DOI: https://doi.org/10.14710/nmjn.v13i1.49896

Filipino Nursing Students’ Health Promoting Behaviors during Pandemic

Ma. Prestige Leudouel J. Diana  -  West Visayas State University, Philippines
Francesca G Cercado  -  West Visayas State University, Philippines
Pearl Zerrha Chiu  -  West Visayas State University, Philippines
Pamela Andrea De Justo  -  West Visayas State University, Philippines
April Rhose De Silva  -  West Visayas State University, Philippines
*Ryan Michael F. Oducado orcid scopus publons  -  West Visayas State University, Philippines
Open Access Copyright (c) 2023 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Research on health promoting behaviors can assist nursing students in identifying, maintaining, and improving health behaviors. The notable impact and changes in lifestyle behaviors during the pandemic necessitate a closer look into students’ health-promoting behaviors. However, there is a lacuna in the literature about health promoting activities of nursing students stuck at home and attending online learning during the pandemic.

Purpose: This study assessed the level and predictors of health promoting behaviors of nursing students in a Philippine public university during a pandemic.

Methods: This study used a cross-sectional design with 363 out of 531 undergraduate nursing students of a public university in the Philippines as study participants. Data were gathered using an online survey last March 2022 employing the Health Promoting Lifestyle Profile (HPLP) II. Significant predictors were identified using multiple linear regression analysis with the aid of SPSS version 26.0.

Results: Results showed that nursing students had a high (M=2.80 out of 5) practice of health promoting behaviors. Physical activity ranked the lowest among the six dimensions of health promotion behaviors. The variables that predicted the health promoting behaviors of nursing students were self-reported academic performance (β=2.110, p=.000), family income level (β=.055, p=.001), and academic year level (β=.057, p=.002).

Conclusion: Nursing students should continue to maintain their good practice of health promoting behaviors. However, more attention should be given to engaging in physical activity to maintain holistic well-being.
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Keywords: Lifestyle; nursing; pandemic; Philippines; students

