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Obesity and Diet Predict Attitudes towards Health Promotion in Pre-Registered Nurses and Midwives

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  • Holly Blake

    (School of Health Sciences, Faculty of Medicine and Health Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2HA, UK
    NIHR Nottingham Biomedical Research Centre, Nottingham NG7 2UH, UK)

  • Kathryn Watkins

    (Nottingham University Hospitals NHS Trust, Queen’s Medical Centre Campus, Nottingham NG7 2UH, UK)

  • Matthew Middleton

    (School of Medicine, Faculty of Medicine and Health Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, UK)

  • Natalia Stanulewicz

    (Faculty of Health and Life Sciences, School of Applied Social Sciences, De Montfort University, Leicester LE1 9BH, UK)

Abstract

Nurses and midwives are integral to public health promotion; in the UK, they are advised to act as role models by their governing body, but overweight or obesity rates are high. We explored whether obesity and dietary habits are related to attitudes towards healthy role modelling and health promotion practice. A total of 346 pre-registered UK nurses and midwives (92.6% female; 18–53 years) completed an online survey. Items included body composition, dietary habits assessed by the Lifestyle Behaviour Questionnaire (LBQ), attitudes towards being role models for health (RA: role attitudes) and attitudes toward health promotion practice (ATHPP): 33.8% of the sample self-reported as overweight or obese; 67.6% did not consume 5-a-day portions of fruit/veg; 31.5% reported a healthy diet; and 89.6% believed their diet could be healthier. Positive RA was significantly linked to health promotion engagement (HP) (ß = 0.33, p < 0.001). Positive ATHPP was significantly predicted by lower BMI (ß = −0.08, p = 0.078), positive RA (ß = 0.67, p < 0.001), lower HP (ß = −0.25, p < 0.001) and male gender (ß = 0.09, p = 0.02). Greater confidence in patients valuing healthcare professional’s advice was predicted by healthier diet (ß = 0.11, p = 0.03), lower BMI (ß = −0. 16, p < 0.01), more positive RA (ß = 0.14, p < 0.01) as well as HP engagement during training (ß = 0.20, p < 0.01). One’s own motivation to promote health, similarly to ATHPP, was predicted by RA (ß = 0.17, p = 0.001) and previous HP engagement (ß = 0.39, p < 0.001). Findings show that overweight and obesity are prevalent in pre-registered nurses and midwives; the majority did not consume a healthy diet. Individual’s body composition, diet and attitudes towards role modelling are positively associated with their attitudes towards, and confidence in, health promotion practice. Experiences of health promotion practice during training can have either a positive or a negative influence on attitudes. Mentors and educators could actively promote healthy lifestyles for pre-registered nurses and midwives and facilitate more opportunities for health promotion practice during placements, which includes time for reflection.

Suggested Citation

  • Holly Blake & Kathryn Watkins & Matthew Middleton & Natalia Stanulewicz, 2021. "Obesity and Diet Predict Attitudes towards Health Promotion in Pre-Registered Nurses and Midwives," IJERPH, MDPI, vol. 18(24), pages 1-20, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13419-:d:706855
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    References listed on IDEAS

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    1. Holly Blake & Fiona Bermingham & Graham Johnson & Andrew Tabner, 2020. "Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package," IJERPH, MDPI, vol. 17(9), pages 1-15, April.
    2. Holly Blake & Ikra Mahmood & Gonxhe Dushi & Mehmet Yildirim & Elizabeth Gay, 2021. "Psychological Impacts of COVID-19 on Healthcare Trainees and Perceptions towards a Digital Wellbeing Support Package," IJERPH, MDPI, vol. 18(20), pages 1-25, October.
    3. Chinenye Uchendu & Richard Windle & Holly Blake, 2020. "Perceived Facilitators and Barriers to Nigerian Nurses’ Engagement in Health Promoting Behaviors: A Socio-Ecological Model Approach," IJERPH, MDPI, vol. 17(4), pages 1-20, February.
    4. Ashley Kable & Carole James & Suzanne Snodgrass & Ronald Plotnikoff & Maya Guest & Samantha Ashby & Christopher Oldmeadow & Clare Collins, 2015. "Nurse provision of healthy lifestyle advice to people who are overweight or obese," Nursing & Health Sciences, John Wiley & Sons, vol. 17(4), pages 451-459, December.
    5. Karl Peltzer & Supa Pengpid & T. Alafia Samuels & Neslihan Keser Özcan & Carolina Mantilla & Onja H. Rahamefy & Mee Lian Wong & Alexander Gasparishvili, 2014. "Prevalence of Overweight/Obesity and Its Associated Factors among University Students from 22 Countries," IJERPH, MDPI, vol. 11(7), pages 1-17, July.
    6. Lin Perry & Xiaoyue Xu & Robyn Gallagher & Rachel Nicholls & David Sibbritt & Christine Duffield, 2018. "Lifestyle Health Behaviors of Nurses and Midwives: The ‘Fit for the Future’ Study," IJERPH, MDPI, vol. 15(5), pages 1-16, May.
    7. Johanna Birkhäuer & Jens Gaab & Joe Kossowsky & Sebastian Hasler & Peter Krummenacher & Christoph Werner & Heike Gerger, 2017. "Trust in the health care professional and health outcome: A meta-analysis," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-13, February.
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    1. Holly Blake & Alex Brewer & Niki Chouliara, 2023. "“We’re Not Going to Be as Prepared”: A Qualitative Study of Healthcare Trainees’ Experiences after One Year of the COVID-19 Pandemic," IJERPH, MDPI, vol. 20(5), pages 1-15, February.

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