期刊论文详细信息
BMC Nursing
The health and health behaviours of Australian metropolitan nurses: an exploratory study
Christine Duffield2  Robyn Gallagher1  Lin Perry3 
[1]Charles Perkins Centre and Sydney Nursing School, University of Sydney, Sydney, Australia
[2]Nursing and Health Services Management, Edith Cowan University, Mount Lawley, WA, Australia
[3]Faculty of Health, University of Technology Sydney, Prince of Wales Hospital, East Wing Edmund Blackett Building, Randwick 2031, NSW, Australia
关键词: Sickness absence;    Chronic disease;    Risk factors;    Lifestyle;    Wellbeing;    Health;    Workplace;    Workforce;    Health promotion;    Nurses;   
Others  :  1223582
DOI  :  10.1186/s12912-015-0091-9
 received in 2014-12-15, accepted in 2015-07-20,  发布年份 2015
PDF
【 摘 要 】

Background

Nurses make up the largest component of the health workforce and provide the majority of patient care. Most health education is delivered by nurses, who also serve as healthy living and behavioural role models. Anything that diminishes their health status can impact their credibility as role models, their availability and ability to deliver quality care, and is potentially disadvantageous for the health of the population.

Study aims were to investigate nurses’ overall health and the presence of chronic disease; to describe nurses’ health-related behaviours and to compare them to those of the general population, with both groups matched by age and gender.

Methods

Cross-sectional descriptive paper-based survey of nurses from two Sydney metropolitan hospitals using established instruments and questions and measurements taken with standardised methods.

Results

This nursing sample (n = 381) had a mean age of 39.9 (SD 11.7, range 20–67) years, Most (n = 315; 82.7 %) were female, worked full-time (80.0 %), and were shift workers (93.0 %). The majority (94.0 %) indicated good, very good or excellent health, despite 42.8 % indicating they had chronic disease. The most common risk factors for chronic disease were inadequate vegetable (92.6 %) and fruit intake (80.1 %), overweight and obesity (44.0 %) and risky alcohol intake (34.7 %); health screening behaviours were not ideal. Aside from overweight and obesity, these risk factors were more prevalent in nurses than the equivalent group of the New South Wales population, particularly for risky alcohol intake which was much more common in female nurses and most marked in those aged under 35 years. However, 80 % met the guidelines for physical activity, more than the equivalent group of the New South Wales population.

Conclusion

There are early ‘warning signs’ concerning the health status of nurses. Despite perceiving current good health, support is required for nurses to prevent future chronic disease, particularly in the areas of nutrition and alcohol intake. With these concerns, the nursing workforce ageing and demands for care increasing, it is now time to implement health enhancing strategies for nurses.

【 授权许可】

   
2015 Perry et al.

【 预 览 】
附件列表
Files Size Format View
20150903020100193.pdf 1246KB PDF download
Fig. 7. 26KB Image download
Fig. 6. 22KB Image download
Fig. 5. 31KB Image download
Fig. 4. 23KB Image download
Fig. 3. 23KB Image download
Fig. 2. 22KB Image download
Figure 3. 144KB Image download
【 图 表 】

Figure 3.

Fig. 2.

Fig. 3.

Fig. 4.

Fig. 5.

Fig. 6.

Fig. 7.

