UK Nurses Delivering Physical Activity Advice: What Are the Challenges and Possible Solutions? A Qualitative Study.

Autor: Raghavan A; York City Football Club, York YO32 9AF, UK., Vishnubala D; School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds LS2 9JT, UK.; School of Public Health, Imperial College London, London SW7 2BX, UK., Iqbal A; Calderdale and Huddersfield NHS Foundation Trust, Huddersfield HD3 3EA, UK., Hunter R; York and Scarborough Teaching Hospitals NHS Foundation Trust, York YO31 8HE, UK., Marino K; Royal Stoke University Hospital, Stoke-on-Trent ST4 6GQ, UK., Eastwood D; School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds LS2 9JT, UK.; Musculoskeletal Department, Locala Health and Wellbeing, Huddersfield HD1 4EW, UK., Nykjaer C; School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds LS2 9JT, UK., Pringle A; Clinical Exercise and Rehabilitation Research Centre, School of Sport and Exercise Science, University of Derby, Derby DE22 1GB, UK.
Jazyk: angličtina
Zdroj: International journal of environmental research and public health [Int J Environ Res Public Health] 2023 Nov 27; Vol. 20 (23). Date of Electronic Publication: 2023 Nov 27.
DOI: 10.3390/ijerph20237113
Abstrakt: There are a multitude of health benefits gained from regular physical activity (PA). Currently, PA advice implementation from NHS nurses is inadequate despite their ever-increasing role in lifestyle and preventive medicine. By assessing their knowledge of current PA guidance, this study proposed to investigate the issues with regular PA advice being given and expand upon nurses' proposed barriers and solutions. A qualitative approach using semi structured interviews was undertaken between March and August 2023 involving 13 NHS nurses. Thematic analysis was undertaken using Braun and Clarke's six step approach. Four themes and fifteen subthemes emerged as barriers and solutions in delivering PA advice. Intrinsic barriers included a lack of nurse knowledge on the topic and PA being seen as an afterthought. Extrinsic barriers included time pressures and a lack of staff engagement. Solutions involved increasing staff awareness of guidelines through teaching, policy, encouraging staff to be active and optimising PA advice delivery through a piecemeal approach and utilising online and visual resources. This study displayed an insight into nurses' thoughts on their consultations with patients regarding PA, and proposed several barriers and solutions. Further work is needed to improve nurses' PA knowledge and to assess the proposed strategies to improve its delivery.
Databáze: MEDLINE