Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

Dietary behavior and its influencing factors among experienced shiftwork nurses: a secondary analysis

교대근무 경력 간호사의 식행동과 영향요인 분석: 2차자료 분석

  • Soyeon, Kim (College of Nursing, Seoul National University) ;
  • Jison, Ki (Research Institute of Nursing Science, Seoul National University) ;
  • Ji Yun, Choi (Department of Nursing, Seoul National University Hospital) ;
  • Woan Heui, Choi (Department of Nursing, Seoul National University Hospital) ;
  • Smi, Choi-Kwon (College of Nursing, Seoul National University)
  • Received : 2022.09.20
  • Accepted : 2023.02.21
  • Published : 2023.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study investigated the dietary behavior of experienced shiftwork nurses and aimed to identify factors related to dietary behavior. Methods: This study was a secondary analysis based on the Shift Work Nurses' Health and Turnover study (2018-2021) among Korean nurses. In total, 247 experienced (>12 months) shiftwork nurses were included in this study. The participants' dietary behavior, depression, level of occupational stress, fatigue, physical activity, and general characteristics were measured. Descriptive statistics, Pearson correlation coefficients, independent t-test, one-way analysis of variance, the Kruskal-Wallis test, and multiple regression analysis were conducted. Results: The dietary behavior score of the participants using the Mini-Dietary Assessment Index was 29.35±5.67. Thirty percent of the participants were depressed, the participants experienced moderate occupational stress, and 74.1% of the participants engaged in an inadequate amount of physical activity. The factors influencing shiftwork nurses' dietary behavior were having child(ren) (β=.16, p=.027), depression (β=-.13, p=.032), level of occupational stress related to occupational climate (β=-.13, p=.035), and an inadequate amount of physical activity (β=-.17, p=.006). These factors explained 10.4% of the variance in experienced shiftwork nurses' dietary behavior scores. Conclusion: Experienced nurses with child(ren) tended to have healthier diets. However, a higher level of occupational stress related to occupational climate, depression, and engaging in an inadequate amount of physical activity were associated with a higher risk of having an unhealthy diet. Therefore, strategies are needed to encourage physical activity and alleviate adverse occupational climate and depression among experienced nurses.

Keywords

References

  1. Barebring L, Palmqvist M, Winkvist A, Augustin H. Gender differences in perceived food healthiness and food avoidance in a Swedish population-based survey: a cross sectional study. Nutr J. 2020;19(1):140. https://doi.org/10.1186/s12937-020-00659-0
  2. Jung K. The top 15 jobs for women and men. KLSI Issue Paper. 2018;2018(6):1-30.
  3. Kim S, Choi-Kwon S, Ki J, Ryu JG, Baek J, Kim K. Changes in dietary behavior of shift work nurses: a longitudinal study. J Korean Acad Nurs Admin. 2022;28(5):596-604. https://doi.org/10.11111/jkana.2022.28.5.596
  4. Ross A, Touchton-Leonard K, Perez A, Wehrlen L, Kazmi N, Gibbons S. Factors that influence health-promoting self-care in registered nurses: barriers and facilitators. ANS Adv Nurs Sci. 2019;42(4):358-373. https://doi.org/10.1097/ANS.0000000000000274
  5. Ndanuko RN, Tapsell LC, Charlton KE, Neale EP, Batterham MJ. Dietary patterns and blood pressure in adults: a systematic review and meta-analysis of randomized controlled trials. Adv Nutr. 2016;7(1):76-89. https://doi.org/10.3945/an.115.009753
  6. Kudo A, Asahi K, Satoh H, Iseki K, Moriyama T, Yamagata K, et al. Fast eating is a strong risk factor for new-onset diabetes among the Japanese general population. Sci Rep. 2019;9(1):8210. https://doi.org/10.1038/s41598-019-44477-9
