Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Int J Nurs Pract. 2022 Feb;28(1):e13030. doi: 10.1111/ijn.13030. Epub 2021 Dec 7.
Nursing is a highly stressful occupation where irregular shifts and working overtime lead to unhealthy behaviours. This qualitative systematic review and meta-synthesis aims to examine nurses' barriers in adopting health-promoting behaviours.
Six electronic databases were searched from their respective inception dates to October 2021: EMBASE, Web of Science, PubMed, PsycINFO, CINAHL and ProQuest Dissertations and Theses. The Critical Appraisal Skills Program checklist was used to appraise the quality of included studies. Data synthesis followed Sandelowski's and Barroso's two-step approach.
Fourteen studies were included in this review, and three themes were generated as follows: (1) work environment and workplace culture, (2) nature of the job and (3) intrinsic factors.
This review synthesized available evidence on the barriers nurses experienced while adopting health-promoting behaviours. Health-care institutions should target these factors when providing facilities and services to support nurses in adopting health-promoting behaviours. Policies should focus on workplace health promotion by advocating for healthy lifestyle policies. Future research should be conducted in more multicultural and geographically diverse regions to obtain a more global view of nurses' barriers to adopt health-promoting behaviours.
护理是一项压力很大的职业，不规律的轮班和加班导致不健康的行为。本定性系统评价和荟萃综合旨在探讨护士在采用促进健康行为方面的障碍。
从各数据库建立之初到 2021 年 10 月，对 6 个电子数据库进行了检索：EMBASE、Web of Science、PubMed、PsycINFO、CINAHL 和 ProQuest Dissertations and Theses。采用批判性评估技能计划清单对纳入研究的质量进行评估。数据综合遵循桑德洛斯基和巴罗索的两步法。
本综述共纳入 14 项研究，产生了三个主题：（1）工作环境和工作场所文化，（2）工作性质，（3）内在因素。
本综述综合了有关护士在采用促进健康行为方面所面临障碍的现有证据。医疗机构在提供设施和服务以支持护士采用促进健康行为时，应针对这些因素采取措施。政策应侧重于工作场所健康促进，倡导健康生活方式政策。未来的研究应在更多的多元文化和地域多样化的地区进行，以获得更全面的护士采用促进健康行为的障碍的全球视角。
