Nurses as role models in health promotion: Piloting the acceptability of a social marketing campaign.
health behaviour
health promotion
nurses
role model
social identification
social identity
social marketing
social norms
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
28
03
2018
revised:
15
08
2018
accepted:
03
09
2018
pubmed:
12
10
2018
medline:
7
5
2019
entrez:
12
10
2018
Statut:
ppublish
Résumé
To pilot the acceptability to practising nurses of the concept of being healthy role models as regards obesity and weight. Nursing standards expect nurses to act as role models of professionalism, including maintaining a healthy lifestyle. Many healthcare employers wish to instigate values and social norms about professional behaviour in staff. A mixed methods study comprising two stages. In Stage One, an online survey was used to develop an intervention, which was then evaluated by a rapid intercept survey with open-ended questions. Insights from 71 obese nurses, recruited at a 2016 nursing conference, were used to develop a social marketing campaign encouraging a social norm around professional behaviour as regards healthy lifestyles and obesity, with the message that "first impressions count" in staff-patient encounters. The campaign was tested with 79 nurses at three English hospitals. In Stage One, 58% agreed that nurses should be role models and 48% that being obese made the public less likely to trust their public health messages. In Stage Two, the campaign concept of "first impressions count" was widely understood and accepted, but nurses found the introduction of a professional expectation around personal behaviours unacceptable. Nurses accept an expectation that they are healthy role models but refute its value when confronted with real-life scenarios. Other aspects of identity were privileged to avoid engaging with the healthy role model message. Personal health behaviour was seen as part of a private domain and not part of their public presentation in professional life.
Sections du résumé
AIM
OBJECTIVE
To pilot the acceptability to practising nurses of the concept of being healthy role models as regards obesity and weight.
BACKGROUND
BACKGROUND
Nursing standards expect nurses to act as role models of professionalism, including maintaining a healthy lifestyle. Many healthcare employers wish to instigate values and social norms about professional behaviour in staff.
METHODS
METHODS
A mixed methods study comprising two stages. In Stage One, an online survey was used to develop an intervention, which was then evaluated by a rapid intercept survey with open-ended questions. Insights from 71 obese nurses, recruited at a 2016 nursing conference, were used to develop a social marketing campaign encouraging a social norm around professional behaviour as regards healthy lifestyles and obesity, with the message that "first impressions count" in staff-patient encounters. The campaign was tested with 79 nurses at three English hospitals.
RESULTS
RESULTS
In Stage One, 58% agreed that nurses should be role models and 48% that being obese made the public less likely to trust their public health messages. In Stage Two, the campaign concept of "first impressions count" was widely understood and accepted, but nurses found the introduction of a professional expectation around personal behaviours unacceptable.
CONCLUSION
CONCLUSIONS
Nurses accept an expectation that they are healthy role models but refute its value when confronted with real-life scenarios. Other aspects of identity were privileged to avoid engaging with the healthy role model message. Personal health behaviour was seen as part of a private domain and not part of their public presentation in professional life.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
423-431Subventions
Organisme : Burdett Trust for Nursing
Organisme : RCN and RCN Foundation
Organisme : Health Innovation Network South London
Informations de copyright
© 2018 John Wiley & Sons Ltd.