SOWK920 Lifestyle and dietary factor and shift work and nurses 15 articles

Lifestyle and dietary factor and shift work and nurses 15 articles

Author, article title, journal name with doicountry Sample Copy and paste abstracts Research design Results Relevant / not relevant

Rotating night shift work and adherence to unhealthy lifestyle in predicting risk of type 2 diabetes: results from two large US cohorts of female. Clinical research ed.)vol. 363 k4641 nurses.doi:10.1136/bmj.k4641 US 143410 women without type 2 diabetes, cardiovascular disease, or cancer at baseline Abstract

Objectives

To prospectively evaluate the joint association of duration of rotating night shift work and lifestyle factors with risk of type 2 diabetes risk, and to quantitatively decompose this joint association to rotating night shift work only, to lifestyle only, and to their interaction.

Design

Prospective cohort study.

Setting

Nurses Health Study (1988-2012) and Nurses Health Study II (1991-2013).

Participants

143410 women without type 2 diabetes, cardiovascular disease, or cancer at baseline.

Exposures

Rotating night shift work was defined as at least three night shifts per month in addition to day and evening shifts in that month. Unhealthy lifestyles included current smoking, physical activity levels below 30 minutes per day at moderate to vigorous intensity, diet in the bottom three fifths of the Alternate Healthy Eating Index score, and body mass index of 25 or above.

Main outcome measures

Incident cases of type 2 diabetes were identified through self report and validated by a supplementary questionnaire.

. Prospective cohort study Results

During 22-24 years of follow-up, 10915 cases of incident type 2 diabetes occurred. The multivariable adjusted hazard ratios for type 2 diabetes were 1.31 (95% confidence interval 1.19 to 1.44) per five year increment of duration of rotating night shift work and 2.30 (1.88 to 2.83) per unhealthy lifestyle factor (ever smoking, low diet quality, low physical activity, and overweight or obesity). For the joint association of per five year increment rotating night shift work and per unhealthy lifestyle factor with type 2 diabetes, the hazard ratio was 2.83 (2.15 to 3.73) with a significant additive interaction (P for interaction <0>

2)Hruby A, Manson JE, Determinants and Consequences of Obesity

Am J Public Health. 2016 Sep;106(9):1656-62. Doi: 10.2105/AJPH.2016.303326. Objectives: To review the contribution of the Nurses' Health Studies (NHS and NHS II) in addressing hypotheses regarding risk factors for and consequences of obesity.

Methods: Narrative review of the publications of the NHS and NHS II between 1976 and 2016.

Results: Long-term NHS research has shown that weight gain and being overweight or obese are important risk factors for type 2 diabetes, cardiovascular diseases, certain types of cancers, and premature death. The cohorts have elucidated the role of dietary and lifestyle factors in obesity, especially sugar-sweetened beverages, poor diet quality, physical inactivity, prolonged screen time, short sleep duration or shift work, and built environment characteristics. Genome-wide association and gene-lifestyle interaction studies have shown that genetic factors predispose individuals to obesity but that such susceptibility can be attenuated by healthy lifestyle choices. This research has contributed to evolving clinical and public health guidelines on the importance of limiting weight gain through healthy dietary and lifestyle behaviors.

Conclusions: The NHS cohorts have contributed to our understanding of the risk factors for and consequences of obesity and made a lasting impact on clinical and public health guidelines on obesity prevention. Narrative review Results: Long-term NHS research has shown that weight gain and being overweight or obese are important risk factors for type 2 diabetes, cardiovascular diseases, certain types of cancers, and premature death. The cohorts have elucidated the role of dietary and lifestyle factors in obesity, especially sugar-sweetened beverages, poor diet quality, physical inactivity, prolonged screen time, short sleep duration or shift work, and built environment characteristics. Genome-wide association and gene-lifestyle interaction studies have shown that genetic factors predispose individuals to obesity but that such susceptibility can be attenuated by healthy lifestyle choices. This research has contributed to evolving clinical and public health guidelines on the importance of limiting weight gain through healthy dietary and lifestyle behaviors. Non relevant

