Worksite Physical Activity Intervention for Ambulatory Clinic Nursing Staff

Tucker, Sharon; Farrington, Michele; Lanningham-Foster, Lorraine; Clark, M. Kathleen; Dawson, Cindy; Quinn, Gordon; Laffoon, Trudy; Perkhounkova, Yelena

doi:10.1177/2165079916633225

Cited by 42 publications

(52 citation statements)

References 47 publications

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“…Thirty-five studies included some form of PA [60,69,75,76,78,83,88,96,98,. The PA interventions included walking [83,88,96,113,115,119,123,127,131,133,136], standing [119], aerobics [60,75], aerobics and resistance exercise [118], yoga [116,122,125,126,132,135], Tai-Chi [130], endurance training [117], muscle strength promotion [117,128], stretching [119,134,137], daily exercise [78,121], physiotherapy exercise [76], exercises with equipment (stair-stepper: [114], treadmill, Wii TM : [96,115], elastic bands and kettlebells [120,137,138], back muscle exercises [98,…”

Section: Physical Activity and Dietary Interventionsmentioning

confidence: 99%

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

Stanulewicz

Knox

Narayanasamy

et al. 2019

IJERPH

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Background: Prior research has investigated various strategies to improve health, wellbeing and the job-related outcomes of nurses. However, the scope of this evidence is not clear and the types of intervention most likely to have positive outcomes are unknown. Objective: To provide an overview and synthesis of the effectiveness of interventions conducted with the goal of improving health, wellbeing and the job-related outcomes of nurses. Methods: A systematic database search was conducted from January 2000 to December 2018, with pre-defined criteria (Cochrane Central Register of Controlled Trials; MEDLINE and PubMed; EMBASE; CINAHL; PsycINFO; and BioMed Central). In total, 136 intervention studies with a total sample of 16,129 participants (range 9–3381) were included and evaluated. Data extraction, quality assessment and risk of bias analyses were performed. Results: Studies included randomised controlled trials (RCTs; n = 52, 38%), randomised crossover design studies (n = 2, 1.5%) and non-randomised pre-post studies with a control group (n = 31, 23%) and without a control group (n = 51, 37.5%). The majority of interventions focused on education, physical activity, mindfulness, or relaxation. Thirty-seven (27%) studies had a multimodal intervention approach. On average, studies had relatively small samples (median = 61; mode = 30) and were conducted predominantly in North America (USA/Canada, n = 53). The findings were mixed overall, with some studies reporting benefits and others finding no effects. Dietary habits was the most successfully improved outcome (8/9), followed by indices of body composition (20/24), physical activity (PA) (11/14), and stress (49/66), with >70% of relevant studies in each of these categories reporting improvements. The lowest success rate was for work-related outcomes (16/32). Separate analysis of RCTs indicated that interventions that focus solely on education might be less likely to result in positive outcomes than interventions targeting behavioural change. Conclusions: Interventions targeting diet, body composition, PA, or stress are most likely to have positive outcomes for nurses’ health and/or wellbeing. The methodologically strongest evidence (RCTs) is available for body composition and stress. Interventions relying solely on educational approaches are least likely to be effective. Organisational outcomes appear to be more challenging to change with lifestyle intervention, likely requiring more complex solutions including changes to the work environment. There is a need for more high-quality evidence since many studies had moderate or high risk of bias and low reporting quality.

