Open Access
Building capacity for health promotion by addressing nurses' role confusion: study protocol of a pilot clustered randomised controlled trial
(Wiley, 2021) Iriarte Roteta, Andrea; López de Dicastillo Sáinz de Murieta, Olga; Mujika Zabaleta, Agurtzane; Antoñanzas Baztán, Elena; Hernantes Colias, Naia; Galán Espinilla, María José; Pumar Méndez, María Jesús; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako Gobernua
Aim: To describe the protocol for the pilot phase of a complex intervention, designed to address primary care nurses' role confusion in health promotion. Design: A pilot clustered randomized controlled trial, with control and intervention groups. Methods: The study will be conducted in a primary care setting. Participants will be nurses from the primary care health service working in a primary care team (PCT, 15 control group; 15 intervention group). Nurses in the experimental group will receive the ROLE-AP programme over a 3-week period. The control group will continue with the normal routine. The pilot will help determine the intervention's feasibility, acceptability, fidelity and quality of the programme components. Data collected preintervention, postintervention and 3 months after intervention will provide estimates of the intervention's preliminary effects on the main variable, nurses' degree of agreement concerning their expected role in health promotion. The study received funding from the local government in December 2019. Discussion: Role confusion is promoting primary care nurses' omissions in their health-promoting practice, which is far from the ideal portrayed by the Ottawa Charter. Interventions are needed that reveal the most appropriate mechanisms for addressing role confusion, which requires reaching an intraprofessional agreement about the expectations for role activities. Healthcare organisations could benefit from the incorporation of a programme of these characteristics into standard practice. Impact: This study will produce a novel and comprehensive complex intervention that is expected to build nurses' capacity in primary healthcare organizations for health promotion, which is key to increasing the quality, efficiency and sustainability of the National Health System. The programme evaluation and feasibility study will reveal how to better use existing resources in a full-scale clinical trial.
Open Access
Health professionals' personal behaviours hindering health promotion: a study of nurses who smoke
(Wiley, 2017) Mujika Zabaleta, Agurtzane; Arantzamendi, María; López de Dicastillo Sáinz de Murieta, Olga; Forbes, Angus; Ciencias de la Salud; Osasun Zientziak
Aim: To explore the views of current and ex-smoker nurses on their role in sup-porting patients to stop smoking. Background: Long-term conditions are closely linked to harmful lifestyle behaviours, including smoking and overeating. Health professionals have an important role toplay in promoting healthier lifestyles. It has been described that nurses’ health beha-viours may be a barrier to their health promotion practice. There is a need to gainfurther understanding on why nurses’ health promotion activity is influenced bytheir own health behaviour. Design: A secondary analysis of qualitative data gathered in 2010 in the context ofa project that aimed to develop a smoking cessation intervention for nurses. Methods: Eleven transcripts of semi-structured interviews conducted with nurses (current and ex-smokers) working in one university hospital in Spain. Data wereanalysed using framework analysis. Findings: Nurses who smoked engaged in social justification in terms of socialnorms and work stress. Only nurses who had quit smoking were able to identify thenegative feelings it generated and the effect that it had on their past health promotion practice. This was expressed by ex-smokers as an internal conflict that prevented them from supporting patients with their own habit. Conclusion: Nurses who smoke may be inhibited as health promoters withoutbeing aware of it. Interventions that focus on helping these professionals dealwith the challenges associated with these encounters are necessary if health promotion practices are to be enhanced. Targeting this conflict might also work toimprove their lifestyle, which would expand the potential impact to professionals’ own health.

López de Dicastillo Sáinz de Murieta, Olga

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