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Oikarinen AK, Kähkönen O, Kaakinen P, Kääriäinen M, Virtanen M, Paalimäki-Paakki K, Hylkilä K, Männikkö N, Kerimaa H, Kivelä K, Jansson M, Kajula O, Männistö M, Lahtinen M, Vanhanen M, Rajala M. Nurses' experiences of competence in lifestyle counselling with adult patients in healthcare settings: A qualitative systematic literature review. J Clin Nurs 2024; 33:1684-1708. [PMID: 38332566 DOI: 10.1111/jocn.17050] [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: 08/21/2023] [Revised: 01/17/2024] [Accepted: 01/23/2024] [Indexed: 02/10/2024]
Abstract
AIMS AND OBJECTIVES To identify and synthesise nurses' experiences of competence in lifestyle counselling with adult patients in healthcare settings. BACKGROUND Modifiable lifestyle risk behaviours contribute to an increased prevalence of chronic diseases worldwide. Lifestyle counselling is part of nurses' role which enables them to make a significant contribution to patients' long-term health in various healthcare contexts, but requires particular competence. DESIGN Qualitative systematic literature review and meta-aggregation. METHOD The review was guided by Joanna Briggs Institute's methodology for conducting synthesis of qualitative studies. PRISMA-checklist guided the review process. Relevant original studies were search from databases (CINAHL, PubMed, Scopus, Medic and Psych Articles, Ebscho Open Dissertations and Web of Science). After researcher consensus was reached and quality of the studies evaluated, 20 studies were subjected to meta-aggregation. RESULTS From 20 studies meeting the inclusion criteria, 75 findings were extracted and categorised into 13 groups based on their meaning, resulting in the identification of 5 synthesised findings for competence description: Supporting healthy lifestyle adherence, creating interactive and patient-centred counselling situations, acquiring competence through clinical experience and continuous self-improvement, collaborating with other professionals and patients, planning lifestyle counselling and managing work across various stages of the patient's disease care path. CONCLUSION The review provides an evidence base that can be used to support nurses' competence in lifestyle counselling when working with adult patients in healthcare settings. Lifestyle counselling competence is a complex and rather abstract phenomenon. The review identified, analysed and synthesised the evidence derived from nurses' experience which shows that lifestyle counselling competence is a multidimensional entity which relates to many other competencies within nurses' work. IMPLICATIONS FOR THE PROFESSION Recognising the competencies of nurses in lifestyle counselling for adult patients can stimulate nurses' motivation. The acquisition of these competencies can have a positive impact on patients' lives and their health. PATIENT OR PUBLIC CONTRIBUTION No Patient or Public Contribution. IMPACT The research may enhance nurses' competence in lifestyle counselling, leading to improved health outcomes, better adherence to recommendations and overall well-being. It may also drive the development of interventions, improving healthcare delivery in lifestyle counselling. REPORTING METHOD The review was undertaken and reported using the PRISMA guidelines. PROTOCOL REGISTRATION Blinded for the review.
