The association between shift work and nurses' eating behaviors
| Autor: | Ling Tai, 戴琳 |
|---|---|
| Rok vydání: | 2019 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 107 Objective: Dietary intake is essential for health. To provide around-the-clock patient care services, shift work is unavoidable for hospital nurses. According to previous literatures, shift work is barrier for nurses’ healthy eating behaviors. The purpose of this study is to understand the association between shift work and nurses’ eating behaviors. Methods: By employing convenience sampling, we recruited 129 registered nurses (RNs) from 33 hospitals (including medical centers, regional hospitals and regional hospitals) in different areas of Taiwan. The 24-hour dietary recall (i.e., 2 days for workdays and 2 days for non-working days) was used to collect RNs’ eating behaviors. Data analysis was performed using JMP10.0 statistical software. We employed one-way ANOVA and Tukey-Kramer post-hoc test to compare the differences in calories and nutrients distribution, fruit and vegetable intake, meal frequency, and the factors influencing diet across nurses working on different shift patterns. In addition, we used paired t test and Wilcoxon signed-rank test to understand the differences in nurses’ eating behaviors on workdays and non-working days. Result: A total of 120 RNs (i.e., 25 day-shift workers, 19 evening-shift workers, 18 night-shift workers, and 58 rotating-shift workers) were eligible for final data analysis. On non-working days, the intake of nutrients (i.e., calories, protein, fat, saturated fat, and sodium) of RNs were significantly higher than workdays. Relative to workdays, the proportion of protein and saturated fat consumption was significantly higher on non-working days. On workdays, more RNs’ calorie consumption was lower than dietary recommendations (28.3%). Regard the workdays and nonworking days, more than 60% of RNs consume fat and saturated fat higher than the recommendations, and more than 80% of RNs consume fruit and vegetable less than the recommendations. Compared to workers working on different shifts, evening shifts workers had the lowest percentage (47.3%) of adequate calories consumption on workdays. On average, evening shifts workers consumed less than 2 meals per day. When further examining the possible reasons for insufficient intake on working days, "the work was busy and there was no time to eat" accounted the most. In contrast, the most common reason for the excessive intake was related to “social activity”. Conclusions and recommendations: Through the study results, there were more than 60% of RNs consumed fat and saturated fat higher than the recommendations, and more than 80% of RNs consumed fruit and vegetable less than the recommendations. It’s recommended that the administrators could promote nurses’ healthy eating behaviors by holding training or providing multiple choices of healthy diet, to strengthen their attention to their diet. Compared to other shift workers, evening shifts workers’ had the lowest percentage of adequate calories intake and meal frequency. It’s recommended that the administrators could distribute appropriate job responsibilities between different types of shift workers due to nurses were reduced and the nursing care ratio was increased on evening and night shifts. Through the study, we anticipate recommendations can be provided to policy makers for future strategies to improve nurses’ eating behaviors. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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