한국간호교육학회지 (The Journal of Korean Academic Society of Nursing Education)

  • 제30권1호
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  • Pages.39-48
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  • 2024
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  • 1225-9578(pISSN)
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  • 2093-7814(eISSN)
한국간호교육학회 (The Korean Academic Society of Nursing Education)
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코로나19 팬데믹 동안 간호사의 건강행동과 관련 요인

Nurses' healthy behaviors during the COVID-19 pandemic and related factors

  • 투고 : 2023.08.22
  • 심사 : 2023.10.23
  • 발행 : 2024.02.28
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초록

Purpose: This study aimed to examine nurses' healthy behaviors during the coronavirus disease 2019 (COVID-19) pandemic and related factors. Methods: A cross-sectional study was adapted, and data were collected from 300 hospital nurses between August and November 2021. The nurses' characteristics, healthy behaviors, COVID-19 stress levels, health self-efficacy, and nursing professional pride were self-reported using structured questionnaires. Multivariable linear regressions were conducted to identify factors related to nurses' healthy behaviors. Results: Healthy lifestyle was the lowest among the subscales of healthy behaviors. Nurses' healthy behaviors were related to age (B=0.15, p=.021), COVID-19 stress level (B=-0.08, p=.007), nursing professional pride (B=0.19, p<.001), and health self-efficacy (B=0.38, p<.001). Conclusion: To enhance nurses' healthy lifestyles during the pandemic, organizational support is needed, such as ensuring facilities for rest or physical activities accessible from the hospital and supplying healthy food in hospitals. Younger nurses, nurses with high levels of COVID-19 stress, and nurses with lower health self-efficacy may benefit from hospital organizations that provide more support and guidance in promoting health behaviors. Furthermore, hospital organizations should promote professional pride by empowering nurses' efforts and reinforcing their values.

