IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2019i1p17-d299295.html
   My bibliography  Save this article

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

Author

Listed:
  • Natalia Stanulewicz

    (School of Applied Social Sciences, De Montfort University, Leicester LE1 9BH, UK)

  • Emily Knox

    (Infant Nutrition and Metabolism, University of Granada, 52005 Granada, Spain)

  • Melanie Narayanasamy

    (School of Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK)

  • Noureen Shivji

    (School of Primary, Community and Social Care, Keele University, Staffordshire ST5 5BG, UK)

  • Kamlesh Khunti

    (Diabetes Research Centre, University of Leicester, Leicester LE1 7RH, UK)

  • Holly Blake

    (School of Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK
    NIHR Nottingham Biomedical Research Centre, Nottingham, NG7 2UH, UK)

Abstract

Background: Prior research has investigated various strategies to improve health, wellbeing and the job-related outcomes of nurses. However, the scope of this evidence is not clear and the types of intervention most likely to have positive outcomes are unknown. Objective: To provide an overview and synthesis of the effectiveness of interventions conducted with the goal of improving health, wellbeing and the job-related outcomes of nurses. Methods: A systematic database search was conducted from January 2000 to December 2018, with pre-defined criteria (Cochrane Central Register of Controlled Trials; MEDLINE and PubMed; EMBASE; CINAHL; PsycINFO; and BioMed Central). In total, 136 intervention studies with a total sample of 16,129 participants (range 9–3381) were included and evaluated. Data extraction, quality assessment and risk of bias analyses were performed. Results: Studies included randomised controlled trials (RCTs; n = 52, 38%), randomised crossover design studies (n = 2, 1.5%) and non-randomised pre-post studies with a control group (n = 31, 23%) and without a control group (n = 51, 37.5%). The majority of interventions focused on education, physical activity, mindfulness, or relaxation. Thirty-seven (27%) studies had a multimodal intervention approach. On average, studies had relatively small samples (median = 61; mode = 30) and were conducted predominantly in North America (USA/Canada, n = 53). The findings were mixed overall, with some studies reporting benefits and others finding no effects. Dietary habits was the most successfully improved outcome (8/9), followed by indices of body composition (20/24), physical activity (PA) (11/14), and stress (49/66), with >70% of relevant studies in each of these categories reporting improvements. The lowest success rate was for work-related outcomes (16/32). Separate analysis of RCTs indicated that interventions that focus solely on education might be less likely to result in positive outcomes than interventions targeting behavioural change. Conclusions: Interventions targeting diet, body composition, PA, or stress are most likely to have positive outcomes for nurses’ health and/or wellbeing. The methodologically strongest evidence (RCTs) is available for body composition and stress. Interventions relying solely on educational approaches are least likely to be effective. Organisational outcomes appear to be more challenging to change with lifestyle intervention, likely requiring more complex solutions including changes to the work environment. There is a need for more high-quality evidence since many studies had moderate or high risk of bias and low reporting quality.

