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

1 Citation (Scopus)
8 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

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Eating
Nurses
Interviews
Exercise
Holidays
Health Behavior
Fatigue
Guidelines
Population

Keywords

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

Cite this

@article{b3ca9a44aa984ac09d08b80d816b7964,
title = "Understanding perceived determinants of nurses’ eating and physical activity behaviour: A theory-informed qualitative interview study",
abstract = "BackgroundUnhealthy 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. MethodsSemi-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. ResultsThirteen 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.ConclusionsThis 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.",
keywords = "healthcare professionals, diet , exercise, barriers, enablers, theoretical domains framework",
author = "Power, {Brian T} and Kirsty Kiezebrink and Allan, {Julia L} and Campbell, {Marion K}",
note = "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 Health Services Research Unit is funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates. The views expressed are those of the authors alone. Funding This work was funded through a Medical Research Council doctoral training award.",
year = "2017",
month = "5",
day = "9",
doi = "10.1186/s40608-017-0154-4",
language = "English",
volume = "4",
journal = "BMC Obesity",
issn = "2052-9538",
publisher = "BioMed Central",

}

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T1 - Understanding perceived determinants of nurses’ eating and physical activity behaviour

T2 - A theory-informed qualitative interview study

AU - Power, Brian T

AU - Kiezebrink, Kirsty

AU - Allan, Julia L

AU - Campbell, Marion K

N1 - 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 Health Services Research Unit is funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates. The views expressed are those of the authors alone. Funding This work was funded through a Medical Research Council doctoral training award.

PY - 2017/5/9

Y1 - 2017/5/9

N2 - BackgroundUnhealthy 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. MethodsSemi-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. ResultsThirteen 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.ConclusionsThis 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.

AB - BackgroundUnhealthy 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. MethodsSemi-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. ResultsThirteen 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.ConclusionsThis 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.

KW - healthcare professionals

KW - diet

KW - exercise

KW - barriers

KW - enablers

KW - theoretical domains framework

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DO - 10.1186/s40608-017-0154-4

M3 - Article

VL - 4

JO - BMC Obesity

JF - BMC Obesity

SN - 2052-9538

M1 - 18

ER -