Healthy Lifestyle Behaviors and Health Promotion Attitudes in Preregistered Nurses: A Questionnaire Study.
01 Feb 2017-Journal of Nursing Education (Healio)-Vol. 56, Iss: 2, pp 94-103
Abstract: Background: Nurses report inadequacies in health promotion practices and recognise their own lifestyle choices influence their willingness to give health promotion advice. The aim of this study was to investigate attitudes towards being role models for healthy eating, and examine predictors of health promotion attitudes in pre-registered nurses as health professionals of the future. Method: Questionnaire survey with 493 pre-registered nurses. Measures included health promotion attitudes, healthy lifestyle index (combining diet and physical activity habits), self-esteem and body satisfaction. Results: Pre-registered nurses (89.5%) felt that nurses should be role models for health; at the same time 37% had rather negative health promotion attitude. Those who disagreed were more likely to be dissatisfied with their body and lead less healthy lifestyles. Most pre-registered 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: Pre-registered nurses with unhealthy lifestyle, lower self-esteem (and body dissatisfaction among overweight/obese student nurses) held more negative health promotion attitude. Intervention is needed to support pre-registered nurses in making healthy lifestyle choices, improving self-perception and health promotion attitude.
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Blake, H. and Stanulewicz, N. and Griths, K. (2017) 'Healthy lifestyle behaviors predict health promotion
attitudes in pre-registered nurses: a questionnaire study.', Journal of nursing education., 56 (2). pp. 94-103.
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HEALTHY LIFESTYLE BEHAVIOURS PREDICT HEALTH PROMOTION
ATTITUDES IN PRE-REGISTERED NURSES: A QUESTIONNAIRE STUDY
, Natalia Stanulewicz
, Katherine Griffiths
School of Health Sciences, University of Nottingham, UK.
School of Psychology, University of Nottingham, UK.
Nottingham University Hospitals NHS Trust, Nottingham, UK.
Holly Blake PhD CPsychol
Associate Professor of Behavioural Science, School of Health Sciences, University
of Nottingham, Queen's Medical Centre, Nottingham, Nottinghamshire.
Natalia Stanulewicz MA (corresponding author)
Doctoral student, School of Psychology, University of Nottingham, Nottingham,
address: Natalia Stanulewicz
School of Psychology, East Drive, University Park Campus, University of
Nottingham, Nottingham, Nottinghamshire, NG7 2RD, United Kingdom
Katherine Griffiths MNursSci
Staff Nurse, Queen's Medical Centre, Nottingham University Hospitals NHS Trust,
HEALTHY LIFESTYLE BEHAVIOURS PREDICT HEALTH PROMOTION ATTITUDES
IN PRE-REGISTERED NURSES
Background: Nurses report inadequacies in health promotion practices and recognise their
own lifestyle choices influence their willingness to give health promotion advice. The aim of
this study was to investigate attitudes towards being role models for healthy eating, and
examine predictors of health promotion attitudes in pre-registered nurses as health
professionals of the future.
Method: Questionnaire survey with 493 pre-registered nurses. Measures included health
promotion attitudes, healthy lifestyle index (combining diet and physical activity habits), self-
esteem and body satisfaction.
Results: Pre-registered nurses (89.5%) felt that nurses should be role models for health; at the
same time 37% had rather negative health promotion attitude. Those who disagreed were
more likely to be dissatisfied with their body and lead less healthy lifestyles. Most pre-
registered 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: Pre-registered nurses with unhealthy lifestyle, lower self-esteem (and body
dissatisfaction among overweight/obese student nurses) held more negative health promotion
attitude. Intervention is needed to support pre-registered nurses in making healthy lifestyle
choices, improving self-perception and health promotion attitude.
Key words: Health promotion, healthy lifestyle, nurses, obesity, self-perception.
HEALTHY LIFESTYLE BEHAVIOURS PREDICT HEALTH PROMOTION ATTITUDES
IN PRE-REGISTERED NURSES
Excess weight and obesity are a major population health issue in the United Kingdom
(NOF, 2014) and worldwide (James, 2004), with devastating effects for individual health,
healthcare services and the economy. As the advocates for health, nurses play an important
role in health promotion and the reduction of population obesity (Prime Minister’s
Commission, 2010). As such, patients view nurses as role models for health (Blake, 2013).
Nurses generally agree with this view, and recognise that their lifestyle choices can influence
those of their patients (e.g., poor diet and smoking: Blake & Harrison, 2013). However,
nurses often do not lead healthy lifestyles themselves (McElligott, Siemers, Thomas, &
Kohn, 2009), which can negatively impact on care quality (Hebert, Caughy, & Shuval, 2012;
Lobelo, Duperly, & Frank, 2009) and their credibility (Blake & Harrison, 2013), as healthcare
professionals who lead healthy lifestyle are more likely to deliver health promotion to
patients than those who do not (Hebert et al., 2012, Lobelo et al., 2009). Nurses have reported
previously that being overweight or engaging in unhealthy behaviours would reduce their
willingness to promote health promotion to their patients (Blake & Patterson, 2015).
