Understanding perceived determinants of nurses’ eating and physical activity behaviour: A theory-informed qualitative interview study

Brian T Power (Corresponding Author), Kirsty Kiezebrink, Julia L Allan, Marion K Campbell

Research output: Contribution to journalArticle

3 Citations (Scopus)
9 Downloads (Pure)

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. The present study used a theoretical framework which summarises the many possible determinants of different health behaviours (the Theoretical Domains Framework; TDF) to systematically explore the most salient determinants of unhealthy eating and physical activity behaviour in hospital-based nurses.

Methods
Semi-structured qualitative interviews based on the TDF were conducted with nurses (n=16) to explore factors that behavioural theories suggest may influence nurses’ eating and physical activity behaviour. Important determinants of the target behaviours were identified using both inductive coding (of categories emerging from the data) and deductive coding (of categories derived from the TDF) of the qualitative data.

Results
Thirteen of the fourteen domains in the TDF were found to influence nurses’ eating and physical activity behaviour. Within these domains, important barriers to engaging in healthy eating and physical activity behaviour were shift work, fatigue, stress, beliefs about negative consequences, the behaviours of family and friends and lack of planning. Important factors reported to enable engagement with healthy eating and physical activity behaviours were beliefs about benefits, the use of self-monitoring strategies, support from work colleagues, confidence, shift work, awareness of useful guidelines and strategies, good mood, future holidays and receiving compliments.

Conclusions
This study used a theory-informed approach by applying the TDF to identify the key perceived determinants of nurses’ eating and physical activity behaviour. The findings suggest that future efforts to change nurses’ eating and physical activity behaviours should consider targeting a broad range of environmental, interpersonal and intrapersonal level factors, consistent with a socio-ecological perspective.
Original languageEnglish
Article number18
JournalBMC Obesity
Volume4
DOIs
Publication statusPublished - 9 May 2017

Keywords

  • healthcare professionals
  • diet
  • exercise
  • barriers
  • enablers
  • theoretical domains framework

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