To Role Model or Not? Nurses' Challenges in Promoting a Healthy Lifestyle.
TL;DR: Nurses overall did not do any better than the general population in participating in a healthy lifestyle, patient stakeholders feel strongly that nurses should role model healthy behaviors and employers need to be better prepared to support nurses to participate in ahealthy lifestyle.
Abstract: Nurses often struggle with maintaining a healthy lifestyle. While nurses are often assumed to have the knowledge to participate in health-promoting behaviors, this knowledge may not translate into sustainable change in behavior. The purpose of this descriptive study was to compare nurses' health behaviors with residents in the community where the nurses were employed. Participants (N = 166) completed the Health Promoting Lifestyle Profile-II survey (HPLP-II) along with a demographic survey. The HPLP-II consists of six dimensions of a health-promoting lifestyle: (a) spiritual growth, (b) health responsibility, (c) physical activity, (d) nutrition, (e) interpersonal relations, and (f) stress management. Both groups scored the highest in spirituality followed by interpersonal relations. However, scores for the other HPLP-II dimensions ranked differently between the two groups. Nurses scored higher in health responsibility while the community participants scored higher on nutrition. Both groups scored the lowest on stress management and physical activity. Significant differences between groups were found only on the health responsibility dimension of the HPLP-II survey with nurses scoring higher. While nurses overall did not do any better than the general population in participating in a healthy lifestyle, patient stakeholders feel strongly that nurses should role model healthy behaviors. Employers need to be better prepared to support nurses to participate in a healthy lifestyle. Success can come from even small incremental changes (e.g., walking groups, team challenges, taking stairs) within the work environment. Furthermore, evidence-based practice teams that include administration, management, and staff are positioned to contribute through education and development of innovative workplace wellness programs.
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TL;DR: In a busy and increasingly complex health care workplace, health professionals’ well-being and professional image are increasingly at risk.
Abstract: Edited byMichelle Cleary, PhD, RNCollege of Health and Medicine, University of Tasmania, Sydney, NSW, AustraliaIn a busy and increasingly complex health care workplace, health professionals’ well-b...
11 citations
Cites background from "To Role Model or Not? Nurses' Chall..."
...The nature of the healthcare workplace including shift work, overtime, and patient acuity, may limit healthy staff behaviors (Keele, 2019)....
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...In health care, it is important to avail ourselves of opportunities to strengthen positive collegial relationships (Keele, 2019) as thoughtful and supportive interactions may have a flow-on effect for all parties (Cleary & Horsfall, 2016; Moloney et al., 2018)....
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18 Dec 2020
TL;DR: Tertiary preventive behavior of hypertension increases with high observationalLearning, strong role model, strong imitation, high vicarious learning, strong reinforcement, high self-regulation, positive outcome expec-tation, and positive attitude.
Abstract: Background: Tertiary prevention of hypertension is a preventive effort to make patients with hypertension do not have disabilities and further complications. It also improves the quality of life and makes life longer. The biopsychosocial aspect affects individuals in learning, doing, and maintaining certain behaviors based on social cognitive theory. This study aimed to analyze the biopsychosocial determinants of tertiary preventive behavior among patients with hypertension. Subjects and Method: This study was an analytical observational study with a cross-sectional design. The study was conducted at 25 Integrated Health Posts (Posbindu) in Sragen, Central Java. A sample of 200 hypertensive patients was selected by stratified random sampling. The dependent variable was the tertiary preventive behavior of hypertension. The independent variables were observational learning, role model, imitation, vicarious learning, reinforcement, self-efficacy, self-regulation, outcome expectation, and attitude. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression. Results: Hypertension preventive behavior increased with observational learning (b= 2.85; 95% CI= 0.17 to 5.53; p= 0.037), role model (b= 2.73; 95% CI =0.73 to 4.73; p=0.007), imitation (b= 3.46 ; 95% CI= 0.73 to 6.19; p= 0.013), vicarious learning (b= 2.54; 95% CI =0.16 to 4.93; p= 0.036), reinforcement (b= 3.89; 95% CI= 0.96 to 6.82; p= 0.009), self-efficacy (b= 3.04; 95% CI= 0.41 to 5.67; p= 0.024), self-regulation (b= 2.28; 95% CI= 0.02 to 4.54; p= 0.048), outcome expectation (b= 3.56; 95% CI= 0.75 to 6.38; p= 0.013), and a positive attitude (b= 2.86; 95% CI= 0.26 to 5.47; p= 0.031). Posbindu had a contextual effect on tertiary preventive behavior of hypertension with an Intra Class Correlation (ICC) value of 63.05%. Conclusion: Tertiary preventive behavior of hypertension increases with high observational learning, strong role model, strong imitation, high vicarious learning, strong reinforcement, high self-efficacy, high self-regulation, positive outcome expectation, and positive attitude. Posbindu has a contextual effect on tertiary preventive behavior of hypertension. Keywords: tertiary prevention, hypertension, social cognitive theory, multilevel analysis Correspondence: Very Retnowati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: veryretnowati@gmail.com. Mobile: +6281548592491 . Journal of Health Promotion and Behavior (2020), 05(03): 174-186 https://doi.org/10.26911/thejhpb.2020.05.03.04
2 citations
Cites result from "To Role Model or Not? Nurses' Chall..."
