Section of Medical Ethics, Department of General Practice, Amsterdam UMC, University of Amsterdam, Meibergdreef 15, 1105 AZ, Amsterdam, the Netherlands.
Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 4LA, UK.
Nurse Educ Pract. 2020 Oct;48:102860. doi: 10.1016/j.nepr.2020.102860. Epub 2020 Aug 16.
Developing strategies to support student nurses' health is a global priority for healthcare organisations and governments. This is because emerging international evidence indicates that improvements in student nurses' health are required to increase the longevity of careers and reduce the loss of time, skill and financial cost of sickness absence and workforce exit. However, we do not know what intervention strategies student nurses think would support their health. The study aim was to explore student nurses' views on factors that influence health-related behaviours and strategies that could improve health. Data were collected through participatory activities during focus groups with student nurses in Scotland. Analysis was theoretically informed and involved mapping to the Behaviour Change Wheel framework. Students identified several factors that influenced health-related behaviours. Four were ranked most important: knowledge, culture, time constraints, and stress. Strategies student nurses thought should be prioritised to improve nurses' health-related behaviours were: stimulating a health-promoting environment by reviewing shift work, improving workplace support, increasing staffing levels, subsidising and role-modelling of healthy food and exercise; and creating applied health-promoting curricula by integrating time and stress management training and lifestyle advice into nursing education. Educational and environmental interventions are needed to support student nurses' health.
制定支持护生健康的策略是医疗保健组织和政府的全球优先事项。这是因为新兴的国际证据表明，需要改善护生的健康状况，以延长职业生涯的寿命，减少因疾病缺勤和劳动力流失而造成的时间、技能和财务成本损失。然而，我们不知道护生认为哪些干预策略会支持他们的健康。本研究旨在探讨护生对影响健康相关行为的因素以及可以改善健康的策略的看法。研究数据是通过在苏格兰与护生进行焦点小组参与式活动收集的。分析在理论上得到了启发，并涉及到行为改变车轮框架的映射。学生们确定了几个影响健康相关行为的因素。其中四个被认为是最重要的：知识、文化、时间限制和压力。护生认为应该优先考虑的改善护士健康相关行为的策略包括：通过审查轮班工作、改善工作场所支持、增加人员配备水平、补贴和健康食品和锻炼的榜样作用，来激发促进健康的环境；以及通过将时间和压力管理培训以及生活方式建议纳入护理教育，创建应用健康促进课程。需要教育和环境干预措施来支持护生的健康。