  7. Bail J, Meneses K, Demark-Wahnefried W. Nutritional status and diet in cancer prevention. Semin Oncol Nurs. 2016; 32(3):206-214. https://doi.org/10.1016/j.soncn.2016.05.004
  8. Taylor AM, Holscher HD. A review of dietary and microbial connections to depression, anxiety, and stress. Nutr Neurosci. 2020;23(3):237-250. https://doi.org/10.1080/1028415X.2018.1493808
  9. Park SY, You JS, Chang KJ. Relationship among self-reported fatigue, dietary taurine intake, and dietary habits in Korean college students. Adv Exp Med Biol. 2013;776:259-265. https://doi.org/10.1007/978-1-4614-6093-0_24
  10. Ki J, Ryu J, Baek J, Huh I, Choi-Kwon S. Association between health problems and turnover intention in shift work nurses: health problem clustering. Int J Environ Res Public Health. 2020;17(12):4532. https://doi.org/10.3390/ijerph17124532
  11. Loft MI, Jensen CS. What makes experienced nurses stay in their position? A qualitative interview study. J Nurs Manag. 2020;28(6):1305-1316. https://doi.org/10.1111/jonm.13082
  12. Hill KS. Improving quality and patient safety by retaining nursing expertise. Online J Issues Nurs. 2010;15(3):1-9. https://doi.org/10.3912/OJIN.Vol15No03PPT03
  13. Yu M, Choi-Kwon S. Secondary data analysis on the quality of sleep and related factors of novice and experienced shift work nurses. J Korean Acad Nurs. 2020;50(5):646-657. https://doi.org/10.4040/jkan.19238
  14. Lee S, Kang M, Kwon S, Song K, Lee J, Choi J, et al. A study on job stress between experienced versus new nurse. ChungAng J Nurs. 2002;6(1):89-99.
  15. Kim JH, Hyun MY, Kim SY. Job stress, depression, social support, and coping strategies of clinical nurses. Korean J Occup Health Nurs. 2009;18(2):219-231.
  16. Hemio K, Lindstrom J, Peltonen M, Harma M, Viitasalo K, Puttonen S. The association of work stress and night work with nutrient intake - a prospective cohort study. Scand J Work Environ Health. 2020;46(5):533-541. https://doi.org/10.5271/sjweh.3899
  17. Reed JL, Prince SA. Women's heart health: a focus on nurses' physical activity and sedentary behaviour. Curr Opin Cardiol. 2018;33(5):514-520. https://doi.org/10.1097/HCO.0000000000000545
  18. Han JY, Lee NY. Making the decision to enter graduate school among hospital nurses. J Learn Cent Curric Instr. 2016;16(8):109-122.
  19. Kim HN, Kim JS. Work-family compatibility experience of married nurse: focusing on the expanding stage of the family life cycle. J Korea Acad-Ind Coop Soc. 2016;17(2):545-559. https://doi.org/10.5762/KAIS.2016.17.2.545
  20. Werneck AO, Silva DR, Malta DC, Gomes CS, Souza-Junior PR, Azevedo LO, et al. Associations of sedentary behaviours and incidence of unhealthy diet during the COVID-19 quarantine in Brazil. Public Health Nutr. 2021;24(3):422-426. https://doi.org/10.1017/S1368980020004188
  21. Beaulieu K, Oustric P, Finlayson G. The impact of physical activity on food reward: review and conceptual synthesis of evidence from observational, acute, and chronic exercise training studies. Curr Obes Rep. 2020;9(2):63-80. https://doi.org/10.1007/s13679-020-00372-3
  22. Peplonska B, Nowak P, Trafalska E. The association between night shift work and nutrition patterns among nurses: a literature review. Med Pr. 2019;70(3):363-376. https://doi.org/10.13075/mp.5893.00816
  23. Jang K. A study on establishment of clinical career development model of nurses [dissertation]. Seoul: Yonsei University; 2000. 212 p.
  24. Kang H, Yeon K, Han ST. A review on the use of effect size in nursing research. J Korean Acad Nurs. 2015;45(5):641-649. https://doi.org/10.4040/jkan.2015.45.5.641
  25. Kim HY, Cho MS, Lee HS. Development and validation of mini dietary assessment index for Koreans. J Nutr Health. 2003;36(1):83-92.
