Factors Associated With Health-promoting Behaviors Among Nurses in South Korea: Systematic Review and Meta-analysis Based on Pender's Health Promotion Model.

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  • Author(s): Choi MJ;Choi MJ; Kim S; Kim S; Jeong SH; Jeong SH
  • Source:
    Asian nursing research [Asian Nurs Res (Korean Soc Nurs Sci)] 2024 May; Vol. 18 (2), pp. 188-202. Date of Electronic Publication: 2024 Apr 29.
  • Publication Type:
    Journal Article; Meta-Analysis; Systematic Review; Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: Korea (South) NLM ID: 101321326 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2093-7482 (Electronic) Linking ISSN: 19761317 NLM ISO Abbreviation: Asian Nurs Res (Korean Soc Nurs Sci) Subsets: MEDLINE
    • Publication Information:
      Original Publication: Singapore : Seoul : Elsevier ; Korean Society of Nursing Science
    • Subject Terms:
      Health Promotion*/methods ; Health Behavior*; Humans ; Republic of Korea ; Nurses/psychology ; Female ; Adult ; Male
    • Abstract:
      Purpose: Although the importance of health promotion for nurses is increasing, there is a lack of meta-analyses targeting nurses in the world. This study aimed to identify the effect sizes between the health-promoting behaviors and related variables of nurses working in Korea.
      Methods: Systematic review and meta-analysis were conducted according to the PRISMA and MOOSE guidelines. The literature included in this meta-analysis was published between 1994 and 2022 in core databases such as KMbase, KISS, KoreaMed, ScienceON, DBpia, NAL, RISS, CINAHL, CENTRAL, WoS, PubMed, and hand searched. In this study, the PICO-SD framework was applied with Participants being nurses actively working in various healthcare settings across Korea, and for a more comprehensive search, intervention and comparisons were not set. The outcomes measured were nurses' health-promoting behaviors, assessed using structured tools. The study design included observational studies. The Comprehensive Meta-Analysis and the R software program were used for meta-analysis.
      Results: In total, 50 articles were selected for the systematic review and meta-analysis. The total effect size of the 50 articles was moderate (correlation effect size [ESr] = 0.30). The individual variables presented in the 50 articles were classified into nine sub-categories according to Pender's Health Promotion Model (HPM). Among them, situational influences demonstrated the largest effect size (ESr = 0.44, number of studies [k] = 2), followed by perceived self-efficacy (ESr = 0.39, k = 10) and activity-related affect (ESr = 0.32, k = 12).
      Conclusions: To achieve the optimal health status of nurses through health promotion intervention programs, these effective variables - situational influences, perceived self-efficacy, and activity-related affect - should be considered when developing the intervention program for nurses.
      Registration: CRD42022299907.
      Competing Interests: Conflict of interest The authors declared no conflict of interest.
      (Copyright © 2024. Published by Elsevier B.V.)
    • Contributed Indexing:
      Keywords: health behavior; health promotion; meta-analysis; nurses; systematic review
    • Publication Date:
      Date Created: 20240501 Date Completed: 20240603 Latest Revision: 20240603
    • Publication Date:
      20240604
    • Accession Number:
      10.1016/j.anr.2024.04.007
    • Accession Number:
      38692407