Relationship Between Self-Care Agency, Self-Care Practices, and Body Mass Index Among ...

147 Pages·2016·2.35 MB·English

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Electronic Theses and Dissertations
2016
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Takara Schomberg
South Dakota State
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Schomberg, Takara, "Relationship Between Self-Care Agency, Self-Care Practices, and Body Mass Index
Among Nursing Professionals" (2016). Electronic Theses and Dissertations. 1090.
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RELATIONSHIP BETWEEN SELF-CARE AGENCY, SELF-CARE PRACTICES, AND
BODY MASS INDEX AMONG NURSING PROFESSIONALS
BY
TAKARA SCHOMBERG, BSN, RN
A thesis submitted in partial fulfillment of the requirements for the degree
Master of Science
Major in Nursing
Specialization in Nurse Educator
South Dakota State University
2016

iii
This paper is dedicated to the friends and family who have helped to watch my
daughter, my co-workers who went above and beyond to accommodate my crazy
schedule, and my family. I want to make special mention of my incredible husband, John,
and daughter, Keziah. They have made such sacrifices but have been a source of
unwavering love and support.
iv
ACKNOWLEDGEMENTS
The author would like to express deep appreciation for the assistance and
guidance of Dr. Linda Burdette, thesis committee chair and program advisor for this
author. Dr. Burdette leant invaluable guidance and support through the refinement of this
study and the presentation of its results. Her experience and commitment to health and
health promotion were an invaluable source of knowledge and encouragement. I am also
grateful for the guidance and support of my thesis committee members, Dr. Marylou
Mylant, College of Nursing, and Dr. Brian Britt, graduate faculty representative. Without
a committee that shared my passion for this project, this study could not have been
accomplished. A special thanks to Dr. Linda Herrick, associate dean of undergraduate
nursing, for stepping in and assisting with committee work and the guidance of this
project when needed.
I am exceedingly grateful to the nurses who agreed to participate in this study,
some of whom reached out via email to lend support and encouragement to this project.
The opportunity to learn from the experience of these nursing professionals was
invaluable.
v
CONTENTS
LIST OF ABBREVIATIONS………………………………………………………… viii
LIST OF FIGURES……………………………………………………………………… ix
LIST OF TABLES……………………………………………………………………… x
ABSTRACT…………………………………………………………………………… xi
CHAPTERS
1. INTRODUCTION……….…………………………………………………… 1
BACKGROUND…………………………………………………………… 2
PURPOSE…………………………………………………………………… 5
RESEARCH QUESTION…………………………………………………… 5
GOAL………………………………………………………………………… 5
SIGNIFICANCE…………………………………………………………… 6
2. REVIEW OF THE LITERATURE………………………………………… 9
NURSES AS HEALTH ROLE MODELS………………………………… 11
NURSES & SELF-CARE PRACTICES…………………………………… 17
WEIGHT MANAGEMENT & BURN-OUT……………………………… 30
SUMMARY OF LITERATURE REVIEW…………………………………33
GAPS IN LITERATURE……………………………………………………36
DEFINITION OF TERMS………………………………………………… 38
CONCEPTUAL FRAMEWORK…………………………………………… 40
3. METHOD……………………………………………………………………43
STUDY DESIGN…………………………………………………………… 43
STUDY SETTING………………………………………………………… 44
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STUDY POPULATION…………………………………………………… 46
ETHICAL CONSIDERATIONS…………………………………………… 46
SURVEY INSTRUMENTS……………………………………………… 49
STUDY SAMPLE………………………………………………………… 53
DATA COLLECTION…………………………………………………… 56
DATA ANALYSIS………………………………………………………… 57
4. RESULTS………………………………………………………………… 59
RESULTS & ANALYSIS………………………………………………… 59
DESCRIPTIVE STATISTICS……………………………………………… 60
CORRELATIONAL STATISTICS………………………………………… 68
5. DISCUSSION & CONCLUSIONS …………………………………………72
6. DISCUSSION OF RESULTS……………………………………………… 72
IMPLICATIONS…………………………………………………………… 75
LIMITATIONS…………………………………………………………… 80
IMPLICATIONS FOR FUTURE RESEARCH…………………………… 84
CONCLUSION…………………………………………………………… 85
APPENDICES
A. DEMOGRAPHICS, LIFESTYLE, PROFESSIONAL BACKGROUND
SURVEY……………………………………………………………………… 88
B. DSCAI-90 & SCORING……………………………………………………… 91
C. DSCPI-90 & SCORING…………………………………………………………97
D. PERMISSION FOR USE OF TOOLS………………………………………… 101
E. SURVEY INVITATION COVER LETTER………………………………… 102
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F. IRB APPROVAL-EXPEDITED ……………………………………………… 104
G. NUMBERS FOR SYSTEMATIC RANDOMIZED PARTICIPANT SELECTION
………………………………………………………………………………… 106
H. MEAN SCORES……………………………………………………………… 107
I. DEMOGRAPHIC, LIFESTYLE, PROFESSIONAL BACKGROUND
STATISTICS………………………………………………………………… 109
J. BMI DISTRIBUTION BY CATEGORY…………………………………… 111
K. CORRELATION AND SIGNIFICANCE COEFFICIENTS………………… 112
REFERENCES………………………………………………………………………… 113
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ABBREVIATIONS
BMI body mass index
BON Board of Nursing
BPA bisphenol A
DSCAI-90 Denyes Self-Care Agency Instrument
DSCPI-90 Denyes Self-Care Practices Instrument
NHS Nurses’ Health Study
NHSII Nurses’ Health Study II
RN Registered Nurse
SCA self-care agency
SCP self-care practices
SD Standard Deviation
US United States
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LIST OF FIGURES
Figure 1. Theorized Self-Care Relationships among Nursing Professionals. ………… 44
Figure 2. BMI Category Rates Among Sample Participants. ………………………… 64
Figure 3. Distribution and Skew of BMI Scores. ……………………………………… 65
Figure 4. Distribution and Skew of DSCAI-90 Total Scores. ………………………… 66
Figure 5. Distribution and Skew of DSCPI-90 Total Scores. ………………………… 68
Figure 6. Relationship between DSCAI-90 and DSCPI-90 …………………………… 69
Figure 7. Relationship between DSCPI-90 and BMI………………………………… 70
Figure 8. Relationship between DSCAI-90 and BMI………………………………… 71