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참고문헌

  1. Jarden RJ, Jarden AJ, Weiland TJ, Taylor G, Brockenshire N, Rutherford M, et al. Nurse wellbeing during the coronavirus (2019) pandemic: A qualitative descriptive study. Collegian. 2021;28(6):709-719. https://doi.org/10.1016/j.colegn.2021.06.002
  2. Hessels AJ, Kelly AM, Chen L, Cohen B, Zachariah P, Larson EL. Impact of infectious exposures and outbreaks on nurse and infection preventionist workload. American Journal of Infection Control. 2019;47(6):623-627. https://doi.org/10.1016/j.ajic.2019.02.007
  3. Oyama Y, Fukahori H. A literature review of factors related to hospital nurses' health-related quality of life. Journal of Nursing Management. 2015;23(5):661-673. https://doi.org/10.1111/jonm.12194
  4. Ortoleva Bucher C, Delmas P, Oulevey Bachmann A, Gilles I. Stressors, self-reported overall health, potential protective factors and the workplace well-being of nurses during the COVID-19 pandemic in Switzerland: A longitudinal mixed-methods study protocol. BMJ Open. 2021;11(12): e057021. https://doi.org/10.1136/bmjopen-2021-057021
  5. Lee SG, Kim B. Factors affecting nurses' health promotion behavior during the COVID-19 pandemic based on the information-motivation-behavioral skills model. Medicina. 2022;58(6):720. https://doi.org/10.3390/medicina58060720
  6. Zeng W, Shang S, Fang Q, He S, Li J, Yao Y. Health promoting lifestyle behaviors and associated predictors among clinical nurses in China: A cross-sectional study. BMC Nursing. 2021;20(1):230. https://doi.org/10.1186/s12912-021-00752-7
  7. Orszulak N, Kubiak K, Kowal A, Czapla M, Uchmanowicz I. Nurses' quality of life and healthy behaviors. International Journal of Environmental Research and Public Health. 2022;19(19):12927. https://doi.org/10.3390/ijerph191912927
  8. Kelly M, Wills J, Sykes S. Do nurses' personal health behaviours impact on their health promotion practice? A systematic review. International Journal of Nursing Studies. 2017;76:62-77. https://doi.org/10.1016/j.ijnurstu.2017.08.008
  9. Priano SM, Hong OS, Chen JL. Lifestyles and health-related outcomes of U.S. hospital nurses: A systematic review. Nursing Outlook. 2018;66(1):66-76. https://doi.org/10.1016/j.outlook.2017.08.013
  10. Perry L, Gallagher R, Duffield C. The health and health behaviours of Australian metropolitan nurses: An exploratory study. BMC Nursing. 2015;14:45. https://doi.org/10.1186/s12912-015-0091-9
  11. Ross A, Yang L, Wehrlen L, Perez A, Farmer N, Bevans M. Nurses and health-promoting self-care: Do we practice what we preach? Journal of Nursing Management. 2019;27(3): 599-608. https://doi.org/10.1111/jonm.12718
  12. Chen R, Sun C, Chen JJ, Jen HJ, Kang XL, Kao CC, et al. A large-scale survey on trauma, burnout, and posttraumatic growth among nurses during the COVID-19 pandemic. International Journal of Mental Health Nursing. 2021;30(1): 102-116. https://doi.org/10.1111/inm.12796
  13. Couper K, Murrells T, Sanders J, Anderson JE, Blake H, Kelly D, et al. The impact of COVID-19 on the wellbeing of the UK nursing and midwifery workforce during the first pandemic wave: A longitudinal survey study. International Journal of Nursing Studies. 2022;127:104155. https://doi.org/10.1016/j.ijnurstu.2021.104155
  14. Sampaio F, Sequeira C, Teixeira L. Impact of COVID-19 outbreak on nurses' mental health: A prospective cohort study. Environmental Research. 2021;194:110620. https://doi.org/10.1016/j.envres.2020.110620
  15. Marko S, Wylie S, Utter J. Enablers and barriers to healthy eating among hospital nurses: A systematic review. International Journal of Nursing Studies. 2023;138:104412. https://doi.org/10.1016/j.ijnurstu.2022.104412
  16. Hong E. Factors affecting nurse's health promoting behavior: Focusing on self-efficacy and emotional labor. Korean Journal of Occupational Health Nursing. 2014;23(3):154-162. https://doi.org/10.5807/kjohn.2014.23.3.154
  17. Perry L, Xu X, Gallagher R, Nicholls R, Sibbritt D, Duffield C. Lifestyle health behaviors of nurses and midwives: The 'fit for the future' study. International Journal of Environmental Research and Public Health. 2018;15(5):945. https://doi.org/10.3390/ijerph15050945
  18. Akkus Y, Karacan Y, Guney R, Kurt B. Experiences of nurses working with COVID-19 patients: A qualitative study. Journal of Clinical Nursing. 2022;31(9-10):1243-1257. https://doi.org/10.1111/jocn.15979
  19. Oh H, Lee NK. A phenomenological study of the lived experience of nurses caring for patients with COVID-19 in Korea. Journal of Korean Academy of Nursing. 2021;51(5): 561-572. https://doi.org/10.4040/jkan.21112
  20. Pender N. Health promotion in nursing practice. 3rd ed. Appleton & Lange; 1996. p. 51-76.
  21. Song SH, Suh SR, Park JM. The effects of self-efficacy and health promoting behaviors on professional quality of life in university hospital nurses. Journal of Health Informatics and Statistics. 2021;46(2):147-153. https://doi.org/10.21032/jhis.2021.46.2.147
  22. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4): 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  23. Kim MY, Choi SO, Kim EH. Development of measuring tool for health promotion behavior of nurses. Journal of the Korea Academia-Industrial cooperation Society. 2021;22(3):138-147. https://doi.org/10.5762/KAIS.2021.22.3.138
  24. Kim E, Park S, Lee Y, Park H. Development and initial validation of the COVID stress scale for Korean people. Korean Journal of Counseling. 2021;22(1):141-163. https://doi.org/10.15703/kjc.22.1.202102.141
  25. Lee J, Hong HG, Park J. Validation study of the Korean Self Rated Abilities for Health Practices: Health Self-Efficacy Measure (K-SRAHP). Stress. 2018;26(3):140-148. https://doi.org/10.17547/kjsr.2018.26.3.140
  26. Becker H, Stuifbergen A, Oh HS, Hall S. Self-rated abilities for health practices: A health self-efficacy measure. Health Values: The Journal of Health Behavior, Education & Promotion. 1993;17(5):42-50.
  27. Jeon JH, Lee EH, Kim EJ. Development of an instrument to assess the nursing professional pride. Journal of Korean Academy of Nursing. 2020;50(2):228-241. https://doi.org/10.4040/jkan.2020.50.2.228
  28. Kim MY. Development measure tool for health promotion behavior of nurses [dissertation]. Busan: Catholic University of Pusan; 2020. p. 1-147.
  29. Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control. 2020;48(6):592-598. https://doi.org/10.1016/j.ajic.2020.03.018
  30. Moore KS, Hemmer CR, Taylor JM, Malcom AR. Nursing professionals' stress level during coronavirus disease 2019: A looming workforce issue. The Journal for Nurse Practitioners. 2021;17(6):702-706. https://doi.org/10.1016/j.nurpra.2021.02.024