Monaghan Tina, Dinour Lauren, Liou Doreen, Shefchik Melanie
1 Montclair State University.
Workplace Health Saf. 2018 Jul;66(7):331-342. doi: 10.1177/2165079917737557. Epub 2017 Dec 10.
The purpose of this study was to identify factors influencing hospital nurses' dietary practices during their shifts. Semistructured interviews grounded in the Social Ecological Model focused on individual, interpersonal, organizational, and public policy factors affecting intake. Responses from 20 female nurses were qualitatively coded and categorized based on common themes. Four major themes emerged: occupational characteristics, hesitation to take breaks, influence of unhealthy food, and organizational and industry policies. Of note, nurses' perceived inability to take breaks was due to patient load, unpredictability of patient needs, reluctance to burden other nurses, a tendency to prioritize patient care over self-care, and the repercussions of working longer hours to complete work. Other influential factors included the presence of unhealthy food options, regulations restricting nurses' ability to eat and drink in the workplace, and the need for more staff. Multilevel interventions are necessary to ensure nurses take appropriate meal breaks and maintain satisfactory dietary habits.
本研究的目的是确定影响医院护士轮班期间饮食习惯的因素。基于社会生态模型的半结构化访谈聚焦于影响饮食摄入的个人、人际、组织和公共政策因素。对20名女护士的回答进行了定性编码，并根据共同主题进行了分类。出现了四个主要主题：职业特征、休息犹豫、不健康食品的影响以及组织和行业政策。值得注意的是，护士认为无法休息是由于患者数量、患者需求的不可预测性、不愿给其他护士增加负担、倾向于将患者护理置于自我护理之上以及延长工作时间以完成工作的后果。其他影响因素包括存在不健康的食物选择、限制护士在工作场所饮食能力的规定以及对更多工作人员的需求。需要采取多层次干预措施，以确保护士能适当休息并保持良好的饮食习惯。
