Abstract
BackgroundNurses play a core role and encompass the main workforce in health care systems. Their role model of health promoting lifestyle behaviors (HPLB) would directly or indirectly affect their clients’ beliefs or attitudes of health promotion. There is limited evidence on HPLB in clinical registered nurses. The current study aimed to explore the HPLB and associated influencing factors among clinical registered nurses in China.MethodsA multi-center cross-sectional anonymous online survey was conducted in 2020. Participants were asked to complete social demographic information as well as the revised Chinese edition of Health Promoting Lifestyle Profile (HPLP). Independent-Sample T-Test, One-Way ANOVA, and categorical regression (optimal scaling regression) were the main methods to analyze the relationship between demographic data and the score of HPLB.Results19,422 nurses were included in the study. The mean score of self-actualization, health responsibility/physical activity, nutrition, job safety, interpersonal support, and overall Health Promoting Lifestyle Profile were, 27.61(5.42) out of a score of 36, 22.71(7.77) out of a score of 44, 10.43(2.97) out of a score of 16, 22.05(3.97) out of a score of 28, 20.19(4.67) out of a score of 28, and 102.99 (19.93) out of a score of 144, respectively. There was a significant relationship among Hospital levels, working years, nightshift status, and monthly income per person, and mean score of all subscales and the overall HPLP (P < 0.05).ConclusionsNurses who participated in the study presented a moderate level of health promoting lifestyle behaviors. Hospital levels, working years, nightshift status, and monthly income per person were predictors for all subscales and overall HPLP.
Highlights
Nurses play a core role and encompass the main workforce in health care systems
Regarding nurses’ age, we found that participants who aged more than 45 got a higher mean score of all 5 subscales and the overall Health Promoting Lifestyle Profile (HPLP) than other age groups in the study
It was observed that gender, highest education level, hospital level, working years, nightshift status, number of children, and monthly income per person were included in the predicting equation of average score of self-actualization, and the equation was significant (Adjust R2 = 0.023, P < 0.001)
Summary
Nurses play a core role and encompass the main workforce in health care systems. Their role model of health promoting lifestyle behaviors (HPLB) would directly or indirectly affect their clients’ beliefs or attitudes of health promotion. More empirical evidence suggests that it is much more important to take individuals’ capacity to promote their health into consideration rather than to treat disease [1]. The rapidly growing evidence indicates that individuals could take measures to promote their health and well-being [2]. Promotion (HP) is one of the core determinants and strategies for individuals to facilitate and maintain their health [3], and it has become of global importance [4]. HPLB, which is one of the key concepts in the nursing field [6], is defined as individuals’ actions and beliefs on multiple levels of HP including self-
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