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Affiliation(s)
- Anne Kaarina Oikarinen
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Outi Kähkönen
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - Pirjo Kaakinen
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Maria Kääriäinen
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Mari Virtanen
- Helsinki Metropolia University of Applied Sciences, Helsinki, Finland
| | | | - Krista Hylkilä
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- Research Unit of Health Science and Technology, Faculty of Medicine, Oulu University, Oulu, Finland
| | - Niko Männikkö
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Heli Kerimaa
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
| | - Kirsi Kivelä
- Wellbeing Services Country of North Ostrobothnia, Oulu, Finland
| | - Miia Jansson
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- RMIT University, Melbourne, Australia
| | - Outi Kajula
- Oulu University of Applied Sciences, Oulu, Finland
| | - Merja Männistö
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- Master School at Diaconia University of Applied Sciences, Helsinki, Finland
| | - Minna Lahtinen
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
| | - Minna Vanhanen
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
- Oulu University of Applied Sciences, Oulu, Finland
| | - Mira Rajala
- Research Unit of Health Science and Technology, Medical Research Centre Oulu, Faculty of Medicine, Oulu University, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence Group, Helsinki, Finland
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Moxley E, Webber-Ritchey KJ, Hayman LL. Global impact of physical inactivity and implications for public health nursing. Public Health Nurs 2021; 39:180-188. [PMID: 34387002 DOI: 10.1111/phn.12958] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 06/03/2021] [Accepted: 07/25/2021] [Indexed: 01/22/2023]
Abstract
Physicalinactivity has been a public health problem worldwide for more than a decade. Of those who are physically active, a substantial percentage engage solely in low or very low physical activity (PA) levels. In the last 3 decades, the prevalence of PA in the United States has decreased with approximately 80% of adults not meeting the recommended guidelines for aerobic and muscle strengthening PA. The PA levels of youth have dramatically decreased with 85% of adolescents reporting no PA. Regular PA participation can aid in preventing chronic diseases. A strong inverse dose-response relationship exists between PA and the incidence of cardiovascular disease, all-cause and cardiovascular mortality. Moreover, low cardiorespiratory fitness levels are a risk factor for cardiovascular diseases: the leading cause of death and disability globally. Conversely, high amounts of moderate-to-vigorous intensity PA at levels 3-5 times recommended in guidelines reduce risk for all cause mortality. Socio-ecological determinants of PA are essential considerations for promoting across the life course. In health care and community settings, public health nurses have opportunities to promote PA through a socio-ecological approach across the life course of individuals and diverse populations.
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Affiliation(s)
- Elizabeth Moxley
- School of Nursing, Northern Illinois University, DeKalb, Illinois
| | | | - Laura L Hayman
- Department of Nursing, College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, Massachusetts
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Okafor UB, Goon DT. Physical Activity Advice and Counselling by Healthcare Providers: A Scoping Review. Healthcare (Basel) 2021; 9:609. [PMID: 34069474 PMCID: PMC8159082 DOI: 10.3390/healthcare9050609] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 05/11/2021] [Accepted: 05/12/2021] [Indexed: 12/13/2022] Open
Abstract
Background: Despite scientific evidence on prenatal physical activity and exercise, synthesized evidence is lacking on the provision of prenatal physical activity and exercise advice and counselling by prenatal healthcare providers. The scoping review seeks to fill this gap by synthesizing available literature on the provision of prenatal physical activity and exercise advice and counselling by prenatal healthcare providers to women during antenatal visits. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) search framework for scoping reviews was applied to retrieve original research articles on the prenatal physical activity and exercise practices of healthcare providers with pregnant women, published between 2010-2020, and available in English. The search databases included Google Scholar, PubMed, Science Direct, Scopus, EMBASE, The Cumulative Index for Nursing and Allied Health Literature (CINAHL), BIOMED Central, Medline and African Journal Online. Studies that fulfilled the eligibility criteria were retrieved for analysis. Results: Out of the 82 articles that were retrieved for review, 13 met the eligibility criteria. Seven of the articles were quantitative, four qualitative, one mixed-method and one controlled, non-randomised study, respectively. Three themes emerged as major findings. Healthcare providers affirmed their responsibility in providing prenatal physical activity advice and counselling to pregnant women; however, they seldom or rarely performed this role. Major barriers to prenatal physical activity and exercise included insufficient time, lack of knowledge and skills, inadequate or insufficient training, and lack of resources. Conclusion: This review highlights salient features constraining the uptake of prenatal physical activity and exercise advice/counselling by prenatal healthcare providers in both community and clinical settings. Prenatal physical activity advice and counselling are key components to the promotion of physical activity adherence during and post-partum pregnancy; this requires adequate knowledge of physical activity prescriptions and recommendations, which are personalised and contextual to environment. Research is needed to examine the prenatal physical activity advice and counselling from prenatal healthcare providers on issues hindering effective delivery of the aforementioned in the context of promoting prenatal physical activity in clinical or community settings.
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Affiliation(s)
- Uchenna Benedine Okafor
- Department of Nursing Science, University of Fort Hare, 50 Church Street, East London 5021, South Africa
| | - Daniel Ter Goon
- Department of Public Health, University of Fort Hare, 5 Oxford Street, East London 5021, South Africa;
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