...…of hypertension carried out by the model who was his role model because he was motivated to do the same behavior. e-ISSN: 2549-1172 183 The result of this study is in line with a study conducted by Keele (2019) that health workers were in a position to be role models for a healthy lifestyle....
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...e-ISSN: 2549-1172 183 The result of this study is in line with a study conducted by Keele (2019) that health workers were in a position to be role models for a healthy lifestyle....
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TL;DR: In this paper, the most frequently reported behavior practiced outside work was "cover mouth with cough or sneeze." Concern for COVID-19 infection and confidence in masks to control the spread of COVID19 were positively related to both frequency and number of protective behaviors engaged in.
Abstract: AIM To characterize nurses' engagement in Centers for Disease Control and Prevention promoted personal protective behaviors (PPBs) outside the work setting during the COVID-19 pandemic and factors that inform engagement in these behaviors. BACKGROUND Nurses' health is of vital importance to the functioning of the healthcare system. Little is known as to what informs nurses' use of PPBs outside the work setting. DESIGN Cross-sectional survey study. SETTINGS A large healthcare system in the southeastern region of the United States. PARTICIPANTS Nine hundred fifty eight registered nurses. METHODS Participants surveyed during the week of September 14th. Survey contained questions regarding factors that may be linked to nurses' compliance with PPBs. RESULTS The most frequently reported behavior practiced outside work was "cover mouth with cough or sneeze." Concern for COVID-19 infection and confidence in masks to control the spread of COVID-19 were positively related to both frequency and number of protective behaviors engaged in (p < .01), while fatigue was inversely related to engagement with PPBs (p = .01). There was some evidence that viewing self as role model may predict behavior. CONCLUSIONS Personal factors drive engagement with protective behaviors outside the work setting. Implications for nursing management and education are explored.
1 citations
31 Jul 2021
TL;DR: Development of skills of a risk-free electronic device usage in healthcare professionals should begin in a medical school.
Abstract: Introduction . In modern conditions of rapid development of information and communication technologies, healthcare workers start experiencing adverse health effects of such risk factors as an uncontrolled use of electronic devices and associated physical inactivity, sleep deprivation, and impaired work/rest patterns during their professional training. Our purpose was to study subjective assessment of risks from electronic device usage by medical workers. Methods . A specially developed questionnaire was distributed among 148 doctors, 72 nurses and paramedics, and 119 professors of medical universities. In addition to that, selective measurements of body composition were taken in homogeneous cohorts of female healthcare professionals serving as teachers of clinical departments of medical universities (33) or nurses (36) who gave an informed consent to participate in the study and filled out the questionnaire. The statistical software package Statistica 13 PL (StatSoft, USA) was used for statistical data processing. Results . In general, the respondents gave an adequate assessment of health effects of electronic device usage. Nurses and paramedics appeared to be the least trained in issues of the safe use of electronic devices. Almost 61 % of them had varying degrees of overweight and obesity; yet, 51.4 % of nurses and paramedics rated their health as good being aware of the risks related to overweight. Medical university staff adequately assessed potential health risks and demonstrated better skills of a safe use of electronic devices in everyday life, payed more attention to their physical activity and nutrition, and were committed to developing appropriate competencies in their students. Conclusion . Development of skills of a risk-free electronic device usage in healthcare professionals should begin in a medical school.
1 citations
TL;DR: In this paper , the authors explored sedentary and obesity-oriented trends among Great Zimbabwe University staff in Masvingo and found that overweight and obesity were problematic issues with high prevalence rates of physical redundancy among the adult population.
