Nurses and Health‐Promoting Behaviors: Knowledge May Not Translate Into Self‐Care

Ross, Alyson; Bevans, Margaret; Brooks, Alyssa T.; Gibbons, Susanne W.; Wallen, Gwenyth R.

doi:10.1016/j.aorn.2016.12.018

Cited by 172 publications

(152 citation statements)

References 54 publications

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“…These behaviours were described more by experienced nurses than inexperienced nurses. Nurses' self-care is described as critical for improved health and well-being and resiliency (Ross et al, 2017). Symptoms of shiftwork, such as fatigue, have been linked to reductions in nurses' motivation to participate in self-care activities (Bryer, Cherkis, & Raman, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Self-care can assist with rest and recuperation from the fatigue and stresses of shiftwork (S. West, Mapedzahama, Ahern, & Rudge, 2012). Shiftwork has been described as a potential barrier to nurses' self-care (Ross, Bevans, Brooks, Gibbons, & Wallen, 2017) with shift rostering contributing to nurses unhealthy eating patterns and an apparent inability to maintain a healthy diet and exercise (Persson et al, 2006). Nurses, however, who prioritise their own self-care have reduced work stress levels and improved camaraderie with other nurses (Grafton & Coyne, 2012).…”

Section: Introductionmentioning

confidence: 99%

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The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses

Gifkins

Johnston

Loudoun

2018

Chronobiology International

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For nurses, shift work is a necessity, required to provide 24-h continuous care for patients. Research posits that fatigue amongst shift-working nurses is associated with inadequate and poorly timed sleep and also strongly influenced by the timing, quality and quantity of food consumed. The aim of this investigation was to examine differences and similarities in the food choices and eating patterns of nurses exposed to different lengths of time in shift work, as a means of understanding how nurses can adapt their eating patterns to better manage fatigue and sleep loss. Qualitative methodology was utilised to study and capture in-depth information about nurses' daily working lives. A case study approach allowed for the investigation of nurses with limited and extensive experience of shift work. Increased food craving, caffeine consumption and snacking behaviours during night shifts were described by both groups of nurses, as was the inability to drink enough fluids at work. Meal skipping at work, associated with high workload, was detailed more by experienced nurses. Experienced nurses described shopping and preparing home cooked meals in advance to manage food intake and associated fatigue, contrasting with patterns from inexperienced nurses. Experienced nurses recounted drinking alcohol as a way to rest and recover from shift work, unlike their less inexperienced colleagues. These findings indicate organisational and work place issues such as shift work and rostering influence the food choices and eating patterns of shift-working nurses. Experienced nurses, however, draw on a greater range of strategies around diet and eating patterns to minimise these impacts.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses

Gifkins

Johnston

Loudoun

2018

Chronobiology International

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“…With global nursing shortages and the need to maintain the health of an ageing workforce, promotion of self‐care practices in many high‐income nations is a workforce and national healthcare priority (Audit Scotland , Health Workforce Australia , National Health Service , The American Nurses Association ). Research discourse on nurses’ health has largely focussed on nurses’ individual health profiles, barriers to healthy lifestyle behaviours (diet and exercise) (Nahm et al., ; Nicholls et al., ), and reduction of occupation‐specific health risks such as work stress, long work hours, irregular meal schedules, and shift work (Kyle, Neall, & Atherton, ; Ross, Bevans, Brooks, Gibbons, & Wallen, ). Researchers ask why nurses leave (Eley et al., ; Goodare, ; Perry, Xu, et al., ), with strategies offered to help them stay in the workforce (Dawson, Stasa, Roche, Homer, & Duffield, ; Perry, Nicholls, Gallagher, & Duffield, ).…”

Section: Discussionmentioning

confidence: 99%

“…With global nursing shortages and the need to maintain the health of an ageing workforce, promotion of self-care practices in many high-income nations is a workforce and national healthcare pri- (Nahm et al, 2012;Nicholls et al, 2017), and reduction of occupation-specific health risks such as work stress, long work hours, irregular meal schedules, and shift work (Kyle, Neall, & Atherton, 2016;Ross, Bevans, Brooks, Gibbons, & Wallen, 2017). Researchers ask why nurses leave (Eley et al, 2010;Goodare, 2017;Perry, Xu, et al, 2017), with strategies offered to help them stay in the workforce (Dawson, Stasa, Roche, Homer, & Duffield, 2014;.…”

Section: Nurses' Culture Of Caring: Care Of Self and Othersmentioning

confidence: 99%

Culture, teams, and organizations: A qualitative exploration of female nurses’ and midwives’ experiences of urinary symptoms at work

Pierce

Perry

Gallagher

et al. 2019

Journal of Advanced Nursing

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Aim To explore nurses’ and midwives’ experiences of urinary symptoms at work. Background Lower urinary tract symptoms are common in female nurses and midwives. There is limited understanding of the relationship between urinary symptoms, bladder health practices, and work. Design Qualitative design providing in‐depth exploration of nurses’ and midwives’ experiences of urinary symptoms at work through focus group discussions. Methods Twelve focus groups were held July–September 2016 with 96 Registered Nurses and midwives working at two tertiary‐referral hospitals in urban New South Wales, Australia. A semi‐structured question schedule was used. An inductive process guided thematic analysis of data using a socioecological framework of health behaviours. Results Nurses’ and midwives’ experiences of urinary symptoms at work primarily relate to delaying voiding. This practice is explained by a work culture of “patient‐first” care at expense of self‐care, relationships in the nursing team, demands of the nursing role, and inadequacy of workplace amenities. The first two themes reflect cultural and social caring dilemmas central to nursing. The second two themes identify issues with workforce management and physical workplace environments. Conclusion Nurses’ and midwives’ urinary symptoms and behaviours in response to sensory cues for bladder emptying are dependent on several socioecological influences. Occupational health initiatives in the workforce are required to break cultural norms that deter self‐care and to promote work environments that support healthy bladder practices. Workforce management and physical workplace environments are key influences on nurses’ timely and dignified access to amenities.

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“…This involves nurses taking personal responsibility for their own health and embracing a healthy lifestyle (Royal College of Nursing (RCN), 2018). However, it is well documented that many registered and undergraduate nurses practise health behaviours that contribute to poor personal health (Ross et al, 2017) and may further increase their reluctance to initiate discussions on health and wellbeing (Kyle et al, 2016;Blake and Patterson, 2015) while others adopt an information-giving approach to clients, failing to recognise the complexity of behaviour change (Whitehead, 2006).…”

mentioning

confidence: 99%

Helping students to self-care and enhance their health-promotion skills

Mills

2019

Br J Nurs

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Nurses have a public health role, requiring them to promote the health of individuals and communities, and to engage at a political and policy level to improve population health. There is also a professional expectation that nurses will model healthy behaviours and take responsibility for their personal health and wellbeing. However, studies have indicated that undergraduate nurses find the academic and practice elements of their nursing programmes stressful. To manage their stress many use coping behaviours that negatively impact on their health and wellbeing and may influence their ability and willingness to effectively support health promotion in practice. It is widely recognised that environments influence health outcomes and personal health behaviours. This article addresses some of the structural causes of student nurse stress and highlights a recent educational initiative at a UK university that aims to equip student nurses with the practical skills required to engage in health promotion and thereby provide benefits for service users and student nurses alike.

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Nurses and Health‐Promoting Behaviors: Knowledge May Not Translate Into Self‐Care

Cited by 172 publications

References 54 publications

The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses

The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses

Culture, teams, and organizations: A qualitative exploration of female nurses’ and midwives’ experiences of urinary symptoms at work

Helping students to self-care and enhance their health-promotion skills

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