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Section: Physical Activity and Dietary Interventionsmentioning

confidence: 99%

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

Stanulewicz

Knox

Narayanasamy

et al. 2019

IJERPH

View full text Add to dashboard Cite

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“…As such, increased physical activity is one avenue through which shift workers might forestall and mitigate the cardiometabolic effects of circadian misalignment and sleep loss. To date, researchers have investigated a number of exercise interventions in the workplace, varying in intensity from extremely vigorous to moderate, of differing effectiveness (Dishman, Oldenburg, O'Neal, & Shephard, ; Kahn et al., ; Shephard, ; Tucker et al., ; White & Jacques, ). However, there is very little research on the health outcomes of such interventions for shift workers specifically; where shift workers have been studied, the findings are mixed (Atkinson, Fullick, Grindey, & Maclaren, ).…”

Section: Behavioural Strategies To Minimise the Cardiometabolic Consementioning

confidence: 99%

Metabolic and cardiovascular consequences of shift work: The role of circadian disruption and sleep disturbances

Kervezee

Kosmadopoulos

Boivin

2018

Eur J of Neuroscience

151

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Shift work, defined as work occurring outside typical daytime working hours, is associated with an increased risk of various non‐communicable diseases, including diabetes and cardiovascular disease. Disruption of the internal circadian timing system and concomitant sleep disturbances is thought to play a critical role in the development of these health problems. Indeed, controlled laboratory studies have shown that short‐term circadian misalignment and sleep restriction independently impair physiological processes, including insulin sensitivity, energy expenditure, immune function, blood pressure and cardiac modulation by the autonomous nervous system. If allowed to persist, these acute effects may lead to the development of cardiometabolic diseases in the long term. Here, we discuss the evidence for the contributions of circadian disruption and associated sleep disturbances to the risk of metabolic and cardiovascular health problems in shift workers. Improving the understanding of the physiological mechanisms affected by circadian misalignment and sleep disturbance will contribute to the development and implementation of strategies that prevent or mitigate the cardiometabolic impact of shift work.

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“…Most of the following interventions' efficacy has been proven in randomized controlled trials. Worksite interventions like providing nurses a treadmill at work or Wii system, walking meetings, or health coaching via text messages [83] show a positive effect on nurses' physical activity. Musculoskeletal complaints that often emerged from psychosocial stressors in the nursing context can be significantly reduced by a combination of coaching interventions, focusing on enabling better strategies for coping and physiotherapy [84].…”

Section: Discussionmentioning

confidence: 99%

The Extent of Psychosocial Distress among Immigrant and Non-Immigrant Homecare Nurses—A Comparative cross Sectional Survey

Schilgen

Nienhaus

Mösko

2020

IJERPH

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In times of demographic change, most developed countries are increasingly looking to cover the growing domestic demand for healthcare by hiring nurses from abroad. The evidence concerning the health of immigrant care workers is inconsistent since studies report that it is either better or more impaired than that of their non-immigrant counterparts. This study compared the extent of occupational psychosocial stressors and resources affecting immigrant and non-immigrant homecare nurses. The cross-sectional survey was conducted in the homecare nursing service sector in Hamburg. Psychosocial distress, depressive symptomatology, generalized anxiety, somatic symptom burdens, homecare-specific qualitative stressors, as well as resources, have been measured using a standardized questionnaire. There was no significant difference in the extent of psychosocial distress experienced by immigrant and non-immigrant homecare nurses. Somatic symptom burdens most strongly predicted nurses’ psychosocial distress, in general. For immigrant nurses, greater influence and freedom at work, as well as fixed-term employment, was related to increased levels of distress, while age, working full time, and working overtime predicted distress in non-immigrant nurses. A functioning relationship with colleagues and superiors had a declining effect on immigrant nurses’ psychosocial distress, while shift work arrangements benefitted non-immigrant nurses. Even though the extent of psychosocial distress experienced by immigrant and non-immigrant nurses did not significantly differ, the nurse’s individual explanatory model of psychosocial health should be considered in every occupational and political context.

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Worksite Physical Activity Intervention for Ambulatory Clinic Nursing Staff

Cited by 42 publications

References 47 publications

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

Metabolic and cardiovascular consequences of shift work: The role of circadian disruption and sleep disturbances

The Extent of Psychosocial Distress among Immigrant and Non-Immigrant Homecare Nurses—A Comparative cross Sectional Survey

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