Nurses' Knowledge, Beliefs, and Exercise Habits: A Focus on Cardiovascular Disease

Course #31840 - $15-


Study Points

  1. Outline the role of nurses in promoting and modeling health and wellness for patients.
  2. Relate the importance of nurses' health to performance and patient care.
  3. Discuss strategies for nurses to incorporate healthier lifestyle choices.

    1 . What principle did Florence Nightingale emphasize for nurses to provide quality care?
    A) Advanced clinical skills
    B) Personal health and self-care
    C) Effective communication
    D) Time management

    INTRODUCTION

    Florence Nightingale, a pioneer in nursing, emphasized the necessity of personal health and self-care to prevent illness and promote wellness [1]. She believed self-care was essential for nurses to provide quality patient care, a relevant principle today. Nurses often face numerous challenges undermining their health and wellness, such as family responsibilities, demanding work schedules, and burnout [2]. Research has linked poor health behaviors, particularly insufficient physical activity, to increased risks of chronic diseases, making self-care even more crucial [3].

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    2 . What are common barriers nurses face when engaging in regular physical activity?
    A) Lack of interest
    B) Limited knowledge of health benefits
    C) Time constraints, stress, and fatigue
    D) Poor working environments

    NURSES AND PERSONAL HEALTH

    Despite possessing knowledge of prevention strategies and understanding the benefits of physical activity, many nurses do not follow these recommendations. This contributes to the increased prevalence of hypertension, obesity, and related health conditions within the nursing profession [4,5]. As noted, common barriers include time constraints, stress, and fatigue, making it challenging for nurses to engage in regular self-care, including physical activity [6]. These challenges not only affect nurses' health but can also impact the quality of care they provide.

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    3 . How can nurses positively influence patient health behaviors?
    A) By using advanced medical equipment
    B) By modeling healthy lifestyles
    C) By sharing patient success stories
    D) By delegating health promotion tasks

    NURSES AND PERSONAL HEALTH

    Nurses, as health promoters, play a crucial role in influencing patients to adopt healthy behaviors. Those who maintain healthy lifestyles are more likely to inspire patients to follow suit, thereby demonstrating the significant impact of nurses on health promotion [7,8]. Conversely, patients may be less inclined to trust health advice from nurses who do not practice these behaviors themselves [9,10]. Thus, nurses should prioritize their health to effectively serve as role models, reinforcing the connection between their personal habits and patient outcomes.

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    4 . What risk factors are nurses more likely to experience compared to the general population?
    A) Dehydration and vitamin deficiency
    B) Hypertension, obesity, and hyperlipidemia
    C) Diabetes and asthma
    D) Osteoporosis and arthritis

    NURSES AND PERSONAL HEALTH

    Nurses face unique challenges that place them at increased risk for chronic diseases, including cardiovascular disease (CVD). Long shifts, high stress levels, and the physical demands of patient care often lead to poor health practices, such as insufficient physical activity, inadequate sleep, and unhealthy dietary habits [14]. Studies highlight that nurses experience higher rates of obesity, hypertension, and hyperlipidemia compared with the general population [15,16].

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    5 . Why is accurate perception of personal risk important for nurses?
    A) It increases their efficiency at work.
    B) It helps them educate patients effectively.
    C) It reduces the need for professional development.
    D) It motivates engagement in preventive health behaviors.

    NURSES AND PERSONAL HEALTH

    Emerging research suggests that a proper understanding of personal risk is essential for engaging in preventive health behaviors. Research indicates that nurses who assess their risk are likely to adopt health-promoting practices [12]. Unfortunately, many underestimate their vulnerability, leading to complacency and a reluctance to implement lifestyle changes [18]. Misplaced optimism, whereby nurses perceive their risk to be lower than it is, can impede motivation for self-care [19].