Abstract: Obesogenic disorders have become a global spotlight that presents manifold challenges on healthcare systems. This study explored sedentary and obesity-oriented trends among Great Zimbabwe University staff in Masvingo. The Human Movement Conceptual Framework underpinned this descriptive study which hinged on the quantitative approach. Its population comprised 100 participants from which 30 male and female academic adults from Great Zimbabwe University School of Education Department were drawn through stratified random sampling. A questionnaire characteristic of WHO s' Global Physical Activity was used to collect data that is presented on tables. Emerging findings revealed overweight and obesity as problematic issues with high prevalence rates of physical redundancy among the adult population. Sedentary lifestyle tendencies significantly affected adult staff members’ physiological health aspects. Emerging findings revealed deficiencies of habitual training frequencies with aerobic-orientations among members, hence a physically latent workforce. The study recommends adults to develop habitual health and fitness training routines and behaviors to abate obesity-overweight trends. Sedentary and high calorific patterns subjugating adults to cardiovascular and atherosclerotic risks and disorders need substantial reductions through multi-systemic and multi-modal fitness regimes to promote health and exercise habits. Re-purposed high intensity progressive aerobic-oriented training dosages are necessary to reduce intramuscular fat levels, physiological frailty, oesteo-articulature impairments and to enhance intra-motor unit efficiencies.
References
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TL;DR: This instrument will enable researchers to investigate patterns and determinants of health-promoting life-style, as well as the effects of interventions to alter lifestyle.
Abstract: This article describes the development and initial psychometric evaluation of an instrument to measure health-promoting life-style. Based on responses from 952 adults in midwestern communities, the Health-Promoting Lifestyle Profile was evaluated using item analysis, factor analysis, and reliability measures. Factor analysis isolated six dimensions: Self-Actualization, Health Responsibility, Exercise, Nutrition, Interpersonal Support, and Stress Management. These six factors accounted for 47.1% of the variance in the 48-item measure. Second-order factor analysis yielded a single factor, interpreted as Health-Promoting Lifestyle. The alpha reliability coefficient for the total scale is .922; alpha coefficients for the subscales range from .702 to .904. Further evaluation of the measure with different populations appears warranted. This instrument will enable researchers to investigate patterns and determinants of health-promoting life-style, as well as the effects of interventions to alter life-style.
1,606 citations
TL;DR: Time spent in sedentary behaviors was positively associated with mortality, and participation in high levels of MVPA did not fully mitigate health risks associated with prolonged time watching television.
610 citations
TL;DR: The study population consists of married, female registered nurses born between January 1, 1921 and December 31, 1946, residing in the 11 states with the largest number of state registrants-New York, California, Pennsylvania, Ohio, Massachusetts, New Jersey, Michigan, Texas, Florida, Connecticut, and Maryland.
Abstract: Initially, one major problem was to define a large population of intelligent, cooperative, and healthconscious women who would be relatively easy to follow. Since the validity of our study is crucially dependent upon a high follow-up rate as well as complete and accurate information regarding various diseases among users and nonusers, we chose registered nurses as study participants. The study population consists of married, female registered nurses born between January 1, 1921 and December 31, 1946, residing in the 11 states with the largest number of state registrants-New York, California, Pennsylvania, Ohio, Massachusetts, New Jersey, Michigan, Texas, Florida, Connecticut, and Maryland. The names and addresses of 238,026 nurses who fulfilled the eligibility criteria were obtained from a file created in 1972 by the American Nurses' Association of all registered nurses in the United States, which includes demographic data on marital status, age, year of graduation, level of education, and whether or not they are practicing their profession. The file was created through state boards of nursing, and permission was obtained by ANA from the boards in the 11 states to release to us only the names and addresses of their instate registrants. They were then assigned unique identification numbers to assure strict confidentiality.
441 citations
TL;DR: There is compelling evidence that the health of doctors matters and that doctors’ own PA practices influence their clinical attitudes towards PA, and medical schools need to increase the proportion of students adopting and maintaining regular PA habits to increased the rates and quality of future PA counselling delivered by doctors.
Abstract: Doctors are well positioned to provide physical activity (PA) counselling to patients. They are a respected source of health-related information and can provide continuing preventive counselling feedback and follow-up; they may have ethical obligations to prescribe PA. Several barriers to PA counselling exist, including insufficient training and motivation of doctors and improvable, personal PA habits. Rates of exercise counselling by doctors remain low; only 34% of US adults report exercise counselling at their last medical visit. In view of this gap, one of the US health objectives for 2010 is increasing the proportion of patients appropriately counselled about health behaviours, including exercise/PA. Research shows that clinical providers who themselves act on the advice they give provide better counselling and motivation of their patients to adopt such health advice. In summary, there is compelling evidence that the health of doctors matters and that doctors' own PA practices influence their clinical attitudes towards PA. Medical schools need to increase the proportion of students adopting and maintaining regular PA habits to increase the rates and quality of future PA counselling delivered by doctors.
367 citations
TL;DR: Primordial prevention through maintenance of a healthy lifestyle among young women may substantially lower the burden of CVD.
192 citations
"To Role Model or Not? Nurses' Chall..." refers background in this paper
...Approximately 73% of CHD cases were attributable to poor adherence to a healthy lifestyle (Chomistek et al., 2015)....
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