  26. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385-401. https://doi.org/10.1177/014662167700100306
  27. Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D (Center for Epidemiological Studies Depression) depression symptoms index. J Aging Health. 1993;5(2):179-193. https://doi.org/10.1177/089826439300500202
  28. Shin SY. Validity study of short forms of the Korean version Center for Epidemiologic Studies Depression Scale (CES-D) [master's thesis]. Seoul: Seoul National University; 2011. 48 p.
  29. Chang SJ. Reevaluation of the KOSS based on the items and structure. J Korean Soc Occup Stress. 2007;1(1):83-96.
  30. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med. 2005;17(4):297-317. https://doi.org/10.35371/kjoem.2005.17.4.297
  31. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989;46(10):1121-1123. https://doi.org/10.1001/archneur.1989.00520460115022
  32. Chung KI, Song CH. Clinical usefulness of fatigue severity scale for patients with fatigue, and anxiety or depression. Korean J Psychosom Med. 2001;9(2):164-173.
  33. World Health Organization (WHO). Global Physical Activity Questionnaire (GPAQ) analysis guide [Internet]. Geneva: WHO; 2002 [cited 2022 Aug 12]. 23 p. Available from: https://cdn.who.int/media/docs/default-source/ncds/ncdsurveillance/gpaq-analysis-guide.pdf?sfvrsn=1e83d571_
  34. Lee C. Reliability and validity of the Global Physical Activity Questionnaire of Korean Version [master's thesis]. Seoul: Yonsei University; 2014. 81 p.
  35. World Health Organization (WHO). Physical activity [Internet]. Geneva: WHO; 2022 [cited 2023 Jan 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/physical-activity
  36. Johns G. Presenteeism in the workplace: a review and research agenda. J Organ Behav. 2010;31(4):519-542. https://doi.org/10.1002/job.630
  37. Jung IK. A study on the nutrient intakes and factors related to dietary behavior of women by age groups in Incheon. Korean J Community Nutr. 2005;10(1):46-58.
  38. Kim J. Effects of job stress on health promotion behaviors among hospital employees [master's thesis]. Gimhae: Inje University; 2002. 82 p.
  39. Han K, Choi-Kwon S, Kim KS. Poor dietary behaviors among hospital nurses in Seoul, South Korea. Appl Nurs Res. 2016;30:38-44. https://doi.org/10.1016/j.apnr.2015.10.009
  40. Bae SH, Hwang SW, Lee G. Work hours, overtime, and break time of registered nurses working in medium-sized korean hospitals. Workplace Health Saf. 2018;66(12):588-596. https://doi.org/10.1177/2165079918769683
  41. Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior: conception to adolescence. J Law Med Ethics. 2007;35(1):22-34. https://doi.org/10.1111/j.1748-720X.2007.00111.x
  42. Gajda R. The level of physical activity and somatic indicators in relation to the diet quality of students studying in faculties in the discipline of health sciences. Rocz Panstw Zakl Hig. 2020;71(1):105-111. https://doi.org/10.32394/rpzh.2020.0105
  43. Lounassalo I, Hirvensalo M, Kankaanpaa A, Tolvanen A, Palomaki S, Salin K, et al. Associations of leisure-time physical activity trajectories with fruit and vegetable consumption from childhood to adulthood: the Cardiovascular Risk in Young Finns Study. Int J Environ Res Public Health. 2019;16(22):4437. https://doi.org/10.3390/ijerph16224437
  44. Monfort-Pires M, Salvador EP, Folchetti LD, Siqueira-Catania A, Barros CR, Ferreira SR. Diet quality is associated with leisure-time physical activity in individuals at cardiometabolic risk. J Am Coll Nutr. 2014;33(4):297-305. https://doi.org/10.1080/07315724.2013.874928
