Changing diet and physical activity behaviour in nurses using Intervention Mapping: Study protocol

This is the author accepted manuscript.Conference presentation (abstract)Introduction: Nursing is a stressful occupation, in which overtime and irregular shifts are common, and challenge the maintenance of a healthy lifestyle. In fact, with 60% of nurses being overweight or obese, and 55% being classified as insufficiently active, the risk for noncommunicable diseases (NCD) is increased in this group. Because staff shortage and high turn-over are a common and currently issue in this workforce, improving nurses’ health could play an important role for job retention. So far, there is a lack in number and quality of studies promoting healthy lifestyles in this population. Objectives: To design a tailored intervention to promote healthy diet and PA behaviour in nurses Method / Design: Following the Intervention Mapping (IM) protocol, an initial Needs Assessment was performed combining literature review and focus groups (FG) data, to explore barriers to healthy diet and PA experienced by nurses. Selection of intervention strategies and behavioural change theoretical frameworks, were selected based on the needs assessment data and desirable outcomes. Intervention materials were developed using both an evidence-based approach and suggestions from FG participants. Results: The intervention will be implemented and evaluated in a 12-week pre-post-test study with n=50 nurses working full-time. Efficacy and uptake will be evaluated using the primary outcomes physical activity (including sedentary behaviour), and improved diet quality. Secondary outcomes will include changes in NCDs risk factors like BMI, blood pressure, and waist circumference. Conclusions: The use of a tailored intervention, developed in collaboration with future participants, has the potential to ensure participation, flexibility and sustainability in this hard-to-reach group. The adoption and maintenance of a healthy diet and PA, can improve nurses’ long-term health, hence potentially improving job retention. Limiting turn-over can contribute to overcome the current nursing shortage, which is predicted to increase in the next years

Changing diet and physical activity in time-poor populations

This is the final version. Available on open access from Elsevier via the DOI in this recor

Promoting Diet and Physical Activity in Nurses

This is the author accepted manuscript. The final version is available from SAGE Publications via the DOI in this recordObjective. To systematically review the effectiveness of intervention studies promoting diet and physical activity (PA) in nurses. Data Source. English language manuscripts published between 1970 and 2014 in PubMed, Scopus, CINAHL, and EMBASE, as well as those accessed with the PICO tool, were reviewed. Study Inclusion and Exclusion Criteria. Inclusion criteria comprised (1) nurses/student nurses working in a health care setting and (2) interventions where PA and/or diet behaviors were the primary outcome. Exclusion criteria were (1) non–peer-reviewed articles or conference abstracts and (2) interventions focused on treatment of chronic conditions or lifestyle factors other than PA or diet in nurses. Data Extraction. Seventy-one full texts were retrieved and assessed for inclusion by two reviewers. Data were extracted by one reviewer and checked for accuracy by a second reviewer. Data Synthesis. Extracted data were synthesized in a tabular format and narrative summary. Results. Nine (n = 737 nurses) studies met the inclusion criteria. Quality of the studies was low to moderate. Four studies reported an increase in self-reported PA through structured exercise and goal setting. Dietary outcomes were generally positive, but were only measured in three studies with some limitations in the assessment methods. Two studies reported improved body composition without significant changes in diet or PA. Conclusions. Outcomes of interventions to change nurses’ PA and diet behavior are promising, but inconsistent. Additional and higher quality interventions that include objective and validated outcome measures and appropriate process evaluation are required

Diet and physical activity behaviour in nurses: a qualitative study

This is the author accepted manuscript. The final version is available from Taylor & Francis (Routledge) via the DOI in this record .Issue addressed: Previous research has shown that approximately 60% of nurses in Australia are overweight or obese, insufficiently active and have an unhealthy diet. The aim of this study was to gain an understanding of nurses’ determinants contributing to these behaviours. This will inform a needs assessment for a future workplace health promotion program (WHPP) in this group. Methods: Four focus group discussions (n = 17) were conducted with a convenience sample of nurses aged 25–59 years from three hospitals in the Brisbane metropolitan area. Questions addressed barriers and motivation towards diet and physical activity (PA), and suggestions for future WHPP. Data were analysed with Nvivo10 following a thematic analysis with a realistic approach using Self-determination theory as a framework. Results: Work environment was the main barrier for healthy diet behaviours. Long working hours and lack of breaks challenged nurses’ self-control and self-regulation when making dietary choices. Fatigue was the main barrier for PA. However, relaxation, feeling energised before work and better sleep after working night shifts motivated nurses to do PA. Social environment at work seemed to be an effective external motivation to encourage healthy diet and regular PA. Goal-setting, self-monitoring and social support at work were identified as potential WHHP strategies. Conclusion: The workplace and job demands negatively impacts nurses’ lifestyle behaviours. Future interventions should include social support from colleagues, which could motivate nurses to make healthier food choices at work and be more active outside work.IPRSS and UQ Centennial bursar

