As I was driving to work one morning, I passed two of our local hospitals. Standing outside of both were several people smoking. About half of those people were hospital staff, including nurses. The other half were visitors, patients, etc. It occurred to me that while we encourage others to make healthy lifestyle choices, we are also subject to the same temptations of smoking, overeating, alcohol and drug use.
Let me begin by saying that this article is not intended to be judgmental or a sermon to those who engage in those habits. We are all adults and free to make whatever choices we wish. There are, however, some instances in which we do need to view our actions through the eyes of our patients.
A variety of research studies have been done in recent years which examine the health habits of nurses and the impact that they may have on patients.
For example, we know that the prevalence of obesity in the general population in the U.S. has increased significantly over the past twenty to thirty years. We also know that obesity can put individuals at a higher risk for the development of cardiovascular disease, diabetes, mobility issues, etc. Education of our patients with regards to these risks and the importance of weight management and exercise is an ever increasing part of our role as nurses. A relevant question, therefore, is whether nurses who are overweight or obese are as likely as those who are not to advise patients about weight loss.
In fact, studies have generally shown that although the vast majority of nurses concede that obesity is a diagnosis which
requires intervention, a large majority of nurses do not pursue this issue with obese patients. The reason for this isn’t exactly clear. Perhaps they are uncomfortable discussing this with their patients, or perhaps they feel that they lack the credibility to have that conversation due to their own appearance. Another possibility is that the nurses themselves need more education and validation of the health risks that obesity can cause.
Another condition of concern in the nursing population includes the physical and emotional complications from stress. Many nurses work in stressful environments, taking care of everyone else before taking care of themselves. We know that the physical effects of stress can include insomnia, gastric ulcers, heart disease, headaches, fertility problems, and eating disorders. Other negative effects include disruption of family life, anxiety, and a reduction in the quality of life. We know that it is important to advise our patients that they should listen to their own bodies with regards to stress management and relaxation therapies, yet we typically do not take our own advice in this area. We teach the concepts of holistic nursing care to students, yet we do not always lead by example when it comes to our own health. Perhaps we need to be better role models for our patients as well as students and new nurses with regards to how we acknowledge and manage stress in our lives.
Stress may be a factor in the prevalence of smoking in the nurse population. We know that it is unhealthy. We know that caring for a patient after a “smoke break” while we still smell like cigarettes isn’t a good idea, no matter what the patient’s diagnosis. Do we really expect patients to listen to advice from us on the need for smoking cessation
when we smell like an ashtray?
We are on the front lines of patient care. We often spend more time with patients than any other category of health care provider. We are not immune to diseases caused by our own health habits any more than our patients are immune. One of the basic tenets of an effective nurse/patient relationship is trust. The question that we need to ask ourselves is “Will our patients trust and believe us if we demonstrate in ourselves the same poor health habits that we tell them to change?”
Nurses, are we setting a bad example for our patients? Please leave a comment below sharing your thoughts!
About the Author: Lanette L. Anderson, MSN, JD, RN, is a writer, speaker and nurse educator. Lanette has been in the nursing profession for almost thirty years and has served on a variety of committees with the National Council of State Boards of Nursing and committees for the Council on Licensure, Enforcement, and Regulation. Lanette is passionate about nurse education and is currently an instructor with two online universities, as well as a teacher at the University of Charleston in West Virginia.
Click here to learn more about Lanette Anderson.
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