3) Toms CC, Oliveira E,

Proceedings of the 3rd IPLeirias International Health Congress : . 6-7 May 2016. BMC Health Serv Res. 2016 Jul 6;16 Suppl 3(Suppl 3):200. Doi: 10.1186/s12913-016-1423-5 Leiria, Portugal. Abstract

S1 Health literacy and health education in adolescence

Catarina Cardoso Toms

S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia

Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. Ferreira

S3 Diagnosis and innovative treatments - the way to a better medical practice

Celeste Alves

S4 Simulation-based learning and how it is a high contribution

Stefan Gisin

S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Prncipe, So Tom and Prncipe

Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Lus Bonfim, Carina Silva

S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology

Dbora Franco

S7 About wine, fortune cookies and patient experience

Jess Alcoba Gonzlez

O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010

Helena G. Jardim, Rita Silva

O2 Musculoskeletal disorders in midwives

Cristina L. Baixinho, M Helena Presado, M Ftima Marques, Mrio E. Cardoso

O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence

Marina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida Couto

O4 Optimal age to give the first dose of measles vaccine in Portugal

Joo G. Frade, Carla Nunes, Joo R. Mesquita, Maria S. Nascimento, Guilherme Gonalves

O5 Functional assessment of elderly in primary care

Conceio Castro, Alice Mrtires, M Joo Monteiro, Conceio Rainho

O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study

Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milans, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piero, Isabel R. Aliseda, Francisco B. Ramirez

O7 Prevalence of musculoskeletal injuries in Portuguese musicians

Andrea Ribeiro, Ana Quelhas, Conceio Manso

O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain

Francisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuez, Inmaculada R. Gomez, M Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, M Jesus Tena Huertas, Francisco B. Ramirez

O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample

Daniel Seabra, M Cu Salvador

O10 Obstruction and infiltration: a proposal of a quality indicator

Luciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, M Adriana Henriques

O11 Balance and anxiety and depression symptoms in old age people

Joana Santos, Sara Lebre, Alda Marques

O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto)

Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, Jos Lumini

O13 Ischemic stroke vs. haemorrhagic stroke survival rate

Ana G. Figueiredo

O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents

Francisco J. Hernandez-Martinez, Liliana Campi, M Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera

O15 Risk of malnutrition in the elderly of Bragana

Alexandra Parente, M Augusta Mata, Ana M Pereira, Adlia Fernandes, Manuel Brs

O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention International Health Congress Non relevant

4)

Lo CH, Lochhead P, Khalili H, Song M, Tabung FK, Burke KE, Richter JM, Giovannucci EL, Chan AT, Ananthakrishnan AN. Dietary Inflammatory Potential and Risk of Crohn's Disease and Ulcerative Colitis. Gastroenterology. 2020 Sep;159(3):873-883.e1. doi: 10.1053/j.gastro.2020.05.011. US 166,903 women and 41,931 men Background & aims: Inflammation is a potential mechanism through which diet modulates the onset of inflammatory bowel disease. We analyzed data from 3 large prospective cohorts to determine the effects of dietary inflammatory potential on the risk of developing Crohn's disease (CD) and ulcerative colitis (UC).

Methods: We collected data from 166,903 women and 41,931 men in the Nurses' Health Study (1984-2014), Nurses' Health Study II (1991-2015), and Health Professionals Follow-up Study (1986-2012). Empirical dietary inflammatory pattern (EDIP) scores were calculated based on the weighted sums of 18 food groups obtained via food frequency questionnaires. Self-reported CD and UC were confirmed by medical record review. Cox proportional hazards models were used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs).