Low temperature dipolar echo in amorphous dielectrics: Significance of relaxation and decoherence free two level systems

The nature of dielectric echoes in amorphous solids at low temperatures is investigated. It is shown that at long delay times the echo amplitude is determined by a small subset of two level systems (TLS) having negligible relaxation and decoherence because of their weak coupling to phonons. The echo decay can then be described approximately by power law time dependencies with different powers at times longer and shorter than the typical TLS relaxation time. The theory is applied to recent measurements of two and three pulse dipolar echo in borosilicate glass BK7 and provides a perfect data fit in the broad time and temperature ranges under the assumption that there exist two TLS relaxation mechanisms due to TLS-phonons and TLS-TLS interaction. This interpretation is consistent with the previous experimental and theoretical investigations. Further experiments verifying the theory predictions are suggested.Comment: 10 pages, 8 figure

"L'amicizia non è una vana parola" Lettere di Andrea Caffi a Olga Signorelli

Pubblicazione di fonte inedita (carteggio) con introduzione (pp. 347-357) e note

The self-perceived knowledge, skills and attitudes of Australian practice nurses in providing nutrition care to patients with chronic disease

Background. Nutrition is important for the management of chronic diseases. While practice nurses have numerous roles in primary care, the expectations on practice nurses to provide nutrition care for chronic disease management are increasing. The self-perceived knowledge, skills and attitudes of practice nurses in providing nutrition care has not been widely investigated

One dimensional Confinement of Electric Field and Humidity Dependent DNA Conductivity

The dependence of DNA assemblies conductance on relative humidity is investigated theoretically. Following earlier suggestions, we consider the ionic conductivity through the layers of water adsorbed by DNA molecules. The increase in humidity results in a growing water layer. The binding energy of ions depends on the thickness of the water layer due to change in water polarization. This dependence is very strong at smaller thicknesses of water layers due to the low-dimensional confinement of an electric field in water. We show that the associated change in ion concentration can explain the six orders of magnitude increase in conductivity, with relative humidity growing from 0.05 to 0.95Comment: 16 pages, 5 figures, published in Journal of Chemical Physic

Acute effects of nitrate-rich beetroot juice on blood pressure, hemostasis and vascular inflammation markers in healthy older adults: A randomized, placebo-controlled crossover study

Aging is associated with a vasoconstrictive, pro-coagulant, and pro-inflammatory profile of arteries and a decline in the bioavailability of the endothelium-derived molecule nitric oxide. Dietary nitrate elicits vasodilatory, anti-coagulant and anti-inflammatory effects in younger individuals, but little is known about whether these benefits are evident in older adults. We investigated the effects of 140 mL of nitrate-rich (HI-NI; containing 12.9 mmol nitrate) versus nitrate-depleted beetroot juice (LO-NI; containing ≤0.04 mmol nitrate) on blood pressure, blood coagulation, vascular inflammation markers, plasma nitrate and nitrite before, and 3 h and 6 h after ingestion in healthy older adults (five males, seven females, mean age: 64 years, age range: 57–71 years) in a randomized, placebo-controlled, crossover study. Plasma nitrate and nitrite increased 3 and 6 h after HI-NI ingestion (p < 0.05). Systolic, diastolic and mean arterial blood pressure decreased 3 h relative to baseline after HI-NI ingestion only (p < 0.05). The number of blood monocyte-platelet aggregates decreased 3 h after HI-NI intake (p < 0.05), indicating reduced platelet activation. The number of blood CD11b-expressing granulocytes decreased 3 h following HI-NI beetroot juice intake (p < 0.05), suggesting a shift toward an anti-adhesive granulocyte phenotype. Numbers of blood CD14++CD16+ intermediate monocyte subtypes slightly increased 6 h after HI-NI beetroot juice ingestion (p < 0.05), but the clinical implications of this response are currently unclear. These findings provide new evidence for the acute effects of nitrate-rich beetroot juice on circulating immune cells and platelets. Further long-term research is warranted to determine if these effects reduce the risk of developing hypertension and vascular inflammation with aging