Even though nurses largely agree that it is important for them to make healthy lifestyle
choices, this view does not necessarily translate into a healthier nursing workforce. In the
UK, the Department of Health (DH, 2009) reported that 58% of nurses working for the
National Health Service (NHS) were overweight; with 25% being obese. This is close to the
amount of people with BMI > 25 in the general UK population – 61.7% (PHE, 2015), which
is concerning taking into account the health-related education and training that nurses
receive. Still, overweight and obesity remain prevalent amongst pre-registered (student) and
registered (qualified) nurses (e.g., DoH, 2009; Blake, Mo, Lee, & Batt, 2012). Dietary habits
are less than exemplar among nurses (especially among pre-registered nurses), as many of
TL;DR: Assessment of the association between burnout and metabolic syndrome in a sample of female nurses in Mexico City from 2016 to 2018 found no association, but associations of emotional exhaustion, personal accomplishment, and night shift with increased waist circumference were found.
Abstract: Nurses are at risk of having burnout due to workload and job stress-studies have reported that chronic stress is associated with metabolic syndrome. This study aimed to assess the association between burnout and metabolic syndrome in a sample of female nurses. Data were collected from a cross-sectional study from 2016 to 2018 in a tertiary hospital in Mexico City. All nurses that work in the hospital were invited to participate. Information pertaining to sociodemographic (age, education level), work (labor seniority, service area, shift work), anthropometric (weight, waist circumference, blood pressure) and biochemical (glucose, serum lipids) variables were collected. Burnout was assessed using the Maslach Burnout Inventory test, and metabolic syndrome was defined according to the International Diabetes Federation criteria. A total of 168 nurses participated with a median age of 44 years. The prevalence of burnout and metabolic syndrome was 19.6% and 38.7%, respectively. There was no association between burnout and metabolic syndrome (p = 0.373). However, associations of emotional exhaustion (aOR: 14.95; 95% CI: 1.5-148.7), personal accomplishment (aOR: 0.13; 95% CI: 0.01-0.99), and night shift (aOR: 12.39; 95% CI: 1.02-150.5) with increased waist circumference were found. Strategies are needed to prevent burnout and metabolic syndrome in nurses, especially in those who work at night shift.
TL;DR: Investigating the current attitudes, practices, and barriers toward providing health promotion in a national sample of practicing massage therapists in the United States found opportunities to deliver more prevention messages to patients which may impact public health.
Abstract: The human resources needed to provide health promotion services to improve health behaviors in populations are currently limited. Health promotion and education is included in the definition of massage therapy, and many within the massage therapy profession understand that health promotion and education are a part of massage therapy practice. However, the amounts and types of health promotion activities in massage therapy practice have not been thoroughly explored. The objective of this study was to investigate the current attitudes, practices, and barriers toward providing health promotion in a national sample of practicing massage therapists. A descriptive cross-sectional survey disseminated May to August 2016 to practicing massage therapists in the United States. The majority (90.2%) of the 182 participants agree or strongly agree that it is important for massage therapists to provide health promotion. Therapists with less favorable attitudes about providing health promotion reported more barriers to providing the messages to their patients. Barriers to providing health promotion included a lack of guidelines, knowledge, and skills. Training and guidelines for massage therapists regarding health promotion would be a reasonable next step for future research development. Utilizing massage therapists as health promoters may provide opportunities to deliver more prevention messages to patients which may impact public health.
TL;DR: Houve uma elevada taxa de detecção de risco de diabetes tipo 2 (59%) and a pontuação of risco alto e muito alto foi associado com níveis elevados of hemoglobina glicosilada A1c, glicose, insulina e resistência àinsulina, mas não com lipídios.
Abstract: Objetivo: identificar o risco de desenvolvimento de diabetes tipo 2 em enfermeiras e sua relacao com as alteracoes metabolicas. Metodo: estudo transversal, com 155 enfermeiras. As variaveis investigadas foram: sociodemograficas, indice de massa corporal, a circunferencia da cintura, indice cintura-quadril, perfil lipidico, a glicemia basal e a curva oral de tolerância a glicose. Para a coleta de dados utilizou-se o Finnish Diabetes Risk Score. Resultados: Das 155 (100%) enfermeiras, a media de idade foi de 44 anos e 85% apresentavam sobrepeso ou obesidade; 52% tinham historia familiar de diabetes e 21%, hiperglicemia ocasional. Em relacao ao risco, 59% foram identificados com risco moderado e muito alto de diabetes tipo 2. A glicose, a insulina, a hemoglobina glicosilada A1c e a resistencia a insulina aumentaram paralelamente ao aumento do risco de diabetes tipo 2, embora os lipidios nao tenham aumentado. 27% das participantes apresentaram glicemia em jejum alterada, 15%, intolerância a glicose e 5%, diabetes tipo 2. Conclusao: houve uma elevada taxa de deteccao de risco de diabetes tipo 2 (59%) e a pontuacao de risco alto e muito alto foi associado com niveis elevados de hemoglobina glicosilada A1c, glicose, insulina e resistencia a insulina, mas nao com lipidios.