Results: We documented 328 cases of CD and 428 cases of UC over 4,949,938 person-years of follow-up. The median age at IBD diagnosis was 55 years (range 29-85 years). Compared with participants in the lowest quartile of cumulative average EDIP score, those in the highest quartile (highest dietary inflammatory potential) had a 51% higher risk of CD (HR 1.51; 95% CI 1.10-2.07; Ptrend = .01). Compared with participants with persistently low EDIP scores (at 2 time points, separated by 8 years), those with a shift from a low to high inflammatory potential of diet or persistently consumed a proinflammatory diet had greater risk of CD (HR 2.05; 95% CI 1.10-3.79 and HR 1.77; 95% CI 1.10-2.84). In contrast, dietary inflammatory potential was not associated with the risk of developing UC (Ptrend = .62).

Conclusions: In an analysis of 3 large prospective cohorts, we found dietary patterns with high inflammatory potential to be associated with increased risk of CD but not UC.

Keywords: Food; Inflammatory Bowel Disease; Lifestyle Factor; Nutrition. : We documented 328 cases of CD and 428 cases of UC over 4,949,938 person-years of follow-up. The median age at IBD diagnosis was 55 years (range 29-85 years). Compared with participants in the lowest quartile of cumulative average EDIP score, those in the highest quartile (highest dietary inflammatory potential) had a 51% higher risk of CD (HR 1.51; 95% CI 1.10-2.07; Ptrend = .01). Compared with participants with persistently low EDIP scores (at 2 time points, separated by 8 years), those with a shift from a low to high inflammatory potential of diet or persistently consumed a proinflammatory diet had greater risk of CD (HR 2.05; 95% CI 1.10-3.79 and HR 1.77; 95% CI 1.10-2.84). In contrast, dietary inflammatory potential was not associated with the risk of developing UC (Ptrend = .62). Non relevant

5)Berent D, Skoneczny M, Macander M, Wojnar M. The association among health behaviors, shift work and chronic morbidity: A cross-sectional study on nurses working in full-time positions. J Public Health Res. 2021 Aug 4;11(1):2099. Doi: 10.4081/jphr.2021.2099. Poland 472 female nurses Background: Nurses are known to work in conditions of stress and physical overload. Health behaviors are modifiable factors that may reduce the adverse effects of work on general health. The present study examined health-related behaviors and their association with current night shift work and chronic morbidity among female nurses.

Design and Method: Four hundred seventy-two female nurses (M SD = 44.287.14 years) self-reported their health habits, physical activity, body mass index (BMI), and chronic disorders that required current treatment. Instruments used in the study consisted of an author-developed questionnaire and the Health Behavior Inventory (HBI). Reported diagnoses were classified as cardio-vascular, gastro-intestinal, malignant neoplastic, endocrine, or other.

Conclusion: Health-promoting programs are needed to support weight control and promote health-related behaviors among nurses. Future research should identify potential barriers to healthy lifestyle recommendations in the workplace. Cross-sectional study Results: The most common reported disorders were cardiovascular disorders (5.7% of nurses) followed by other (7.6%), endocrine (7.4%), gastro-intestinal (6.4%), and malignancy (0.2%). On average, health-related behaviors on the HBI were average (83.49 14.33). Overweight and/or obesity (i.e., BMI 25 kg/m2) were reported by 41.5% of nurses, 24.2% were current smokers, and 36% reported no recreational physical activity. The remaining 64% of nurses who performed physical activity did not report activity levels that met World Health Organization recommendations. Physical activity and HBI scores (total and subscales; i.e., positive attitude, preventive ehaviors, proper dietary habits, health-related practices) were not associated with current night shift work or morbidity. Relevant

6)Yu E, Rimm E, Qi L, Rexrode K, Albert CM, Sun Q, Willett WC, Hu FB, Manson JE. Diet, Lifestyle, Biomarkers, Genetic Factors, and Risk of Cardiovascular Disease in the Nurses Health Studies. Am J Public Health. 2016 Sep;106(9):1616-23. Doi: 10.2105/AJPH.2016.303316. Objectives. To review the contributions of the Nurses Health Studies (NHSs) to the understanding of cardiovascular disease etiology in women.

