perception and health promotion attitude. [J Nurs Educ. 2017;56(2):94-103.].
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Mujika A, Arantzamendi M, Lopez-Dicastillo O, Forbes A. Health professionals' personal behaviours hindering health promotion: A study of nurses who smoke. J Adv Nurs 2017; 73:2633-2641. [PMID: 28543954 DOI: 10.1111/jan.13343] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2017] [Indexed: 11/28/2022]
Abstract
AIM To explore the views of current and ex-smoker nurses on their role in supporting patients to stop smoking. BACKGROUND Long-term conditions are closely linked to harmful lifestyle behaviours, including smoking and overeating. Health professionals have an important role to play in promoting healthier lifestyles. It has been described that nurses' health behaviours may be a barrier to their health promotion practice. There is a need to gain further understanding on why nurses' health promotion activity is influenced by their own health behaviour. DESIGN A secondary analysis of qualitative data gathered in 2010 in the context of a project that aimed to develop a smoking cessation intervention for nurses. METHODS Eleven transcripts of semi-structured interviews conducted with nurses (current and ex-smokers) working in one university hospital in Spain. Data were analysed using framework analysis. FINDINGS Nurses who smoked engaged in social justification in terms of social norms and work stress. Only nurses who had quit smoking were able to identify the negative feelings it generated and the effect that it had on their past health promotion practice. This was expressed by ex-smokers as an internal conflict that prevented them from supporting patients with their own habit. CONCLUSION Nurses who smoke may be inhibited as health promoters without being aware of it. Interventions that focus on helping these professionals deal with the challenges associated with these encounters are necessary if health promotion practices are to be enhanced. Targeting this conflict might also work to improve their lifestyle, which would expand the potential impact to professionals' own health.
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Affiliation(s)
- Agurtzane Mujika
- School of Nursing, University of Navarra, Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.,Impuls Research Group, University of Navarra, Pamplona, Spain
| | - María Arantzamendi
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.,ATLANTES Research Program, Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain
| | - Olga Lopez-Dicastillo
- School of Nursing, University of Navarra, Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.,Impuls Research Group, University of Navarra, Pamplona, Spain
| | - Angus Forbes
- Florence Nightingale School of Nursing and Midwifery, King's College London, London, UK
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Kwasnicka D, Vandelanotte C, Rebar A, Gardner B, Short C, Duncan M, Crook D, Hagger MS. Comparing motivational, self-regulatory and habitual processes in a computer-tailored physical activity intervention in hospital employees - protocol for the PATHS randomised controlled trial. BMC Public Health 2017; 17:518. [PMID: 28549476 PMCID: PMC5446723 DOI: 10.1186/s12889-017-4415-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Accepted: 05/11/2017] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Most people do not engage in sufficient physical activity to confer health benefits and to reduce risk of chronic disease. Healthcare professionals frequently provide guidance on physical activity, but often do not meet guideline levels of physical activity themselves. The main objective of this study is to develop and test the efficacy of a tailored intervention to increase healthcare professionals' physical activity participation and quality of life, and to reduce work-related stress and absenteeism. This is the first study to compare the additive effects of three forms of a tailored intervention using different techniques from behavioural theory, which differ according to their focus on motivational, self-regulatory and/or habitual processes. METHODS/DESIGN Healthcare professionals (N = 192) will be recruited from four hospitals in Perth, Western Australia, via email lists, leaflets, and posters to participate in the four group randomised controlled trial. Participants will be randomised to one of four conditions: (1) education only (non-tailored information only), (2) education plus intervention components to enhance motivation, (3) education plus components to enhance motivation and self-regulation, and (4) education plus components to enhance motivation, self-regulation and habit formation. All intervention groups will receive a computer-tailored intervention administered via a web-based platform and will receive supporting text-messages containing tailored information, prompts and feedback relevant to each condition. All outcomes will be assessed at baseline, and at 3-month follow-up. The primary outcome assessed in this study is physical activity measured using activity monitors. Secondary outcomes include: quality of life, stress, anxiety, sleep, and absenteeism. Website engagement, retention, preferences and intervention fidelity will also be evaluated as well as potential mediators and moderators of intervention effect. DISCUSSION This is the first study to examine a tailored, technology-supported intervention aiming to increase physical activity in healthcare professionals. The study will evaluate whether including additional theory-based behaviour change techniques aimed at promoting motivation, self-regulation and habit will lead to increased physical activity participation relative to information alone. The online platform developed in this study has potential to deliver efficient, scalable and personally-relevant intervention that can be translated to other occupational settings. TRIAL REGISTRATION Australian New-Zealand Clinical Trial Registry: ACTRN12616000462482, submitted 29/03/2016, prospectively registered 8/04/2016.
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Affiliation(s)
- Dominika Kwasnicka
- Health Psychology & Behavioural Medicine, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia
- Physical Activity Research Group, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia
| | - Corneel Vandelanotte
- Health Psychology & Behavioural Medicine, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia.
- Physical Activity Research Group, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia.
| | - Amanda Rebar
- Health Psychology & Behavioural Medicine, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia
- Physical Activity Research Group, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia
| | - Benjamin Gardner
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, UK
| | - Camille Short
- Freemasons Foundation Centre for Men's Health, South Australian Health and Medical Research Institute, Faculty of Health Sciences, The University of Adelaide, Adelaide, Australia
| | - Mitch Duncan
- Priority Research Centre for Physical Activity and Nutrition, Faculty of Health and Medicine, School of Medicine & Public Health, The University of Newcastle, Callaghan, Australia
| | - Dawn Crook
- St John of God Subiaco Hospital, Perth, Australia
| | - Martin S Hagger
- Health Psychology & Behavioural Medicine, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia
- Physical Activity Research Group, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia
- Faculty of Sport and Health Sciences, University of Jyväkylä, Jyväkylä, Finland
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