Suggested Citation

  • Natalia Stanulewicz & Emily Knox & Melanie Narayanasamy & Noureen Shivji & Kamlesh Khunti & Holly Blake, 2019. "Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review," IJERPH, MDPI, vol. 17(1), pages 1-36, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:17-:d:299295
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/1/17/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/1/17/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jeffery Bray & Nick Johns & David Kilburn, 2011. "An Exploratory Study into the Factors Impeding Ethical Consumption," Journal of Business Ethics, Springer, vol. 98(4), pages 597-608, February.
    2. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    3. Martin C Delaney, 2018. "Caring for the caregivers: Evaluation of the effect of an eight-week pilot mindful self-compassion (MSC) training program on nurses’ compassion fatigue and resilience," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-20, November.
    4. Emilia I. De la Fuente-Solana & Nora Suleiman-Martos & Laura Pradas-Hernández & Jose L. Gomez-Urquiza & Guillermo A. Cañadas-De la Fuente & Luis Albendín-García, 2019. "Prevalence, Related Factors, and Levels of Burnout Syndrome Among Nurses Working in Gynecology and Obstetrics Services: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 16(14), pages 1-16, July.
    5. Ronghua Fang & Xia Li, 2015. "A regular yoga intervention for staff nurse sleep quality and work stress: a randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3374-3379, December.
    6. Michal Carrington & Benjamin Neville & Gregory Whitwell, 2010. "Why Ethical Consumers Don’t Walk Their Talk: Towards a Framework for Understanding the Gap Between the Ethical Purchase Intentions and Actual Buying Behaviour of Ethically Minded Consumers," Journal of Business Ethics, Springer, vol. 97(1), pages 139-158, November.
    7. Natasha Khamisa & Brian Oldenburg & Karl Peltzer & Dragan Ilic, 2015. "Work Related Stress, Burnout, Job Satisfaction and General Health of Nurses," IJERPH, MDPI, vol. 12(1), pages 1-15, January.
    8. Timothy R. Jordan & Jagdish Khubchandani & Michael Wiblishauser, 2016. "The Impact of Perceived Stress and Coping Adequacy on the Health of Nurses: A Pilot Investigation," Nursing Research and Practice, Hindawi, vol. 2016, pages 1-11, November.
    9. Simona Karpavičiūtė & Jūratė Macijauskienė, 2016. "The Impact of Arts Activity on Nursing Staff Well-Being: An Intervention in the Workplace," IJERPH, MDPI, vol. 13(4), pages 1-17, April.
    10. Des Jarlais, D.C. & Lyles, C. & Crepaz, N., 2004. "Improving the Reporting Quality of Nonrandomized Evaluations of Behavioral and Public Health Interventions: The TREND Statement," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 361-366.
    11. Andreas Chatzidakis & Sally Hibbert & Andrew Smith, 2007. "Why People Don’t Take their Concerns about Fair Trade to the Supermarket: The Role of Neutralisation," Journal of Business Ethics, Springer, vol. 74(1), pages 89-100, August.
    12. Kapka Nilan & Tricia M McKeever & Ann McNeill & Martin Raw & Rachael L Murray, 2019. "Prevalence of tobacco use in healthcare workers: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-26, July.
    13. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Maria Niestrój-Jaworska & Małgorzata Dębska-Janus & Jacek Polechoński & Rajmund Tomik, 2022. "Health Behaviors and Health-Related Quality of Life in Female Medical Staff," IJERPH, MDPI, vol. 19(7), pages 1-10, March.
    2. Sinja Hondong & Eva Morawa & Silke Kastel-Hoffmann & Anja Kandler & Yesim Erim, 2023. "Evaluation of a Group Therapy for Work-Related Mental Disorders," IJERPH, MDPI, vol. 20(3), pages 1-12, February.
    3. Benjamin Schilgen & Albert Nienhaus & Mike Mösko, 2020. "The Extent of Psychosocial Distress among Immigrant and Non-Immigrant Homecare Nurses—A Comparative cross Sectional Survey," IJERPH, MDPI, vol. 17(5), pages 1-20, March.
    4. Shira Ramot & Orna Tal & Tova Rosenbloom, 2024. "Comparison of Health Behaviors of Healthcare Workers and the General Public in Israel: A Cross-Sectional Survey," IJERPH, MDPI, vol. 21(3), pages 1-15, February.
    5. Chan-Young Kwon & Boram Lee & O-Jin Kwon & Myo-Sung Kim & Kyo-Lin Sim & Yung-Hyun Choi, 2021. "Emotional Labor, Burnout, Medical Error, and Turnover Intention among South Korean Nursing Staff in a University Hospital Setting," IJERPH, MDPI, vol. 18(19), pages 1-14, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Elena Kossmann & Mónica Gómez-Suárez, 2018. "Decision-making processes for purchases of ethical products: gaps between academic research and needs of marketing practitioners," International Review on Public and Nonprofit Marketing, Springer;International Association of Public and Non-Profit Marketing, vol. 15(3), pages 353-370, September.
    2. Smirti Kutaula & Alvina Gillani & Diana Gregory-Smith & Boris Bartikowski, 2024. "Ethical Consumerism in Emerging Markets: Opportunities and Challenges," Journal of Business Ethics, Springer, vol. 191(4), pages 651-673, May.
