A nurse as a reliable educator? Analysis of selected health behaviors of nurses

Introduction: The nurse, in addition to nurture the patient should shape his awareness of a healthy lifestyle. The aim of the research was to analyze the health behaviors of nurses. Material and methods: The research participants included 100 nurses working in hospital wards. The researcher used his own questionnaire containing questions about selected lifestyle elements. The research included also the measurement of body weight and height, and the calculation of the Body Mass Index (BMI). The results were described with the use of the basic descriptive statistics, the chi2 test, Mann-Whitney U test, and the Spearman’s rank correlation coefficient. The differences were deemed significant when p&lt;0,05. Results: Only 5.0% of nurses devoted at least 150 minutes per week to aerobic activity. More than half of the respondents (58.0%) said that on weekdays they did not perform any strength exercises for major muscle groups. According to the nurses, lack of time (65.0%) was the greatest impediment to their physical activity. A significant percentage of the respondents (40.0%) did not pay any attention to the calorific or nutritional value of their meals. As many as 30.0% of the surveyed nurses indicated that they ate irregularly, and 22.0% of them ate only 1-3 meals during the day. Excessive body weight was observed in almost half of the participants. For the majority of the nurses, their professional work was the main source of stress (46.0%). Conclusions: Despite their knowledge on healthy lifestyle, it seems that nurses do not fully implement its objectives. Therefore, the majority of them are not good role models for patients. </jats:p

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P &lt; 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)