York City Football Club, York YO32 9AF, UK.
School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds LS2 9JT, UK.
Int J Environ Res Public Health. 2023 Nov 27;20(23):7113. doi: 10.3390/ijerph20237113.
There are a multitude of health benefits gained from regular physical activity (PA). Currently, PA advice implementation from NHS nurses is inadequate despite their ever-increasing role in lifestyle and preventive medicine. By assessing their knowledge of current PA guidance, this study proposed to investigate the issues with regular PA advice being given and expand upon nurses' proposed barriers and solutions. A qualitative approach using semi structured interviews was undertaken between March and August 2023 involving 13 NHS nurses. Thematic analysis was undertaken using Braun and Clarke's six step approach. Four themes and fifteen subthemes emerged as barriers and solutions in delivering PA advice. Intrinsic barriers included a lack of nurse knowledge on the topic and PA being seen as an afterthought. Extrinsic barriers included time pressures and a lack of staff engagement. Solutions involved increasing staff awareness of guidelines through teaching, policy, encouraging staff to be active and optimising PA advice delivery through a piecemeal approach and utilising online and visual resources. This study displayed an insight into nurses' thoughts on their consultations with patients regarding PA, and proposed several barriers and solutions. Further work is needed to improve nurses' PA knowledge and to assess the proposed strategies to improve its delivery.
定期进行身体活动（PA）会带来诸多健康益处。尽管 NHS 护士在生活方式和预防医学方面的作用日益增强，但他们提供的 PA 建议实施情况仍不理想。本研究通过评估他们对当前 PA 指导的了解，旨在调查定期 PA 建议实施过程中存在的问题，并进一步探讨护士提出的障碍和解决方案。本研究采用半结构式访谈的定性方法，于 2023 年 3 月至 8 月期间对 13 名 NHS 护士进行了访谈。采用 Braun 和 Clarke 的六步主题分析法对访谈内容进行了主题分析。研究结果共提出了四个主题和十五个子主题，作为提供 PA 建议的障碍和解决方案。内在障碍包括护士对该主题缺乏了解以及将 PA 视为事后想法。外在障碍包括时间压力和员工参与度低。解决方案包括通过教学、政策提高员工对指南的认识，鼓励员工积极参与，并通过分阶段的方法优化 PA 建议的提供，同时利用在线和视觉资源。本研究深入了解了护士对患者 PA 咨询的想法，并提出了一些障碍和解决方案。还需要进一步的工作来提高护士的 PA 知识，并评估所提出的改善其实施的策略。
