HEALTH INSTITUTIONAL SUPPORT FOR HEALTH WORKERS AS ROLE MODELS FOR A HEALTHY LIFE
Background: Health workers are considered to be credible people in health in the health field; they are often deemed as role models in healthy behavior. Primary healthcare centers (PHCs) and professional health organizations (PHOs) have to support health workers (HWs) in order that they perform their duty according to codes of work ethics.
Aims: This study aimed to investigate the support from PHCs and PHOs for HWs as health role models in the community.
Methods: This study is an exploratory qualitative study conducted in 2017. It involved three heads of PHCs, six clinical practitioners, three PHOs, and three community members from Pontianak.
Results: The health workers had responsibility, awareness, and commitment towards health workers themselves, the community, and colleagues, and thus they became health role models. Although the community never reprimanded HWs directly, they continued having a healthy lifestyle since they had acquired health education that impacts their behavior. Health institutions provided rules for mandatory daily physical activities and healthy diet; also, they established no-smoking areas, but many constraints were found during the execution.
Conclusion: The code of work ethics should be used as standards to support health workers' role.
Amani, R. and Gill, T. (2013) ‘Shiftworking, nutrition and obesity: Implications for workforce health- a systematic review', Asia Pacific Journal of Clinical Nutrition, 22(4), pp. 505–515. doi:10.6133/apjcn.2013.22.4.11.
Biernat, E., PoznaÅ„ska, A. and Gajewski, A.K. (2012) ‘Is physical activity of medical personnel a role model for their patients', Annals of Agricultural and Environmental Medicine, 19(4), pp. 707–710.
Birden, H. et al. (2014) ‘Defining professionalism in medical education: A systematic review', Medical Teacher, 36(1), pp. 47–61. doi: 10.3109/0142159X.2014.850154.
Blake, H. and Harrison, C. (2013) ‘Health behaviours and attitudes towards being role models', British Journal of Nursing, 22(2), pp. 86–94. doi:10.12968/bjon.2013.22.2.86.
Bleich, S.N. et al. (2012) ‘Impact of physician BMI on obesity care and beliefs', Obesity, 20(5), pp. 999–1005. doi:10.1038/oby.2011.402.
Bleich, S.N. et al. (2013) ‘How does physician BMI impact patient trust and perceived stigma?', Preventive Medicine, 57(2), pp. 120–124.
Cant, R.P. and Aroni, R.A. (2008) ‘Exploring dietitians' verbal and nonverbal communication skills for effective dietitian-patient communication', Journal of Human Nutrition and Dietetics, 21(5), pp. 502–511. doi:10.1111/j.1365-277X.2008.00883.x.
Chan, C.W. and Perry, L. (2012) ‘Lifestyle health promotion interventions for the nursing workforce: A systematic review', Journal of Clinical Nursing, 21, pp. 2247–2261. doi: 10.1111/j.1365-2702.2012.04213.x.
Darch, J., Baillie, L. and Gillison, F. (2017) ‘Nurses as role models in health promotion: A concept analysis', British Journal of Nursing, 26(17), pp. 982–988. doi:10.12968/bjon.2017.26.17.982.
Fie, S., Norman, I.J. and While, A.E. (2013) ‘The relationship between physicians' and nurses' personal physical activity habits and their health-promotion practice: A systematic review', Health Education Journal, 72(1), pp. 102–119. doi:10.1177/0017896911430763.
Florindo, A.A. et al. (2015) ‘Association of knowledge, preventive counseling and personal health behaviors on physical activity and consumption of fruits or vegetables in community health workers', BMC Public Health, 15(1), pp. 1–8. doi:10.1186/s12889-015-1643-3.
Fraser, S.E., Leveritt, M.D. and Ball, L.E. (2013) ‘Patients' perceptions of their general practitioner's health and weight influences their perceptions of nutrition and exercise advice received', Journal of Primary Health Care, 5(4), pp. 301–307. doi:10.1071/hc13301.
Gupta, K. and Fan, L. (2009) ‘Doctors: Fighting fit or couch potatoes?', British Journal of Sports Medicine, 43(2), pp. 153–154. doi: 10.1136/bjsm.2008.051839.
Hoare, K.J., Mills, J. and Francis, K. (2013) ‘Becoming willing to role model. reciprocity between new graduate nurses and experienced practice nurses in general practice in New Zealand: A constructivist grounded theory', Collegian, 20(2), pp. 87–93. doi:10.1016/j.colegn.2012.03.009.
