Barriers to healthy lifestyle behaviors perceived by nurses working in hospitals

Yıl 2022, Cilt: 5 Sayı: 2, 78 - 87, 16.05.2022

Serap Açıkgöz , Ayşe Beser

https://doi.org/10.53493/avrasyasbd.1028062

Öz

In Turkey, nurses’ health is threatened by risks related to lifestyle as well as risks at the workplace, and they cannot exhibit enough healthy lifestyle behaviors. This study was conducted to determine barriers to healthy lifestyle behaviors perceived by nurses working in hospitals. In this qualitative study, in which five face-to-face focus-group interviews were held, 31 nurses working in a hospital selected by purposive sampling method were interviewed. The data were analyzed using the inductive content analysis technique. Three main themes, namely, work-related barriers (working hard, shift work, and lack of institutional support), individual barriers (lack of knowledge and failure to take care of health), and social barriers (family responsibilities and cultural habits), were identified and described. This study highlighted the barriers to healthy lifestyle behaviors perceived by nurses working in hospitals in Turkey. Deep knowledge of the barriers nurses perceive to initiating and maintaining healthy lifestyle behaviors can guide the development of workplace health promotion programs to reduce risk factors related to nurses' lifestyles.

Anahtar Kelimeler

Focus groups, healthy lifestyle, hospital, nurse.

Destekleyen Kurum

Funding statement: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Teşekkür

Acknowledgment statement: A consultant out of the research team assessed both the research process and whether the findings, interpretations, and results were supported by the data, and confirmed the study results reflecting the raw data. We deeply appreciate to consultant for providing support. We would like to thank observer, all the nurses and hospital managers for their support.

Hastanede çalışan hemşirelerin sağlıklı yaşam biçimi davranışlarına yönelik algıladıkları engeller

Öz

Türkiye’de hemşirelerin sağlığını işyeri risklerinin yanı sıra yaşam biçimiyle ilişkili riskler tehdit etmekte, hemşireler yeterli düzeyde sağlıklı yaşam biçimi davranışlarını sergileyememektedir. Bu çalışmanın amacı, hastanede çalışan hemşirelerin sağlıklı yaşam biçimi davranışlarına yönelik algıladıkları engelleri belirlemektir. Beş odak grup görüşmesi yapılan bu nitel çalışmada, amaçlı örnekleme yöntemiyle seçilmiş hastanede çalışan 31 hemşireyle yüz yüze görüşülmüştür. Veri, tümevarımsal içerik analizi tekniği kullanılarak analiz edilmiştir. İş ile ilgili engeller (yoğun çalışma, nöbetli çalışma ve kurumsal destek eksikliği), bireysel engeller (bilgi eksikliği ve sağlığa özen göstermeme) ve sosyal engeller (ailevi sorumluluklar ve kültürel alışkanlıklar) olarak üç ana tema belirlenmiş ve tanımlanmıştır. Çalışmanın sonuçları, Türkiye'de hastanelerde çalışan hemşirelerin sağlıklı yaşam biçimi davranışlarının önündeki engelleri vurgulamıştır. Hemşirelerin sağlıklı yaşam biçimi davranışlarını başlatma ve sürdürme konusunda algıladıkları engellere dair derin bilgi, hemşirelerin yaşam biçimiyle ilgili risk faktörlerini azaltmak için işyeri sağlığı geliştirme programlarının geliştirilmesine rehberlik edebilir.

