Healthy eating and physical activity among new graduate nurses: A qualitative study of barriers and enablers during their first year of clinical practice |
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| Affiliation: | 1. The University of Sydney Susan Wakil School of Nursing and Midwifery, 88 Mallett Street, Sydney;2. The University of Technology Sydney, 15 Broadway, Ultimo NSW 2007;3. Edith Cowan University, 270 Joondalup Dr, Joondalup WA 6027;4. Sydney Local Health District Level 11, KGV Building Missenden Road, CAMPERDOWN NSW 2050;1. Nursing Department, University Hospital Tor Vergata, Viale Oxford 81, Rome, 00133 Italy;2. Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy;3. Research Unit Nursing Science, Campus Bio-Medico di Roma University, Rome, Italy;4. AC Independent Nursing Consultants, Huddersfield, UK;1. Nursing Practice Development Unit, Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia;2. Cancer and Palliative Care Outcomes Group, School of Nursing, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia;3. Centre for Online Health – Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia;1. School of Nursing, Midwifery & Paramedicine, University of the Sunshine Coast, Australia;2. Faculty of Health and Education, Torrens University Australia |
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| Abstract: | BackgroundNew graduate nurses entering the workforce experience numerous barriers to maintaining a healthy lifestyle including shift work, the high cost of healthy foods at the workplace and high levels of exhaustion which reduce motivation to participate in regular physical activity. Research has documented unhealthy lifestyles among nurses across the profession. However, few studies focus on graduates' experiences during their transition into their careers.AimTo investigate the barriers and enablers to healthy eating and participation in physical activity for new graduate nurses during their first year of clinical practice, and to explore attitudes to participation in workplace health promotion programs.MethodsSemi-structured interviews informed by the socioecological model were conducted with 24 new graduate nurses and analysed using thematic analysis.FindingsFour key themes emerged as barriers to healthy eating and physical activity: time, shift work, work environment, and work culture. Participants indicated a high interest in workplace health promotion programs.DiscussionLimited time and shift work impact on the eating and physical activity behaviours of new graduate nurses which leads to unhealthy snacking to maintain energy, as does high levels of exhaustion, reduced motivation to eat healthy foods, and decreased participation in physical activity. The work culture and environment also influence eating behaviours. Inadequate breaks lead to consumption of foods that are quick to eat but often low in nutrients.ConclusionNew graduate nurses experience the same difficulties in maintaining healthy lifestyles as more experienced nurses. Understanding the barriers which influence their dietary and physical activity behaviours can help inform strategies to improve the health of nurses at a critical time when they enter the nursing workforce. |
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