01 Jan 2020
Cheryl Green1•Institutions (1)
TL;DR: A benchmark of 4 has been determined for the reduction of self‐reported stress by nursing students’ status post 5 weeks of holistic educational activities and interventions provided by a nurse educator.
Abstract: Aim A benchmark of 4 has been determined for the reduction of self-reported stress by nursing students' status post 5 weeks of holistic educational activities and interventions provided by a nurse educator. Design Provision 5 in the American Nurses Association Code of Ethics for Nurses with Interpretive Statements emphasizes the duty of the nurse to not only promote the health and safety of others, but to self as well (ANA, 2015, Code of ethics with interpretive statements, http://Nursebooks.org). A self-care for nurses' pilot project was trialled with 25 accelerated nursing students over the course of 5 weeks. Holistic education programmes were facilitated by a nurse educator uninvolved in providing clinical or classroom education to the students. Methods The Standards for Quality Improvement Reporting Excellence (SQUIRE) guidelines are used in this pilot project as a framework to explore standardization of education of nursing students about self-care in nursing programmes and to promote positive health behaviours and student nurses' insight into how nurses' self-care can have an impact on patient outcomes. The self-care pilot project introduced the importance of self-care for the pre-licensure nursing student by teaching healthy eating, physical exercise, the value of sleep, use of positive affirmations and aromatherapy to a cohort of accelerated nursing students over the course of 5 weeks. The Star Model of Knowledge Transformation was the theoretical framework for the pilot study. Two questionnaires were used by the principal investigator to obtain participant data, the Project Participant Questionnaire and the Final-Year Group Questionnaire. Results On completion of the self-care for nurses' pilot, the nursing students reported a reduction in stress and an increased ability to cope with stress after exposure to different holistic stress reduction strategies. An average benchmark of 4.36 was achieved indicating that the nursing students' self-care had improved status post the interactive teaching intervention.Self-care taught to pre-licensure nursing students by nurse educators can enhance their self-awareness of the importance of stress reduction and care of themselves while enduring the academic rigour and simultaneous clinical practicum experiences in nursing programmes.Applying self-care behaviours to reduction of stress for nursing students may be of benefit to of students as they transition from the pre-licensure to graduate nurse roles. Hence, teaching health behaviours that are self-protective and contribute to maintaining safe clinical environments for nurses and the patients in their care.
TL;DR: Examining associations between undergraduate nursing students' satisfaction with daily life and body mass index, self-weight perception, and intake of 18 commonly consumed food and beverages over the past 30 days found healthy nutrition and normal BMI, with a positive self- weight perception, before nurses enter the workforce may have lifelong benefits.
Abstract: Background Nursing school, clinical, and academic life challenges most students' satisfaction with daily life. This study sought to examine associations between undergraduate nursing students' satisfaction with daily life and body mass index (BMI), self-weight perception, and intake of 18 commonly consumed food and beverages over the past 30 days. Method A cross-sectional, correlational, online study facilitated data collection from 215 nursing students. Results One unit increase in satisfaction with daily life predicted a modest 36% decrease in the odds of being overweight/obese. One unit increase in satisfaction with daily life predicted a 106% increase in the odds of being in the about the right weight category. Approximately 44.9% of the nursing students were in the overweight, obese, or extremely obese categories. Conclusion Healthy nutrition and normal BMI, with a positive self-weight perception, before nurses enter the workforce may have lifelong benefits. Nursing faculty can provide motivation, a supportive environment, and tools to instill a culture of health and wellness. [J Nurs Educ. 2018;57(12):751-755.].
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TL;DR: The failure of some obese subjects to lose weight while eating a diet they report as low in calories is due to an energy intake substantially higher than reported and an overestimation of physical activity, not to an abnormality in thermogenesis.
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TL;DR: Relatively new data suggest that abdominal obesity in adults, with its associated enhanced morbidity, occurs particularly in those who had lower birth weights and early childhood stunting.
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Abstract: Background Diet-related environmental and policy interventions are being advocated at a population level because individual change is more likely to be facilitated and sustained if the environment within which choices are made supports healthful food options.
TL;DR: Evaluated scaling assumptions and component structure of and present normative data for the Rosenberg Self-Esteem Scale using a sample of US adults to provide new data regarding the relationship between the two RSES subcomponents of self-competence (SC) and self-liking (SL), and other demographic and clinical variables.
Abstract: The purpose of this study was twofold: (a) to evaluate the scaling assumptions and component structure of and present normative data for the Rosenberg Self-Esteem Scale (RSES) using a sample of US adults (N = 503), both overall and across demographic subgroups and (b) to provide new data regarding the relationship between the two RSES subcomponents of self-competence (SC) and self-liking (SL), and other demographic and clinical variables. As hypothesized, all psychometric tests supported the underlying structure of the RSES. Overall RSES scores varied significantly across age, racial and ethnic, education, employment status, income, and marital status groups. Furthermore, differences between SC and SL were also found across groups differing in gender, age, employment status, and marital status groups. The implications and limitations of this study are discussed, with an emphasis on clinical relevance.
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