Methods. We performed a narrative review of the publications of the NHS and NHS II between 1976 and 2016.

Conclusions. The NHS has provided compelling evidence that the majority of vascular events may be prevented by avoiding smoking, participating in regular physical activity, maintaining normal body mass index, and eating a healthy diet. Narrative review Results. Diets low in trans fat, saturated fat, refined carbohydrates, and sugar-sweetened beverages and rich in fruits and vegetables, whole grains, and sources of unsaturated fats are associated with reduced risk of cardiovascular disease. Healthy lifestyle choices include smoking avoidance, regular physical activity, maintaining a normal body mass index, and moderate alcohol consumption. Adherence to a combination of these healthy diet and lifestyle behaviors may prevent most vascular events. Studies also covered oral contraceptive use, postmenopausal hormone therapy, shift work, sleep duration, psychosocial factors, and various biomarkers and genetic factors. Findings, such as the association of trans fat with cardiovascular disease, have helped shaped medical guidelines and government policies. Non relevant

7)Forcada-Parrilla I, Reig-Garcia G, Serra L, Juviny-Canal D. The Influence of Doing Shift Work on the Lifestyle Habits of Primary Care Nurses. Nurs Rep. 2022 Apr 12;12(2):291-303. Doi: 10.3390/nursrep1202002. Spain 322 nurses Nurses lifestyle habits play a key role in promoting healthy lifestyles; although, they may not always be entirely healthy and can be influenced by working conditions. This paper aims to analyze the influence of doing shift work on nurses lifestyle habits. Participants (n = 219) were recruited from 27 primary health care centres in Spain. Data were collected on socio-demographic characteristics, working conditions and lifestyle behaviour, assessed by use of an adhoc questionnaire including validated measures. Descriptive analysis and logistic regression models were performed. A total of 95% of the nurses reported having an adequate diet; 45.2% did not engage in any type of physical activity; and 85.8% did not smoke, especially women. A total of 60.3% did shift work, especially the younger ones (80.8%; p < 0>

8)Tada Y, Kawano Y, Maeda I, Yoshizaki T, Sunami A, Yokoyama Y, Matsumoto H, Hida A, Komatsu T, Togo F. Association of body mass index with lifestyle and rotating shift work in Japanese female nurses. Obesity (Silver Spring). 2014 Dec;22(12):2489-93. Doi: 10.1002/oby.20908. Epub 2014 Sep 23. PMID: 25251576. Japan 1179 day workers and 1579 rotating shift workers Objective: Higher body mass index (BMI) values have been reported in rotating shift workers compared with regular daytime workers. This study examines the relationship between work schedule and BMI, and considers whether lifestyle habits could explain the relationship.

Methods: Japanese female nurses (1179 day workers and 1579 rotating shift workers, aged 20-59) were studied using self-administered questionnaires. The questionnaires assessed height, weight, and dietary intake, physical activity, and sleep (lifestyle) habits.

Results: The BMI of shift workers was significantly higher than that of day workers. Shift workers consumed significantly higher amounts of sugar-sweetened beverages and slept for significantly shorter durations on nights between days on the day shift compared with day workers-factors which were also independently associated with higher BMI. In addition, multivariable linear regression coefficients for BMI showed a significant correlation with rotating shift work ( = 0.051), after controlling for lifestyle habits.