Howe, M. et al. (2010) ‘Patient-Related diet and exercise counseling: Do providers' own lifestyle habits matter?', Preventive Cardiology, 13(4), pp. 180–185. doi: 10.1111/j.1751-7141.2010.00079.x.
Hurley, S. et al. (2018) ‘Nurses' Perceptions of Self as Role Models of Health', Western Journal of Nursing Research, 40(8), pp. 1131–1147. doi:10.1177/0193945917701396.
IDI (2012) Kode Etik Kedokteran Indonesia. IDI. Available at: https://mkekidi.id/kode-etik-kedokteran-indonesia/.
Jochemsen-Van Der Leeuw, H.G.A.R. et al. (2013) ‘The attributes of the clinical trainer as a role model: A systematic review', Academic Medicine, 88(1), pp. 26–34. doi: 10.1097/ACM.0b013e318276d070.
Kelly, M. et al. (2016) ‘Should nurses be role models for healthy lifestyles? Results from a modified Delphi study', Journal of Advanced Nursing, 73(3), pp. 665–678. doi: 10.1111/jan.13173.
Kelly, M., Wills, J. and Sykes, S. (2017) ‘Do nurses' personal health behaviours impact on their health promotion practice? A systematic review', International Journal of Nursing Studies, 76, pp. 62–77. doi: 10.1016/j.ijnurstu.2017.08.008.
Kim, M.J. et al. (2013) ‘Association between shift work and obesity among female nurses: Korean Nurses' Survey', BMC Public Health, 13(1204), pp. 1–8. doi:10.1186/1471-2458-13-1204.
Lambert, V. a. and Lambert, C.E. (2012) ‘Qualitative Descriptive Research: An Acceptable Design', Pacific Rim International Journal of Nursing Research, 16(4), pp. 255–256.
Lobelo, F. and de Quevedo, I.G. (2016) ‘The Evidence in Support of Physicians and Health Care Providers as Physical Activity Role Models', American Journal of Lifestyle Medicine, 10(1), pp. 36–52. doi:10.1177/1559827613520120.
Mold, F. and Forbes, A. (2013) ‘Patients' and professionals' experiences and perspectives of obesity in health-care settings: A synthesis of current research', Health Expectations, 16(2), pp. 119–142. doi: 10.1111/j.1369-7625.2011.00699.x.
O'Brien, K.S. et al. (2013) ‘Obesity discrimination: The role of physical appearance, personal ideology, and anti-fat prejudice', International Journal of Obesity, 37(3), pp. 455–460. doi:10.1038/ijo.2012.52.
Patra, L. et al. (2015) ‘Doctors' self-reported physical activity, their counselling practices and their correlates in urban Trivandrum, South India: Should a full-service doctor be a physically active doctor?', British Journal of Sports Medicine, 49(6), pp. 413–416. doi: 10.1136/bjsports-2012-091995.
Phiri, L.P. et al. (2014) ‘Nurses' lifestyle behaviours, health priorities and barriers to living a healthy lifestyle: A qualitative descriptive study', BMC Nursing, 13(1), pp. 1–11. doi:10.1186/s12912-014-0038-6.
Pistikou, A.M. et al. (2014) ‘Determinative Factors of being an Effective Health-care Role Model', International Journal Of Occupational Health and Public Health Nursing, 1(3), pp. 3–14.
Rush, K.L., Kee, C.C. and Rice, M. (2005) ‘Author's Response', Western Journal of Nursing Research, 27(2), pp. 186–187. doi: 10.1177/0193945904270247.
Shahar, D.R. et al. (2009) ‘A controlled intervention study of changing health-providers' attitudes toward personal lifestyle habits and health-promotion skills', Nutrition, 25(5), pp. 532–539. doi:10.1016/j.nut.2008.11.020.
Simfukwe, P., Van Wyk, B. and Swart, C. (2017) ‘Perceptions, attitudes and challenges about obesity and adopting a healthy lifestyle among health workers in Pietermaritzburg, KwaZulu-Natal province', African Journal of Primary Health Care and Family Medicine, 9(1), pp. 1–9. doi:10.4102/phcfm.v9i1.1276.
Tyzuk, K. (2012) ‘Physician health : A review of lifestyle behaviors and preventive health care among physicians', BC Medical Journal, 54(8), pp. 419–423.
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