Anahtar Kelimeler

Hastane, hemşire, odak grup, sağlıklı yaşam biçimi

Kaynakça

• Artazcoz L, Cortès I, Borrell C, Escribà-Agüir V, Cascant L. (2007). Gender perspective in the analysis of the relationship between longwork hours, health and health-related behavior. Scand J Work Environ Health, 33(5): 344-350.
• Bilazer FN, Konca GE, Uğur S, Uçak H, Erdemir F, Çıtak E. (2008). Working conditions of nurses in Turkey. Odak Ofset Matbaacılık, Ankara (in Turkish).
• Bolsoy N, Sevil Ü. (2006). Health-disease and culture interaction. Journal of Atatürk University School of Nursing, 9(3): 78-87 (in Turkish).
• Bostan N, Beşer A. (2017). Factors affecting the healthy lifestyle behaviors of nurses. HEAD. 14(1): 38-44 (in Turkish).
• Daş Geçim GY, Esin MN. (2019). The analysis of the nutrition levels of a group of nurses over age 45 with the nutrition information system program. HEAD. 16(3): 217-224. doi: 10.5222/HEAD.2019.217 (in Turkish).
• ENWHP. (2018). Workplace health promotion. Access link: https://www.enwhp.org/?i=portal.en.workplace-health-promotion
• Göközkut B, Yüceşahin MM. (2021). A content analysis of working women’s narratives on domestic duties. Kadın/Woman 2000, 21(1): 83-106 (in Turkish).
• Kolbe-Alexander T, Phiri L, Draper C, Lambert E. (2014). Nurses’ lifestyle behaviours, health priorities and barriers to living a healthy lifestyle. Journal of Science and Medicine in Sport, 18 (1): e98. doi: 10.1186/s12912-014-0038-6
• Krueger RA, Casey MA. (2000) Focus groups: a practical guide for applied research, 3rd ed., Sage, USA.
• Lincoln YS, Guba EG. (1985). Naturalistic inquiry. Sage, Beverly Hills.
• Miles MB, Huberman AM. (1994). Qualitative data analysis: an expanded source book. 2nd ed., Sage, USA.
• Özkan Ö, Emiroğlu ON. (2006). Occupational health and safety services for hospital health workers. Journal of Cumhuriyet University School of Nursing, 10(3): 43-51 (in Turkish).
• Özkan Ş, Uydacı M. (2020). Determining nurse workforce requirement based on workload in the public hospitals. SHYD, 7(3): 339-351 (in Turkish).
• Pender NJ, Barkauskas VH, Hayman L, Rice VH, Anderson ET. (1992). Health promotion and disease prevention: toward excellence in nursing practice and education. Nursing Outlook, 40(3): 106-12.
• Pender NJ, Murdaugh CL, Parsons MA. (2006). Health promotion in nursing practice. 5th ed. Pearson Prentice Hall, Upper Saddle River, NJ.
• Phiri LP, Draper CE, Lambert EV, Kolbe-Alexander TL. (2014). Nurses’ lifestyle behaviours, health priorities and barriers to living a healthy lifestyle: a qualitative descriptive study. BMC Nursing, 13(38): 1-11. doi: 10.1186/s12912-014-0038-6
• Reisinho J, Rodrigues R, Fernandes A, Sardinha J, Santos P, Sousa D, Loureiro F, Antunes V. (2021). Literature review on shift work and nurse’s burnout. Annals of Medicine, 53: sup1, S101. doi: 10.1080/07853890.2021.1897458
• Republic of Turkey Ministry of Health. (2007). Nursing law (in Turkish). Access link: http://www.saglik.gov.tr/TR/belge/1-451/tarihi25021954--sayisi6283--rg-tarihi02031954--rg-sayis-.html
• Republic of Turkey Ministry of Health. (2019a). Health statistics yearbook 2019. (in Turkish). Access link: https://dosyasb.saglik.gov.tr/Eklenti/40564,saglik-istatistikleri-yilligi-2019pdf.pdf?0
• Republic of Turkey Ministry of Health. (2019b). Turkey nutrition and health survey. (in Turkish). Access link: https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Yayinlar/kitaplar/TBSA_RAPOR_KITAP_20.08.pdf
• Rotter JB. (1975). Some problems and misconceptions related to the construct of internal versus external control of reinforcement. Journal of Consulting and Clinical Psychology, 43(1): 56-67. doi: 10.1037/h0076301
• Strickland BR. (1978). Internal-external expect ancies and health-related behaviors. Journal of Consulting and Clinical Psychology, 46(6): 1192-1211. doi: 10.1037/0022-006X.46.6.1192
• Tucker SJ, Lanningham-Foster LM, Murphy JN, Thompson WG, Weymiller AJ, Lohse C, Levine JA. (2011). Effects of a worksite physical activity intervention for hospital nurses who are working mothers. AAOHN J, 59(9): 377-386. doi: 10.1177/216507991105900902
• Uncu B, Üstündağ H. (2018). Evaluaion of healthy living behaviors in nursing in surgical clinics. Journal of Health Sciences and Professions, 5(3): 306-315. doi: 10.17681/hsp.392385 (in Turkish).