【 参考文献 】
  • [1]Chatterji S, Byles J, Cutler D, Seeman T, Verdes E. Health, functioning, and disability in older adults—present status and future implications. Lancet. 2014.
  • [2]Burden of Disease: DALYs in Global Burden of Disease. Update 2004.. http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_part4.pdf
  • [3]Health Workforce 2025 – Doctors, Nurses and Midwives - Volume 2.. https://www.hwa.gov.au/sites/default/files/HW2025Volume2_FINAL-20120424_0.pdf
  • [4]Global Status Report on Noncommunicable Diseases.. http://www.who.int/nmh/publications/ncd_report2010/en/
  • [5]Chronic diseases and their common risk factors.. http://www.who.int/chp/chronic_disease_report/media/Factsheet1.pdf
  • [6]Centre for Epidemiology and Research: 2009 Report on adult health from the New South Wales population health survey. NSW Department of Health, Sydney; 2010.
  • [7]Population Health Screening Policy.. http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/other-pop-health#framework
  • [8]WHO: Resolution WHA59.27. Strengthening nursing and midwifery. World Health Organization, Geneva; 2006.
  • [9]Buerhaus P, Staiger D, Auerbach D: Implications of an aging registered nurse workforce. J Am Med Assoc 2000, 283(22):2948-54.
  • [10]AIHW: Australia’s health 2006. Australian Institute of Health and Welfare, Australia; 2006.
  • [11]Letvak S: Retaining the older nurse. J Nurs Adm 2002, 32(7/8):387-92.
  • [12]Sermeus W, Bruyneel L: Investing in Europe’s Health workforce of tomorrow: scope for innovation and collaboration: summary report of the three policy dialogues. Belgium European Observatory on Health Systems and Policies, Brussels; 2010.
  • [13]Storey C, Cheater F, Ford J, Leese B: Retention of nurses in the primary and community care workforce after the age of 50 years: database analysis and literature review. J Adv Nurs 2009, 65(8):1596-605.
  • [14]North N, Leung W, Lee R: Aged over 50 years and practising: separation and changes in nursing practice among New Zealand’s older Registered Nurses. J Adv Nurs 2014, 70(12):2779-90.
  • [15]Andrews J, Manthorpe J, Watson R: Employment transitions for older nurses: a qualitative study. J Adv Nurs 2005, 51(3):298-306.
  • [16]Letvak S, Ruhm C, Gupta S: Differences in health, productivity and quality of care in younger and older nurses. J Nurs Manag 2013, 21(7):914-21.
  • [17]Blake H, Malik S, Mo PKH, Pisano C: ‘Do as I say, but not as I do’: are next generation nurses role models for health? Perspect Public Health 2011, 131(5):231-9.
  • [18]Zapka JM, Lemon SC, Magner RP, Hale J: Lifestyle behaviours and weight among hospital-based nurses. J Nurs Manag 2009, 17(7):853-60.
  • [19]Perry L, Lamont S, Brunero S, Gallagher R, Duffield C: The mental health of nurses in acute teaching hospital settings: a cross-sectional survey. BMC Nursing 2015, 14:15.
  • [20]Australian Longitudinal Women’s Health: Surveys. [. http://www.alswh.org.au/for-researchers/surveys
  • [21]Western Australian Health in Men Study.. http://www.wacha.org.au/contact.html
  • [22]Ware JE Jr, Sherbourne CD: The MOS 36-ltem short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992, 30(6):473-83.
  • [23]SF-36® Health Survey Update.. http://www.sf-36.org/tools/SF36.shtml
  • [24]Butterworth P, Crosier T: The validity of the SF-36 in an Australian National Household Survey: demonstrating the applicability of the Household Income and Labour Dynamics in Australia (HILDA) Survey to examination of health inequalities. BMC Public Health 2004, 4(1):44. BioMed Central Full Text
  • [25]WHO: Obesity: preventing and managing the global epidemic In Report of a WHO consultation. World Health Organisation, Geneva; 2000.
  • [26]Cardiovascular disease risk factor identification.. http://www.heartonline.org.au/CDPR/risk-and-symptom-management/Pages/CVD-risk-factor-identification.aspx
  • [27]National Heart Foundation of Australia (National Blood Pressure and Vascular Disease Advisory Committee: Guide to management of hypertension. National Heart Foundation of Australia, Australia; 2008. Updated December 2010
  • [28]The Emerging Risk Factors Collaboration: Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies Lancet 2010, 375(9733):2215-22.
  • [29]Chronic disease risk factors.. http://www.aihw.gov.au/high-blood-cholesterol/
  • [30]National Health and Medical Research Council: Australian guidelines to reduce health risks from drinking alcohol. Commonwealth of Australia, Canberra; 2009.
  • [31]Australia’s physical activity and sedentary behaviour guidelines for adults (18–64 years).. http://www.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-phys-act-guidelines
  • [32]Diet. [. http://www.aihw.gov.au/diabetes-indicators/diet/
  • [33]National Health and Medical Research Council: Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children in Australia. National Health and Medical Research Council, Melbourne; 2013.
  • [34]Bogossian FE HJ, Leong GM, Flaws DF, Gibbons KS, Benefer CA, Turner CT: A cross-sectional analysis of patterns of obesity in a cohort of working nurses and midwives in Australia, New Zealand, and the United Kingdom. Int J Nurs Stud 2012, 49:727-38.
  • [35]Holman GT, Thomas RE, Brown KC: A health comparision of Alabama nurses versus US, UK, and Canadian normative populations. J Orthop Nursing 2009, 13:172-82.
  • [36]Schluter PJ, Turner C, Benefer C: Long working hours and alcohol risk among Australian and New Zealand nurses and midwives: a cross-sectional study. Int J Nurs Stud 2012, 49(6):701-9.
  • [37]Henwood T, Tuckett A, Turner C: What makes a healthier nurse, workplace or leisure physical activity? Informed by the Australian and New Zealand e-Cohort Study. J Clin Nurs 2012, 21(11–12):1746-54.
  • [38]Bell L: The ageing of the nursing workforce: what lies ahead. Int Council Nurses 2013, 60(3):227-8.
  • [39]King KA, Vidourek R, Schwiebert M: Disordered eating and job stress among nurses. J Nurs Manag 2009, 17(7):861-9.
  • [40]Malik SH, Blake H, Suggs LS: A systematic review of workplace health promotion interventions for increasing physical activity. Br J Health Psychol 2014, 19(1):149-80.
  • [41]Workplace health promotion The workplace: A priority setting for health promotion.. http://www.who.int/occupational_health/topics/workplace/en/
  • [42]Chan CW, Perry L: Lifestyle health promotion interventions for the nursing workforce: a systematic review. J Clin Nurs 2012, 21(15–16):2247-61.
  • [43]Zhu DQ, Norman IJ, While AE: Nurses’ self-efficacy and practices relating to weight management of adult patients: a path analysis. Int J Behav Nutrit Phys Activ 2013, 10:131. BioMed Central Full Text
  • [44]While AE: Are nurses fit for their public health role? Int J Nurs Stud 2014, 51(9):1191-4.
  • [45]The Hon Jillian Skinner MP Minister for Health Minister for Medical Research - FACT SHEET: Nurses and Midwives.. http://www.health.nsw.gov.au/ministers/Documents/facts_about_nurses.pdf
  • [46]Nursing and midwifery workforce.. http://www.aihw.gov.au/workforce/nursing-and-midwifery/
  文献评价指标  
  下载次数:47次 浏览次数:30次