  45. da Silva JA, da Silva KS, Matias TS, Leal DB, de Oliveira ESA, Nahas MV. Food consumption and its association with leisure-time physical activity and active commuting in Brazilian workers. Eur J Clin Nutr. 2020;74(2):314-321. https://doi.org/10.1038/s41430-019-0454-5
  46. Kim MY, Choi SO, Yoon J. The effects of nurses' fatigue and perceived health status on health promoting behavior. J Korean Data Anal Soc. 2018;20(5):2665-2677. https://doi.org/10.37727/jkdas.2018.20.5.2665
  47. Kim MS, Yoon SY. Effects of eating habits and self-efficacy on nursing students' health promotion behaviors: in convergence era. J Converg Inf Technol. 2017;7(2):111-117. https://doi.org/ 10.22156/CS4SMB.2017.7.2.111
  48. Anjum A, Ming X, Siddiqi AF, Rasool SF. An empirical study analyzing job productivity in toxic workplace environments. Int J Environ Res Public Health. 2018;15(5):1035. https://doi.org/10.3390/ijerph15051035
  49. Choi SH, Lee H. Associations of mindful eating with dietary intake pattern, occupational stress, and mental well-being among clinical nurses. Perspect Psychiatr Care. 2020;56(2):355-362. https://doi.org/10.1111/ppc.12441
  50. Siddiqui A, Jia H, He Y, Li Y, Zhen S, Chiang S, et al. Correlation of Job stress and self-control through various dimensions in Beijing Hospital staff. J Affect Disord. 2021;294:916-923. https://doi.org/10.1016/j.jad.2021.07.094
  51. Park S, Sung E. 'You gotta have something to chew on': perceptions of stress-induced eating and weight gain among office workers in South Korea. Public Health Nutr. 2021;24(3):499-511. https://doi.org/10.1017/S1368980020000890
  52. Li Y, Lv MR, Wei YJ, et al. Dietary patterns and depression risk: a meta-analysis. Psychiatry Res. 2017;253:373-382. https://doi.org/10.1016/j.psychres.2017.04.020
  53. Stanton R, Best T, Williams S, Vandelanotte C, Irwin C, Heidke P, et al. Associations between health behaviors and mental health in Australian nursing students. Nurse Educ Pract. 2021;53:103084. https://doi.org/10.1016/j.nepr.2021.103084
  54. Hwang JY, Kim Y, Lee HS, Park E, Kim J, Shin S, et al. The development of resources for the application of 2020 Dietary Reference Intakes for Koreans. J Nutr Health. 2022;55(1):21-35. https://doi.org/10.4163/jnh.2022.55.1.21
  55. Corfield EC, Martin NG, Nyholt DR. Co-occurrence and symptomatology of fatigue and depression. Compr Psychiatry. 2016;71:1-10. https://doi.org/10.1016/j.comppsych.2016.08.004
  56. Gifkins J, Johnston A, Loudoun R. The impact of shift work on eating patterns and self-care strategies utilised by experienced and inexperienced nurses. Chronobiol Int. 2018;35(6):811-820. https://doi.org/10.1080/07420528.2018.1466790
  57. Strahler J, Nater UM. Differential effects of eating and drinking on wellbeing-an ecological ambulatory assessment study. Biol Psychol. 2018;131:72-88. https://doi.org/10.1016/j.biopsycho.2017.01.008
  58. Marangoni F, Martini D, Scaglioni S, Sculati M, Donini LM, Leonardi F, et al. Snacking in nutrition and health. Int J Food Sci Nutr. 2019;70(8):909-923. https://doi.org/10.1080/09637486.2019.1595543
  59. Sleddens EF, Kroeze W, Kohl LF, Bolten LM, Velema E, Kaspers P, et al. Correlates of dietary behavior in adults: an umbrella review. Nutr Rev. 2015;73(8):477-499. https://doi.org/10.1093/nutrit/nuv007
  60. Yoon SH. Occupational stress and depression in clinical nurses: using Korean occupational stress scales. J Korean Acad Nurs Admin. 2009;15(3):463-470.