Conclusions: Higher consumption of sugar-sweetened beverages and shorter sleep duration were associated with rotating shift work and higher BMI. This should be taken into consideration in preventing obesity in real-life shift work situations. Other shift work-related factors, such as abnormal timing of meals and/or sleep, should also be identified Observational study The BMI of shift workers was significantly higher than that of day workers. Shift workers consumed significantly higher amounts of sugar-sweetened beverages and slept for significantly shorter durations on nights between days on the day shift compared with day workersfactors which were also independently associated with higher BMI.Higher consumption of sugar-sweetened beverages and shorter sleep duration on nights between days on the day shift were associated with both rotating SW and higher BMI. The higher consumption of sugar-sweetened beverages might explain the weight gain, which was probably caused by large amounts of rapidly absorbable sugars Relevant

9)Navarro DJ, Alpert PT, Cross C. The Impact of Shift Work on Diabetes Self-Management Activities. J Dr Nurs Pract. 2019 Apr 1;12(1):66-72. Doi: 10.1891/2380-9418.12.1.66. Epub 2019 May 9. PMID: 32745057. 45 were individuals working on the dayshift and 41 worked on the evening/night shift. Background: Once a person is diagnosed with diabetes, aggressive management is imperative to minimize poor glycemic control devastating outcomes. However, for some patients reaching optimum blood glucose levels is challenging due to the complexity of diabetes care. To achieve good blood glucose control, patients affected by diabetes must engage in self-care activities that include routine blood glucose check, dietary control, physical activity, medication regimen, and routine medical provider visits. Diabetes-associated self-care activities aimed to reach good blood glucose control can be hindered by multiple factors including shift work.

Objective: To evaluate self-management activities of individuals affected by diabetes who are employed as shift workers. This study also informs primary care nurse practitioners of the challenges shift workers face in managing their disease.

Methods: This was a cross-sectional descriptive study. Participants were individuals affected by type II diabetes from a single primary care practice (N = 86); 45 were individuals working on the dayshift and 41 worked on the evening/night shift. Each participant completed the diabetes self-management questionnaire and author-developed demographic/supplemental questionnaire.

Conclusions: There were no differences in self-reported diabetes management activities (i.e., physical activity, glucose management, and healthcare use) between the two groups. Thirty-nine percent of participants working shifts reported worse sleep patterns compared to their dayshift counterparts (X 2[1, N = 85] = 8.73, p = .003). Evening/night shift workers also reported more symptoms such as leg pain, fungal infection, numbness of the feet and legs, dizziness, and vision changes (X 2[1, N = 79] = 43.037, p < .001).

Implications for practice: A better understanding of the impact that shift work has on diabetes care may help healthcare providers formulate meaningful treatment plans to meet the needs of evening/night shift diabetic workers. The use of a patient-centered medical home is one strategy.

Keywords: diabetic shift worker; disruptive sleep patterns; evening/night shift work; lifestyle modification; poor glycemic control; self-management. Cross-sectional descriptive study. No free full text available Non relevant

10)Power B. Supporting nurses to adopt healthy eating behaviours. Nurs Stand. 2018 Nov 30;33(9):56-61. Doi: 10.7748/ns.2018.e11188. Epub 2018 Oct 9. PMID: 30358338. Nurses have a central role in health education and promotion, particularly with regard to supporting individuals to optimise their nutritional intake and engage in healthy eating behaviours. However, high rates of obesity, unhealthy eating behaviours and low levels of physical activity have been found among nurses. Nursing is a challenging profession, and a high workload, a lack of resources and shift work may affect nurses ability to adopt healthy lifestyles. Supporting nurses to improve aspects of their eating behaviours, such as the nutritional value, timing and frequency of meals, can have a positive effect on their health which, in turn, may enhance their ability to care for patients. Although there is much literature available on the benefits of healthy eating, there is a lack of practical guidance for nurses on how to enhance their nutritional intake. This article uses a case study to examine the occupational and personal factors that may affect nurses ability to engage in healthy eating behaviours, and identifies how healthcare organisations and individual nurses can use a behavioural change approach to optimise nutritional intake. No full text available Non relevant

11)Tamrakar D, Shrestha A, Rai A, Karmacharya BM, Malik V, Mattei J, Spiegelman D. Drivers of healthy eating in a workplace in Nepal: a qualitative study. BMJ Open. 2020 Feb 25;10(2):e031404. Doi: 10.1136/bmjopen-2019-031404. PMID: 32102804; PMCID: PMC7045197. Nepal 33 participants Objective: To explore the perceptions, enablers and barriers to employees' healthy eating in a hospital site.

