BARRIERS AND FACILITATORS TO ENGAGING IN HEALTH PROMOTING BEHAVIORS AMONG NURSES IN AN URBAN SETTING: A MIXED-METHOD STUDY

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dc.contributor.advisorLevine, David M.en_US
dc.contributor.committeeMemberNolan, Marie T.en_US
dc.contributor.committeeMemberHan, Hae-Raen_US
dc.contributor.committeeMemberFagan, Peteren_US
dc.contributor.committeeMemberSylvia, Marthaen_US
dc.creatorLee, Hwayunen_US
dc.date.accessioned2014-12-23T04:40:12Z
dc.date.available2014-12-23T04:40:12Z
dc.date.created2013-12en_US
dc.date.issued2013-11-25en_US
dc.date.submittedDecember 2013en_US
dc.description.abstractABSTRACT The purpose of this study was to assess the prevalence of health-promoting behaviors among nurses and to examine the barriers and facilitators to engaging in health-promoting behaviors. Health-promoting behaviors were defined as 1) having quit smoking or never having smoked; 2) engaging in at least 30 minutes of exercise 5 days a week; 3) consuming at least 5 servings of fruits and vegetables daily; and 4) maintaining their Body Mass Index (BMI) within healthy range. The independent variables, including barriers (work-related stress, shift work), facilitators (social support, hardiness), and other factors (self-efficacy, intention, planning and individual characteristics), were identified from the conceptual framework, Health Action Plan Approach (HAPA), and measured in a survey filled out by 236 bedside nurses (8.7% response rate) at a urban hospital setting. The independent variables were examined in their relationship with the dependent variables listed above and tested by using chi-squares, correlations, and a series of multiple logistical regression analyses. In addition, this study conducted 4 focus groups, where the participants were invited only from the survey participants who agreed to be contacted for further study. With a total N of 14 (12.7% response rate), content analysis was utilized on the transcribed focus group interviews and categories emerged to illustrate nurses’ view on nurses engaging in health promoting behaviors. There were statistically significant positive associations seen with some of the antecedent variables (self-efficacy, planning, social support, hardiness) and health-promoting behaviors. From the focus group interviews, 12 hour shifts and work-related stress are two of the themes that emerged as being barriers to nurses engaging in health-promoting behaviors. From the findings, workplace programs along with social support found at work may be successful in helping nurses lose weight or stop smoking. Future research may explore the concept of hardiness and other possible unique traits that nurses may have as a protective factor to healthy lifestyle.en_US
dc.format.mimetypeapplication/pdfen_US
dc.identifier.urihttp://jhir.library.jhu.edu/handle/1774.2/37079
dc.languageen
dc.publisherJohns Hopkins University
dc.subjectBarriersen_US
dc.subjectFacilitatorsen_US
dc.subjectHealth Promoting Behaviorsen_US
dc.subjectNursesen_US
dc.titleBARRIERS AND FACILITATORS TO ENGAGING IN HEALTH PROMOTING BEHAVIORS AMONG NURSES IN AN URBAN SETTING: A MIXED-METHOD STUDYen_US
dc.typeThesisen_US
dc.type.materialtexten_US
thesis.degree.departmentNursingen_US
thesis.degree.disciplinenot listeden_US
thesis.degree.grantorJohns Hopkins Universityen_US
thesis.degree.grantorSchool of Nursingen_US
thesis.degree.levelDoctoralen_US
thesis.degree.namePh.D.en_US
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