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    6 . What strategy is suggested for addressing nurses' health barriers in the workplace?
    A) Increasing work hours to accommodate breaks
    B) Developing targeted wellness initiatives
    C) Reducing patient loads permanently
    D) Eliminating shift rotations

    NURSES AS ROLE MODELS FOR PROMOTING HEALTHY BEHAVIORS

    However, nurses frequently encounter obstacles in maintaining healthy behaviors, particularly sustaining regular physical activity. Challenges such as fatigue, heavy workloads, and lack of time due to extended shifts often hinder their ability to engage in recommended exercise routines [21]. Addressing these barriers through targeted professional development and wellness initiatives can empower nurses to enhance their health and better support their patients.

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    7 . Why is professional development essential for nurses?
    A) It reduces their patient load.
    B) It keeps them informed about evidence-based health recommendations.
    C) It guarantees career advancement opportunities.
    D) It eliminates the need for wellness programs.

    THE ROLE OF ONGOING EDUCATION AND PROFESSIONAL DEVELOPMENT

    To provide high-quality, evidence-based care, nurses should prioritize ongoing professional development. Nurses are expected to stay informed on evidence-based recommendations for disease prevention and health promotion [13]. This requires support from unit managers and hospital administrators, who are critical in fostering a culture that encourages continuous learning and professional growth [5,22].

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    8 . Which model helps explain how nurses perceive their health risks and behaviors?
    A) The Health Belief Model
    B) Maslow's Hierarchy of Needs
    C) Lewin's Change Theory
    D) The Theory of Planned Behavior

    EVALUATION AND IMPLEMENTATION STRATEGIES

    The Health Belief Model (HBM) offers a useful framework for understanding the health behaviors of nurses, particularly those related to physical activity [25]. The model suggests that an individual's perception of their disease risk, the severity of the condition, and the perceived benefits and barriers to behavior change all shape their actions [26]. Nurses' perceptions of their health risks can influence their willingness to engage in physical activity and counsel patients on similar behaviors [12]. By recognizing these factors, healthcare institutions can design initiatives that better support nurses adopting healthy lifestyles, enhancing their well-being and patient care quality.

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    9 . What role does leadership play in promoting nurse wellness?
    A) Providing flexible shift schedules
    B) Encouraging advanced training in clinical procedures
    C) Demonstrating commitment to staff well-being
    D) Offering financial incentives for healthy behaviors

    EVALUATION AND IMPLEMENTATION STRATEGIES

    Leadership and peer support play critical roles in promoting wellness. Appointing wellness champions within the nursing staff can create role models for healthy behaviors, while active management involvement demonstrates the organization's commitment to employee well-being [7]. Ensuring flexibility and accessibility is also important. Wellness activities should be adaptable to the shift schedules of healthcare staff, allowing participation regardless of working hours [26].

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    10 . What is a major finding from the cross-sectional study exploring cardiovascular nurses' attitudes and practices?
    A) Most nurses met recommended physical activity levels.
    B) High CVD knowledge improved recommendations to patients.
    C) Nurses overestimated their CVD risk.
    D) Nurses faced few barriers to physical activity.

    CASE STUDY

    A cross-sectional study explored cardiovascular nurses' self-perceived cardiovascular risk factors, attitudes, perceived barriers toward physical activity, and their practices in promoting a healthy lifestyle by recommending physical activity to patients [30]. A convenience sample of full-time, part-time, and PRN nurses working consistently in U.S. cardiovascular units was recruited. Using validated instruments, data were collected via an online survey that assessed demographics, self-perceived CVD risk, physical activity habits, and health promotion practices.

    Results revealed that a significant portion of the nurses in this case study (74.2%) had low self-perceived CVD risk, while 25.8% had higher risk scores. Most nurses (87.1%) fell below recommended physical activity levels, emphasizing the need for targeted interventions to promote exercise within the nursing community. The study found that nurses with higher CVD knowledge scores were three times more likely to recommend exercise to patients. These findings indicate that enhancing nurses' CVD knowledge and addressing skill-related barriers may support greater health promotion practices.

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