Design: A qualitative study including focus group discussion and in-depth interview, data were analysed using thematic analysis method.

Setting: The study was carried out among employees of Dhulikhel Hospital-Kathmandu University Hospital, located about 30 km east of Nepal's capital Kathmandu.

Participants: Focus group discussions were conducted among the 33 participants, who were divided into four groups: (a) support staff (drivers, cook, laundry, gardeners and ward boys), (b) hospital administrators and managers, (c) health personnel (doctors, nurses and assistants) who work 8-12 hours shifts and (d) health personnel who work during office hours. Nine in-depth interviews were conducted among six canteen operators and three managers Qualitative study The major factors for promoting healthy eating were identified as the availability of affordable healthy food options in the cafeterias, a commitment to such promotion by the cafeteria manager, operators, staff and hospital administration and the level of education of the employees. The most commonly reported barriers for healthy eating were the unavailability of healthy options, including the lack of food supply from local market, the higher cost of healthy foods, individual food preferences and limited human resources in the cafeteria. Non relevant

12)Uchendu C, Windle R, Blake H. Perceived Facilitators and Barriers to Nigerian Nurses Engagement in Health Promoting Behaviors: A Socio-Ecological Model Approach. Int J Environ Res Public Health. 2020 Feb 18;17(4):1314. Doi: 10.3390/ijerph17041314. PMID: 32085607; PMCID: PMC7068510. Nigeria Nurses make up the single largest healthcare professional group in the Nigerian healthcare system. As frontline healthcare providers, they promote healthy lifestyles to patients and families. However, the determinants of Nigerian nurses personal health promoting behaviors (HPBs) remain unknown. Utilizing the socio-ecological model (SEM) approach, this study aimed to explore the perceived facilitators and barriers to Nigerian nurses engagement in HPBs. HPBs were operationalized to comprise of healthy dietary behaviors, engagement in physical activity, low-risk alcohol consumption, and non-smoking behaviors. Our study was carried out in a large sub-urban tertiary health facility in Nigeria. Data collection was via face-to-face semi-structured interviews and participants were registered nurses (n = 18). Interview data were transcribed verbatim and analyzed thematically to produce nine themes that were mapped onto corresponding levels of influence on the SEM. Findings show that in Nigeria, nurses perceive there to be a lack of organizational and policy level initiatives and interventions to facilitate their engagement in HPBs. The determinants of Nigerian nurses HPBs span across all five levels of the SEM. Nurses perceived more barriers to healthy lifestyle behaviors than facilitators. Engagement in healthy behaviors was heavily influenced by: societal and organizational infrastructure and perceived value for public health; job-related factors such as occupational stress, high workload, lack of protected breaks, and shift-work; cultural and religious beliefs; financial issues; and health-related knowledge. Organizations should provide facilities and services to support healthy lifestyle choices in Nigeria nurses. Government policies should prioritize the promotion of health through the workplace setting, by advocating the development, implementation, regulation, and monitoring of healthy lifestyle policies. Qualitative research design The knowledge nurses possessed did not automatically translate into engagement in healthy behaviors, especially in healthy eating, and physical activity, it regularly awakened the nurses consciousness to endeavor to make healthier choices, irrespective of whether they acted on their intentions. For some nurses, personally experiencing certain illnesses and symptoms directly related to, or as the consequence of, unhealthy behaviors was perceived to have an enabling influence on their current practice of HPBs. This is despite the fact that the majority of these nurses self-reported their personal health as being either good or fair Non relevant

13)Persson M, Mrtensson J. Situations influencing habits in diet and exercise among nurses working night shift. J Nurs Manag. 2006 Jul;14(5):414-23. Doi: 10.1111/j.1365-2934.2006.00601.x. PMID: 16787477.

