ArticleJournal of advanced nursing2021
Factors influencing initiation of health behaviour conversations with patients: Cross-sectional study of nurses, midwives, and healthcare support workers in Wales.
Article in Journal of advanced nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
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- Article
- Experiences of healthcare professionals providing physical activity advice to pregnant and postpartum women: a systematic review of qualitative evidence.BMJ open sport & exercise medicine · 2026Article
- "Okay in theory": a qualitative study of safer sleep advice in families with infants at risk and families reporting risky sleep practices.BMJ paediatrics open · 2025Article
- Health promotion nursing interventions for female breast cancer survivors: A scoping review.Journal of advanced nursing · 2025Article
- Nurses' Role in Obesity Management in Adults in Primary Healthcare Settings Worldwide: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- UK midwives delivering physical activity advice; what are the challenges and possible solutions?Frontiers in sports and active living · 2024Article
- Comfort levels in discussing tobacco smoking among hospital staff in a children's hospital.Tobacco prevention & cessation · 2023Article
- Factors influencing initiation of health behaviour conversations with patients: Cross-sectional study of nurses, midwives, and healthcare support workers in Wales.Journal of advanced nursing · 2021Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo identify factors influencing healthcare professionals' engagement in health behaviour conversations with patients.
designCross-sectional survey.
methodsBetween April and June 2019, an online survey of 1338 nurses, midwives and healthcare support workers was conducted. The survey assessed whether staff felt comfortable initiating health behaviour conversations with patients about five behaviours (reducing alcohol intake; stop smoking; being more active; reducing their weight; and improving their diet) and barriers to conversation initiation. Health professionals' own health-related behaviours, self-rated health and mental wellbeing, and socio-demographic characteristics were recorded. Logistic regression models were built to assess factors associated with feeling comfortable initiating health behaviour conversations for each topic.
resultLess than 50% of respondents reported feeling comfortable initiating health behaviour conversations with patients. Female staff, young professionals (18 to 29 years), those in lower staff grades and those with poorer health and low mental wellbeing were less likely to report feeling comfortable having health behaviour conversations across all topics. Those who did not adhere to physical activity and dietary guidelines were less likely to initiate a conversation about being more active and having a healthy diet, respectively. Not having time to discuss the topic, suitable space to hold a conversation, and feeling worried about offending/upsetting patients were the main barriers reported.
conclusionAround 6 in 10 members of the nursing, midwifery and healthcare support workforce in Wales potentially do not feel comfortable to initiate a health behaviour conversation with patients about health and wellbeing. Feeling less comfortable to initiate a conversation was associated with staff demographics and organizational factors. IMPACT: We identified those less likely to initiate health behaviour conversations as well as personal and organizational barriers to initiation. This will help to target and tailor interventions to ensure staff are equipped and enabled to hold health behaviour conversations with patients.
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