    3. Pamela Yeow & Alison Dean & Danielle Tucker, 2014. "Bags for Life: The Embedding of Ethical Consumerism," Journal of Business Ethics, Springer, vol. 125(1), pages 87-99, November.
    4. Ramya Ramamoorthi & Daniel Gahreman & Timothy Skinner & Simon Moss, 2019. "The effect of yoga practice on glycemic control and other health parameters in the prediabetic state: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-21, October.
    5. Michal Carrington & Andreas Chatzidakis & Helen Goworek & Deirdre Shaw, 2021. "Consumption Ethics: A Review and Analysis of Future Directions for Interdisciplinary Research," Journal of Business Ethics, Springer, vol. 168(2), pages 215-238, January.
    6. Cristina Longo & Avi Shankar & Peter Nuttall, 2019. "“It’s Not Easy Living a Sustainable Lifestyle”: How Greater Knowledge Leads to Dilemmas, Tensions and Paralysis," Journal of Business Ethics, Springer, vol. 154(3), pages 759-779, February.
    7. Volker Lingnau & Florian Fuchs & Florian Beham, 2019. "The impact of sustainability in coffee production on consumers’ willingness to pay–new evidence from the field of ethical consumption," Journal of Management Control: Zeitschrift für Planung und Unternehmenssteuerung, Springer, vol. 30(1), pages 65-93, April.
    8. Eleni Papaoikonomou & Mireia Valverde & Gerard Ryan, 2012. "Articulating the Meanings of Collective Experiences of Ethical Consumption," Journal of Business Ethics, Springer, vol. 110(1), pages 15-32, September.
    9. Gabriella Spinelli & Holly Nelson-Becker & Roberta Ligossi, 2019. "Consumer Competence Strategies, Spiritually Inspired Core Values and Locus of Control: What Are the Links?," Sustainability, MDPI, vol. 11(17), pages 1-22, September.
    10. Robert Caruana & Michal J. Carrington & Andreas Chatzidakis, 2016. "“Beyond the Attitude-Behaviour Gap: Novel Perspectives in Consumer Ethics”: Introduction to the Thematic Symposium," Journal of Business Ethics, Springer, vol. 136(2), pages 215-218, June.
    11. Daniel G. J. Kuchinka & Szilvia Balazs & Marius Dan Gavriletea & Borivoje-Boris Djokic, 2018. "Consumer Attitudes toward Sustainable Development and Risk to Brand Loyalty," Sustainability, MDPI, vol. 10(4), pages 1-25, March.
    12. Michael J. Fell & Alexandra Schneiders & David Shipworth, 2019. "Consumer Demand for Blockchain-Enabled Peer-to-Peer Electricity Trading in the United Kingdom: An Online Survey Experiment," Energies, MDPI, vol. 12(20), pages 1-25, October.
    13. Su Keng Tan & Wai Keung Leung & Alexander Tin Hong Tang & Roger A Zwahlen, 2017. "Effects of mandibular setback with or without maxillary advancement osteotomies on pharyngeal airways: An overview of systematic reviews," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-20, October.
    14. Juliane Piasseschi de Bernardin Gonçalves & Giancarlo Lucchetti & Paulo Rossi Menezes & Homero Vallada, 2017. "Complementary religious and spiritual interventions in physical health and quality of life: A systematic review of randomized controlled clinical trials," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-21, October.
    15. Karoline Gamma & Robert Mai & Moritz Loock, 2020. "The Double-Edged Sword of Ethical Nudges: Does Inducing Hypocrisy Help or Hinder the Adoption of Pro-environmental Behaviors?," Journal of Business Ethics, Springer, vol. 161(2), pages 351-373, January.
    16. Giuseppe La Torre & Remigio Bova & Rosario Andrea Cocchiara & Cristina Sestili & Anna Tagliaferri & Simona Maggiacomo & Camilla Foschi & William Zomparelli & Maria Vittoria Manai & David Shaholli & Va, 2023. "What Are the Determinants of the Quality of Systematic Reviews in the International Journals of Occupational Medicine? A Methodological Study Review of Published Literature," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    17. Lianne Foti & Avis Devine, 2019. "High Involvement and Ethical Consumption: A Study of the Environmentally Certified Home Purchase Decision," Sustainability, MDPI, vol. 11(19), pages 1-11, September.
    18. Alex Hiller & Tony Woodall, 2019. "Everything Flows: A Pragmatist Perspective of Trade-Offs and Value in Ethical Consumption," Journal of Business Ethics, Springer, vol. 157(4), pages 893-912, July.
    19. Etilé, Fabrice & Teyssier, Sabrina, 2013. "Corporate social responsibility and the economics of consumer social responsibility," Review of Agricultural and Environmental Studies - Revue d'Etudes en Agriculture et Environnement (RAEStud), Institut National de la Recherche Agronomique (INRA), vol. 94(2).
    20. João Carlos Belloti & Aldo Okamura & Jordana Scheeren & Flávio Faloppa & Vinícius Ynoe de Moraes, 2019. "A systematic review of the quality of distal radius systematic reviews: Methodology and reporting assessment," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-12, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:17-:d:299295. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.