Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition, Deakin University, Geelong, Australia.
School of Nursing and Midwifery and Centre for Quality and Patient Safety Research, Deakin University, Geelong, Australia.
J Sports Sci. 2021 Mar;39(6):705-713. doi: 10.1080/02640414.2020.1841921. Epub 2020 Nov 3.
Emergency nursing is a physically demanding occupation yet research suggests they do not meet current physical activity guidelines. Current interventions have had limited effectiveness increasing nurses' physical activity, possibly due to a failure to acknowledge physical activity in another domain (e.g., occupational). This study aimed to determine the bidirectional associations between emergency nurses' occupational and leisure time activity levels on work days. Data from 49 emergency nurses (44 females and five males) wearing an ActiGraph accelerometer and completing work and sleep diaries for up to four weeks were analysed. An activPAL inclinometer was simultaneously worn by 41 nurses. Time spent in different activity levels and postural positions during work and leisure time were determined. Multi-level analyses examined bidirectional associations between emergency nurses' activity levels at work and during their leisure time. Moderate- to vigorous-intensity physical activity prior to a morning shift was associated with more sedentary time and less physical activity at work. Conversely, occupational stepping time was associated with more sitting, standing and stepping time after each shift. These findings provide critical insights into how and when researchers should intervene to facilitate adequate recovery for nurses' post-shift and balance competing demands on their leisure time.
急诊护理是一项体力要求很高的职业，但研究表明，他们不符合当前的体育活动指南。目前的干预措施对增加护士的体育活动效果有限，这可能是由于未能承认（例如，职业）另一领域的体力活动。本研究旨在确定急诊护士工作日的职业和休闲时间活动水平之间的双向关联。对佩戴 ActiGraph 加速度计并完成长达四周的工作和睡眠日记的 49 名急诊护士（44 名女性和 5 名男性）的数据进行了分析。同时，有 41 名护士佩戴了 activPAL 测斜仪。确定了工作和休闲时间内不同活动水平和姿势位置的时间。多水平分析检验了急诊护士工作和休闲时间活动水平之间的双向关联。上午班之前的中等到剧烈强度的体力活动与工作时更多的久坐时间和更少的体力活动有关。相反，职业踏步时间与每次轮班后更多的坐、站和踏步时间有关。这些发现为研究人员如何以及何时进行干预以促进护士轮班后的充分恢复以及平衡休闲时间的竞争需求提供了重要的见解。