27 registered/enrolled community nurse Objectives: The aim of the investigation was to describe situations with a significant influence on healthy diet and exercise habits among nurses working night shift.

Methods: A qualitative descriptive design with a Critical Incident Technique approach was used. Situations were collected by means of interviews with 27 registered/enrolled community nurses.

Conclusions: By identifying the factors that influence diet and exercise habits among nurses working night shift, strategies can be developed in order to strengthen the factors with a positive influence. Qualitative descriptive design A total of 143 situations were identified comprising two main areas: coping ability at work and coping ability during leisure hours. Coping ability at work included 81 critical incidents grouped into two categories: the nurses diet and exercise habits were influenced by social interaction with colleagues at work and by the disruption to their circadian rhythm. Coping ability during leisure hours included 62 critical incidents grouped into two categories: the diet and exercise habits were influenced when the nurses recovered from the disruption to their circadian rhythm and when they took advantage of the freedom of action offered by night work Relevant

14) Jess Gzquez Linares J, Prez-Fuentes MDC, Del Mar Molero Jurado M, Ftima Oropesa Ruiz N, Del Mar Simn Mrquez M, Saracostti M. Sleep Quality and the Mediating Role of Stress Management on Eating by Nursing Personnel. Nutrients. 2019 Jul 26;11(8):1731. Doi: 10.3390/nu11081731.. Spain 1073 nurses The work schedule of nursing personnel often involves double or continuous shifts and sources of stress derived from the work context, making it necessary to ensure their rest and eating habits contribute to a healthy lifestyle. The objective of this study was to analyze the mediating role of stress management on the effect that sleep quality has on uncontrolled and emotional eating by nursing professionals. The Three-Factor Eating Questionnaire-R18 was applied to measure uncontrolled and emotional eating, the Pittsburgh Sleep Quality Index as a measure of sleep quality, and the EQ-i-20M for the stress management component of emotional intelligence. (2) Methods: A sample of 1073 nurses aged 22 to 57 years was selected for this purpose. Conclusions: The results are discussed from the perspective of promoting health at work as well as improving the psychosocial wellbeing of nursing professionals and increasing the quality of patient care. The main result of this study was that stress management was a mediator in the effect of sleep quality on uncontrolled and emotional eating. Furthermore, low scores for sleeping problems correlated with high scores for stress management. The results also revealed a strong negative association between stress management and uncontrolled and emotional eating.The data found serve as the basis for designing intervention programs for improving sleep quality in nursing personnel, with closer attention paid to stress management, pursuing adequate positive coping mechanisms related to eating behavior, which are relevant for health and individual wellbeing. Relevant

15) South Africa 203 Background: Nurses in primary health care settings are key stakeholders in the diagnosis and management of hypertensive patients. Unfortunately, the working conditions of nurses predispose them to stress, long hours of work, shift duties and unhealthy diets, which are drivers of hypertension. Yet nurses are often overlooked in health screening exercises, primarily because they are assumed to be informed and 'healthy'.

Aim: This study examined the prevalence, awareness, control and determinants of hypertension among professional primary health care nurses in the Eastern Cape Province of South Africa.

Setting: This was a cross-sectional survey of 203 professional nurses working at 41 primary health care facilities of the Eastern Cape Province.

Methods: A modified WHO STEPwise questionnaire was used for data collection during face-to-face interviews. The information obtained included demographic information, behavioural lifestyles, anthropometric and blood pressure (BP) measurements. Hypertension is defined as an average of two BP 140/90 mmHg or self-reported history of antihypertensive medication use. Cross-sectional, population study High prevalence of hypertension among the study group. Also, there is a low rate of awareness and control of hypertension among professional nurses in the Eastern Cape Province of South Africa. Only ageing and duration of practice were independent predictors of hypertension among the study population. There is an urgent need to implement effective and regular workplace health programmes for nurses in the Eastern Cape Province. Non relevant