One Nurse’s View on Work and Dieting

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Evidence supports that intervention across multidisciplinary are important in improving the care of older people. Journal of Clinical Nursing , 20 , — Nutrition care. Ministry of Health. In the UK, National Health Service implementation guidance states that nurses are expected to promote healthier lifestyle choices from the point of admission through to discharge. An implementation guide and toolkit for making every contact count: Using every opportunity to achieve health and wellbeing. In the USA, nutrition has been the second most important area for nursing care.

Challenges and opportunities for nutrition education and training in the health care professions: Intraprofessional and interprofessional call to action. The process of ageing affects nutrition needs and can be associated with changes in lifestyle. Nutrition and dementia care: Developing an evidence-based model for nutritional care in nursing homes. BMC Geriatrics , 17 Contemporary Nurse , 27 1 , 23 — Constructions of nutrition for community dwelling people with chronic disease.

Contemporary Nurse , 23 2 , — Research among 12 countries demonstrated that up to half Frequency of malnutrition in older adults: A multinational perspective using the mini nutritional assessment. Journal of the American Geriatrics Society , 58 9 , — Nurses play a significant role in understanding the importance of nutrition basics and need to be able to explain the facts about healthy food choices to patients.

The health and health behaviours of Australian metropolitan nurses: An exploratory study. BMC Nursing , 14 Standards for competence for registered nurses. The importance of nutrition, diet and lifestyle advice for cancer survivors — The role of nursing staff and interprofessional workers. Journal of Clinical Nursing , 22 11—12 , — Also, engaging with health academics to provide the emerging nutrition research evidence of healthy dietary patterns in the prevention of non-communicable diseases is extremely important.

Where is the nurse in nutritional care?

Nurses must raise awareness of their role in nutritional supports for their patients and clients. There is need to continue to raise the awareness of the importance of multidisciplinary nutritional care in improving health outcomes for both primary and secondary care. Finally, nutritional training, which aims to deliver both nutrition basics and emerging nutritional knowledge, is highly recommended.

These trainings can help nurses and all health professionals further deliver better evidence-based care that meets the nutritional needs of patients. Skip to Main Content. Search in: This Journal Anywhere. Advanced search. Journal Contemporary Nurse Volume 53, - Issue 3. Submit an article Journal homepage. Pages Published online: 18 Sep In this article Close Nurse roles in supporting nutrition References.

Where is the nurse in nutritional care? Article Metrics Views. Article metrics information Disclaimer for citing articles. More Share Options. People also read Article. Gawaian Bodkin-Andrews et al. Race Ethnicity and Education Volume 19, - Issue 4. Published online: 5 Nov Denise de Ridder et al. Furthermore, it enabled us to corroborate categories and therefore confirm our findings [ 72 ]. Multiple coding of interview transcripts improved the quality of content analysis and increased the dependability of interpretations. Dependability relates to the stability of the data that emerged over time or conditions [ 73 , 74 ].

PDF One Nurse’s View on Work and Dieting

This study has some limitations however. Indeed, a significant body of emerging literature suggests that people make approximately eating-related decisions per day with little or no conscious awareness [ 75 ].

Put another way, individuals may not have insight into many of the factors which influence their behaviour. Actual influences that may guide eating behaviour include hunger, food habits and exposure to food promotion [ 76 ]. Conducting a prospective observational study of nurses using an ecological momentary assessment method [ 77 ] may be one prudent option to overcome this limitation.

Such a method would identify determinants more objectively than self-reporting qualitative interviews and survey methods. Determinants which are particularly important for nurses but which have been under-acknowledged in previous investigations have been identified. These include a number of determinants that operate at the intrapersonal level such as behavioural regulation, beliefs about consequences, knowledge and optimism. Accordingly, the next step for this work will involve identifying what behaviour change techniques could be used to change eating and physical activity behaviour among nurses.

Behaviour change technique.

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Consolidated criteria for reporting qualitative research. Theoretical domains framework. We thank Eilidh Duncan and Maria Prior for help with designing the interview topic guide. We would also like to thank all the nurses who gave their time to participate in the pilot study of the interview topic guide and the qualitative interviews. The views expressed are those of the authors alone. This work was funded through a Medical Research Council doctoral training award.

BTP conceived and designed the study, carried out all qualitative interviews, performed data analysis and contributed to the interpretation of results. He wrote the first draft of the manuscript.

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KK, JLA and MKC contributed to design of the study, data analysis, and interpretation of the results and provided critical input to the writing of the manuscript. All authors read and approved the final manuscript. All participants provided written informed consent prior to completing a qualitative interview. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Campbell 2. Abstract Background Unhealthy eating and physical activity behaviours are common among nurses but little is known about determinants of eating and physical activity behaviour in this population. Basing qualitative interviews on the TDF means that a a larger number of relevant determinants can be identified [ 24 ], b the relative importance of the different determinants can be compared, and c identified determinants can be mapped to appropriate behaviour change techniques BCTs through established mapping guidelines [ 25 ], thereby enabling the development of theory and evidence-based interventions.

Table 1 Theoretical domains framework TDF domains and associated definitions.

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Design This was a semi-structured theoretically-informed qualitative interview study. Participants and recruitment Any registered nurse with a permanent or temporary, part-time, or full-time position at a large teaching hospital in the North East of Scotland Aberdeen Royal Infirmary was eligible for inclusion.

Procedure Face-to-face semi-structured qualitative interviews were conducted between September, and November, Data analysis Qualitative interviews were audio-recorded, transcribed verbatim and transferred into QSR-NVivo 10 for management. Inductive category development The first three interviews were inductively codedby two researchers independently BTP, KK.

Deductive category application Following inductive category development in inductive content analysis, each main category was reviewed for content and allocated into relevant domains of the TDF or recorded as not fitting into any of the TDF domains by three researchers independently, BTP, KK, and JLA. Sample characteristics Data saturation was deemed to have been reached at interview sixteen Fig.

Of the sixteen participants, six were a healthy weight, nine were overweight and one was obese.

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Environmental context and resource factors shift pattern, time, poor staffing levels, lack of breaks, cost, workplace policies and regulations and workplace food environment were the most frequently quoted determinants of eating and physical activity behaviour by participants followed by beliefs about consequences.

The least frequently quoted determinants of eating and physical activity behaviour included social, professional role and identity, optimism and skills. Environmental context and resources Nurses discussed the environment within which they managed their eating and physical activity, including specific contextual factors that could act as barriers to, or enablers of, their eating and physical activity behaviour. Social influences Many facets of social influences were discussed by nurses including family, friends, patients and work colleagues.

The inter-related nature of levels of influence is evidenced by the effects of environmental factors such as shift work on intrapersonal level factors such as memory, attention and decision processes.


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Several nurses had certain strategies and practices which they performed to manage their eating and physical activity behaviours. Specifically, nurses mentioned two behavioural strategies; self-monitoring and planning. Nurses expressed conflicting views in relation to the influence of mood on their physical activity behaviour.

Some nurses viewed mood as an inhibiting their physical activity behaviour. Many nurses discussed their knowledge as helpful with eating and physical activity behaviour. Beliefs that goals will be achieved was verbalised by seven nurses as a key enabler of their eating and physical activity behaviours. Strengths and limitations While most research in this area has examined barriers [ 18 , 19 ] and [ 71 ], fewer studies have investigated both barriers and enablers, limiting insight into enablers of healthy eating and physical activity behaviour in nurses.

Acknowledgements We thank Eilidh Duncan and Maria Prior for help with designing the interview topic guide.