Balancing barriers and strategies - Nurses' experiences of conducting lifestyle counseling.

IF 1.7 4区 医学 Q2 NURSING Public Health Nursing Pub Date : 2024-09-09 DOI:10.1111/phn.13417
Lina Behm, Maja Brånhage, Sofie Jönsson, Marie Rask
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Abstract

Objectives: Over 70% of the disease burden in Europe is the result of chronic diseases caused by lifestyle. Lifestyle counseling can improve lifestyle habits and thereby health. However, according to research, there are several barriers to healthcare personnel carrying out counseling. The aim of this study was to explore nurses' experiences of conducting lifestyle counseling.

Design: A qualitative descriptive study was conducted in southern Sweden between August 2021 and December 2021.

Sample: Eleven nurses were recruited from both inpatient and outpatient care in northeastern Sweden through a combination of purposive and snowball sampling.

Measurements: Individual semistructured interviews were performed digitally using an interview guide. The interviews were analyzed via qualitative content analysis.

Results: The nurses experienced several challenges in performing lifestyle counseling. However, knowledge gaps, sensitive topics, organizational dynamics, and time constraints were balanced using strategies. The theme of their responses can be explained by the following categories: "Collaboration with patients is key," "From self-interest to teamwork," and "The organization can assist or hinder."

Conclusions: Lifestyle counseling needs to be prioritized within healthcare. Nurses need tools and knowledge to be able to feel comfortable with the task. All healthcare organizations need to work with lifestyle counseling in a structured way according to national guidelines.

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平衡障碍与策略--护士开展生活方式咨询的经验。
目标:在欧洲,超过 70% 的疾病负担是由生活方式引起的慢性病造成的。生活方式咨询可以改善生活习惯,从而提高健康水平。然而,根据研究,医护人员在开展咨询时存在一些障碍。本研究旨在探讨护士开展生活方式咨询的经验:设计:2021 年 8 月至 2021 年 12 月期间,在瑞典南部开展了一项定性描述性研究:通过目的取样和滚雪球取样相结合的方法,从瑞典东北部的住院和门诊护理中招募了 11 名护士:使用访谈指南以数字方式进行个人半结构式访谈。通过定性内容分析对访谈进行分析:护士在进行生活方式咨询时遇到了一些挑战。然而,知识差距、敏感话题、组织动态和时间限制等问题通过策略得到了平衡。她们回答的主题可以用以下几类来解释:"与患者合作是关键"、"从自我利益到团队合作 "和 "组织可以协助或阻碍":生活方式咨询需要在医疗保健中得到优先考虑。护士需要工具和知识,以便能够从容应对这项任务。所有医疗机构都需要根据国家指导方针,有条不紊地开展生活方式咨询工作。
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来源期刊
Public Health Nursing
Public Health Nursing 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.50
自引率
4.80%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.
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