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dc.contributor.authorKelly, Muireann
dc.contributor.authorWills, Jane
dc.contributor.authorJester, Rebecca
dc.contributor.authorSpeller, Viv
dc.date.accessioned2017-08-29T11:19:58Z
dc.date.available2017-08-29T11:19:58Z
dc.date.issued2016-10-17
dc.identifier.citationKelly M., Wills J., Jester R., Speller V. (2017) 'Should nurses be role models for healthy lifestyles? Results from a modified Delphi study', Journal of Advanced Nursing, 73 (3) pp. 665-678 doi: 10.1111/jan.13173
dc.identifier.issn0309-2402
dc.identifier.doi10.1111/jan.13173
dc.identifier.urihttp://hdl.handle.net/2436/620621
dc.descriptionThis is an accepted manuscript of an article published by John Wiley & Sons in Journal of Advanced Nursing on 17/10/2016, available online: https://doi.org/10.1111/jan.13173 The accepted version of the publication may differ from the final published version.en
dc.description.abstractAim To explore the expectation that nurses should be role models for healthy behaviours. Background Nurses are expected to be role models for healthy behaviours. Whether this is a realistic and acceptable expectation has not been explored. Design Modified Policy Delphi study with two rounds of data collection. Method Purposive sampling was used to explore areas of agreement and disagreement among six stakeholder groups who influence nursing roles: practising nurses, nursing students, service users, policy makers, workforce development leads and stakeholders working in nurse education. Two rounds of a modified Policy Delphi study were conducted between February - June 2015. The first round used telephone interviews for an open exploration of opinions. The second round used attitude statements to explore convergence and divergence of opinions across stakeholder groups. Responses were analysed thematically. Results Policy and professional discourse that asserts that nurses should be healthy role models was seen as unrealistic and unhelpful. Contrary to the view that nurses should epitomize and demonstrate healthy behaviours to encourage patients and to be credible in advice, stakeholders agreed that it was more important to be seen as ‘human’ and understand the challenges of health behaviour change. Student and practising nurses did not see role modelling healthy behaviours as a reasonable professional expectation. Conclusions The findings challenge the assumptions underpinning the argument that nurses be healthy role models. Further research is needed to understand the views of frontline nurses and to further explore avenues by which health services staff health can be improved.
dc.language.isoen
dc.publisherJohn Wiley and Sons
dc.relation.urlhttp://doi.wiley.com/10.1111/jan.13173
dc.subjectDelphi technique
dc.subjecthealth behaviours
dc.subjecthealth promotion
dc.subjectnurses
dc.subjectrole model
dc.titleShould nurses be role models for healthy lifestyles? Results from a modified Delphi study
dc.typeJournal article
dc.identifier.journalJournal of Advanced Nursing
dc.contributor.institutionSchool of Health and Social Care; London South Bank University; UK
dc.contributor.institutionSchool of Health and Social Care; London South Bank University; UK
dc.contributor.institutionSchool of Health and Social Care; London South Bank University; UK
dc.contributor.institutionHealth Development Consulting Ltd; Waterlooville Hampshire UK
dc.date.accepted2016-09-29
rioxxterms.funderJisc
rioxxterms.identifier.projectUoW290817RJ
rioxxterms.versionAM
rioxxterms.licenseref.urihttps://creativecommons.org/CC BY-NC-ND 4.0
rioxxterms.licenseref.startdate2017-10-17
dc.source.volume73
dc.source.issue3
dc.source.beginpage665
dc.source.endpage678
refterms.dateFCD2018-10-19T09:01:27Z
refterms.versionFCDAM
refterms.dateFOA2018-08-02T12:08:43Z
html.description.abstractAim To explore the expectation that nurses should be role models for healthy behaviours. Background Nurses are expected to be role models for healthy behaviours. Whether this is a realistic and acceptable expectation has not been explored. Design Modified Policy Delphi study with two rounds of data collection. Method Purposive sampling was used to explore areas of agreement and disagreement among six stakeholder groups who influence nursing roles: practising nurses, nursing students, service users, policy makers, workforce development leads and stakeholders working in nurse education. Two rounds of a modified Policy Delphi study were conducted between February - June 2015. The first round used telephone interviews for an open exploration of opinions. The second round used attitude statements to explore convergence and divergence of opinions across stakeholder groups. Responses were analysed thematically. Results Policy and professional discourse that asserts that nurses should be healthy role models was seen as unrealistic and unhelpful. Contrary to the view that nurses should epitomize and demonstrate healthy behaviours to encourage patients and to be credible in advice, stakeholders agreed that it was more important to be seen as ‘human’ and understand the challenges of health behaviour change. Student and practising nurses did not see role modelling healthy behaviours as a reasonable professional expectation. Conclusions The findings challenge the assumptions underpinning the argument that nurses be healthy role models. Further research is needed to understand the views of frontline nurses and to further explore avenues by which health services staff health can be improved.


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