Building expert agreement on the importance and feasibility of workplace health promotion interventions for nurses and midwives: A modified Delphi consultation

Perry, Lin; Nicholls, Rachel; Duffield, Christine; Gallagher, Robyn

doi:10.1111/jan.13345

Cited by 24 publications

(25 citation statements)

References 65 publications

(89 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is expected since many midwives worked long hours and commuted a long distance to work, as noted elsewhere (The Royal College of Midwives, ). Encouraging ‘light’ and available forms of PA (such as walking) during the working day may be worthwhile, along with more general acknowledgement of the need to improve health and well‐being in this population (Perry, Nicholls, Duffield, & Gallagher, ).…”

Section: Study 2: Discussionmentioning

confidence: 99%

Barriers and facilitators of midwives' physical activity behaviour in hospital and community contexts in Scotland

Holly

Swanson

2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims:To investigate barriers and facilitators of physical activity in midwives in hospital and community environments.Design: A sequential mixed-methods approach. Data sources: Focus groups and subsequent questionnaire survey. Methods: Four focus groups were conducted in urban and rural areas with community and hospital-based midwives in Scotland in 2015. Topics were based on the behaviour change theories via the Theoretical Domains Framework. Findings informed development of a questionnaire, sent to midwives in 2016 in Scottish health boards via managers, or online survey. Results: Thirty-three midwives participated in focus groups. Workplace environmental context and resources were both barriers and facilitators. Similarly, negative social influences were barriers, whereas positive social support facilitated physical activity. The questionnaire was completed by 345 midwives. Most (90%) were physically active with high levels of activity. Commonest activities included walking, swimming and housework. Physical activity facilitators included subsidized classes and protected breaks. Barriers included tiredness, stress, family responsibilities, unpredictable breaks and shift patterns. Conclusions: Interventions should address midwives' workplace context and resources and interpersonal factors such as stress and social support. Impact: Midwives' high levels of overweight/obesity and stress impact on their own health and delivery of patient care. More workplace physical activity could help. We found most were physically active but identified workplace barriers and facilitators, including resources, shift patterns and breaks. Findings could help midwifery managers to recognize and reduce barriers, thereby improving midwives' physical activity in the workplace, supporting weight management and enhancing their health and well-being. K E Y W O R D S barriers and facilitators, behaviour change, healthcare environment, midwives, physical activity, social support, work patterns

show abstract

Section: Study 2: Discussionmentioning

confidence: 99%

Barriers and facilitators of midwives' physical activity behaviour in hospital and community contexts in Scotland

Holly

Swanson

2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…Although relatively few nurses were daily smokers, 10.3% of nurses smoked and almost 15% of male nurses aged 35–44 years were daily smokers. Whilst nurse managers felt ‘stop smoking’ workplace interventions should not be a priority for this workforce due to the availability of such services in the community [ 52 ], the level of harm and associated ill-health and disease attributed to smoking and the (positive and negative) effects of health professionals’ role modelling of this behavior should prompt consideration of the cost-benefits of workplace-based effective quit smoking support.…”

Section: Discussionmentioning

confidence: 99%

Lifestyle Health Behaviors of Nurses and Midwives: The ‘Fit for the Future’ Study

Perry

Gallagher

et al. 2018

IJERPH

Self Cite

View full text Add to dashboard Cite

Nurses and midwives (nurses) are the principle role models and health educators for the wider population. This study sought to identify the health-related behaviors of the nursing workforce of New South Wales (NSW), Australia, compared to contemporary recommendations for healthy living and to the Australian general population, matched by gender and age. An electronic cross-sectional survey delivered in 2014–2015 recruited 5041 nurses through the NSW Nurses and Midwives Association and professional networks. Validated health behavior measures were collected and compared to Australian National Health Survey data. Compared with younger nurses, older nurses reported greater adherence to fruit and vegetable guideline recommendations, but were more likely to be overweight or obese. Younger nurses (25–34 years) had the highest risk of harmful drinking. Compared with the Australian general population, slightly higher percentages of nurses met dietary recommendations and slightly fewer were obese, had central adiposity or smoked. Nurses had lower physical activity levels and higher levels of risky drinking across most gender and age groups. Many nurses have lifestyle health behaviors that place them at high risk for developing non-communicable diseases, sometimes at higher risk than the Australian population to whom they deliver health education. Health promotion strategies for nurses are urgently required.

show abstract

“…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, ). Our study findings indicate that strategies need to take account of the role of culture and related social factors in workers’ health and health behaviours (Mastroianni & Storberg‐Walker, ; Nicholls et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…There is an urgent need to review and reconsider nursing culture, as a culture that does not care for workers cannot be expected to sustainably provide care for patients (Nahm et al., ). This requires a change in approach, such that policy, resourcing, facilities, and practices are established and embedded that will enable and support nurse self‐care (Perry, Nicholls, et al., ). Of note, nurses expected that nothing will ever change—however change is essential.…”

Section: Discussionmentioning

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

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Building expert agreement on the importance and feasibility of workplace health promotion interventions for nurses and midwives: A modified Delphi consultation

Abstract: Study findings prompt consideration of health promotion opportunities to support nurses' health and well-being. Findings identified key workplace health promotion priorities and provide direction for policy makers and managers to promote nursing and midwifery workforce health.

Cited by 24 publications

References 65 publications

Barriers and facilitators of midwives' physical activity behaviour in hospital and community contexts in Scotland

Barriers and facilitators of midwives' physical activity behaviour in hospital and community contexts in Scotland

Lifestyle Health Behaviors of Nurses and Midwives: The ‘Fit for the Future’ Study

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

Contact Info

Product

Resources

About