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  1. Agu, C. F., Stewart, J., McFarlane‐Stewart, N., & Rae, T. (2021). COVID‐19 pandemic effects on nursing education: Looking through the lens of a developing country. International Nursing Review, 68(2), 153-158. https://doi.org/10.1111/inr.12663
  2. Al-Momani, M. M. (2021). Health-promoting lifestyle and its association with the academic achievements of medical students in Saudi Arabia. Pakistan Journal of Medical Sciences, 37(2), 561-566. https://doi.org/10.12669/pjms.37.2.3417
  3. Almutairi, K. M., Alonazi, W. B., Vinluan, J. M., Almigbal, T. H., Batais, M. A., Alodhayani, A. A., Alsadhan, N., Tumala, R. B., Moussa, M., Aboshaiqah, A. E., & Alhoqail, R. I. (2018). Health promoting lifestyle of university students in Saudi Arabia: A cross-sectional assessment. BMC Public Health, 18, 1093. https://doi.org/10.1186/s12889-018-5999-z
  4. Alzahrani, S. H., Malik, A. A., Bashawri, J., Shaheen, S. A., Shaheen, M. M., Alsaib, A. A., Mubarak, M. A., Adam, Y. S., & Abdulwassi, H. K. (2019). Health-promoting lifestyle profile and associated factors among medical students in a Saudi university. SAGE Open Medicine, 7, 205031211983842. https://doi.org/10.1177/2050312119838426
  5. Ashgar, R. I. (2021). Health‐promoting behaviour during the COVID‐19 pandemic among Saudi adults: A cross‐sectional study. Journal of Advanced Nursing, 77(8), 3389-3397. https://doi.org/10.1111/jan.14863
  6. Azzouzi, S., Stratton, C., Muñoz-Velasco, L. P., Wang, K., Fourtassi, M., Hong, B. Y., Cooper, R., Balikuddembe, J.K., Palomba, A., Peterson, M., Pandiyan, U., Krassioukov, A., Tripathi, D.R., Tuakli-Wosornu, Y.A., & Hajjioui, A. (2022). The impact of the COVID-19 pandemic on healthy lifestyle behaviors and perceived mental and physical health of people living with non-communicable diseases: An international cross-sectional survey. International Journal of Environmental Research and Public Health, 19(13), 8023. https://doi.org/10.3390/ijerph19138023
  7. Barrett, D. (2022). Impact of COVID-19 on nursing students: What does the evidence tell us? Evidence Based Nursing, 25(2), 37–38. https://doi.org/10.1136/ebnurs-2022-103533
  8. Beliran, S., & Legaspi, M. (2014). Health promoting behaviors and quality of life of Filipino older persons. Asia Pacific Journal of Education, Arts and Sciences, 1(5), 11-20
  9. Bennett, C., Khangura, S., Brehaut, J. C., Graham, I. D., Moher, D., Potter, B. K., & M. Grimshaw, J. (2011). Reporting guidelines for survey research: An analysis of published guidance and reporting practices. PLoS Medicine, 8(8), e1001069. https://doi.org/10.1371/journal.pmed.1001069
  10. Cetinkaya, S., & Sert, H. (2021). Healthy lifestyle behaviors of university students and related factors. Acta Paulista de Enfermagem, 34, eAPE02942. https://doi.org/10.37689/acta-ape/2021AO02942
  11. Chaabane, S., Doraiswamy, S., Chaabna, K., Mamtani, R., & Cheema, S. (2021). The impact of COVID-19 school closure on child and adolescent health: A rapid systematic review. Children, 8(5), 415. https://doi.org/10.3390/children8050415
  12. Cicchella, A., Vecenane, H., & Usca, S. (2022). Healthy lifestyles of university students, according to demographics, nationality, and study specialty with special reference to sport studies. Frontiers in Education, 7, 889603. https://doi.org/10.3389/feduc.2022.889603
  13. Cleofas, J. V. (2021). Self-care practices and online student engagement during COVID-19 in the Philippines: A mixed methods study. Issues in Educational Research, 31(3), 699-717
  14. Dubuc, M.-M., Aubertin-Leheudre, M., & Karelis, A. D. (2019). Lifestyle habits predict academic performance in high school students: The adolescent student academic performance longitudinal study (ASAP). International Journal of Environmental Research and Public Health, 17(1), 243. https://doi.org/10.3390/ijerph17010243
  15. Farokhzadian, J., Karami, A., & Azizzadeh Forouzi, M. (2018). Health-promoting behaviors in nursing students: Is it related to self-efficacy for health practices and academic achievement? International Journal of Adolescent Medicine and Health, 32(3). https://doi.org/10.1515/ijamh-2017-0148
  16. Fashafsheh, I., Al-Ghabeesh, S. H., Ayed, A., Salama, B., Batran, A., & Bawadi, H. (2021). Health-promoting behaviors among nursing students: Palestinian perspective. Inquiry: The Journal of Health Care Organization, Provision, and Financing, 58, 004695802110187. https://doi.org/10.1177/00469580211018790
  17. Fincham, J. E. (2008). Response rates and responsiveness for surveys, standards, and the journal. American Journal of Pharmaceutical Education, 72(2), 43. https://doi.org/10.5688/aj720243
  18. Fish, C., & Nies, M. A. (1996). Health promotion needs of students in a college environment. Public Health Nursing, 13(2), 104-111. https://doi.org/10.1111/j.1525-1446.1996.tb00227.x
  19. Gadi, N., Saleh, S., Johnson, J. A., & Trinidade, A. (2022). The impact of the COVID-19 pandemic on the lifestyle and behaviours, mental health and education of students studying healthcare-related courses at a British university. BMC Medical Education, 22(1), 115. https://doi.org/10.1186/s12909-022-03179-z
  20. Heidari, M., Borujeni, M. B., Borujeni, M. G., & Shirvani, M. (2017). Relationship of lifestyle with academic achievement in nursing students. Journal of Clinical and Diagnostic Research: JCDR, 11(3), JC01–JC03. https://doi.org/10.7860/JCDR/2017/24536.9501
  21. Holst, H., Ozolins, L.-L., Brunt, D., & Hörberg, U. (2017). The experiences of supporting learning in pairs of nursing students in clinical practice. Nurse Education in Practice, 26, 6-11. https://doi.org/10.1016/j.nepr.2017.06.002
  22. Hosseini, M., Ashktorab, T., Taghdisi, M. H., Vardanjani, A. E., & Rafiei, H. (2014). Health-promoting behaviors and their association with certain demographic characteristics of nursing students of Tehran city in 2013. Global Journal of Health Science, 7(2), 264-272. https://doi.org/10.5539/gjhs.v7n2p264
  23. Hwang, Y., & Oh, J. (2020). Factors affecting health-promoting behaviors among nursing students. International Journal of Environmental Research and Public Health, 17(17), 6291. https://doi.org/10.3390/ijerph17176291
  24. Jiang, N., Wei, B., Lin, H., Wang, Y., Chai, S., & Liu, W. (2021). Nursing students’ attitudes, knowledge and willingness of to receive the coronavirus disease vaccine: A cross-sectional study. Nurse Education in Practice, 55, 103148. https://doi.org/10.1016/j.nepr.2021.103148
  25. Kang, H. (2021). Sample size determination and power analysis using the G*Power software. Journal of Educational Evaluation for Health Professions, 18, 17. https://doi.org/10.3352/jeehp.2021.18.17
  26. Kim, M. Y., & Kim, Y. J. (2018). What causes health promotion behaviors in college students? The Open Nursing Journal, 12(1), 106-115. https://doi.org/10.2174/1874434601812010106
  27. Li, X., Li, J., Qing, P., & Hu, W. (2021). COVID-19 and the change in lifestyle: Bodyweight, time allocation, and food choices. International Journal of Environmental Research and Public Health, 18(19), 10552. https://doi.org/10.3390/ijerph181910552
  28. Mašina, T., Madžar, T., Musil, V., & Milošević, M. (2017). Differences in health-promoting lifestyle profile among Croatian medical students according to gender and year of study. Acta Clinica Croatica, 56(1), 84-91. https://doi.org/10.20471/acc.2017.56.01.13
  29. Mattioli, A. V., Ballerini Puviani, M., Nasi, M., & Farinetti, A. (2020). COVID-19 pandemic: The effects of quarantine on cardiovascular risk. European Journal of Clinical Nutrition, 74(6), 852–855. https://doi.org/10.1038/s41430-020-0646-z
  30. Müller, C., El-Ansari, K., & El Ansari, W. (2022). Health-promoting behavior and lifestyle characteristics of students as a function of sex and academic level. International Journal of Environmental Research and Public Health, 19(12), 7539. https://doi.org/10.3390/ijerph19127539
  31. Musavian, A. S., Pasha, A., Rahebi, S.-M., Atrkar Roushan, Z., & Ghanbari, A. (2014). Health promoting behaviors among adolescents: A cross-sectional study. Nursing and Midwifery Studies, 3(1), e14560. https://doi.org/10.17795/nmsjournal14560
  32. Nacar, M., Baykan, Z., Cetinkaya, F., Arslantas, D., Ozer, A., Coskun, O., Bati, H., Karaoglu, N., Elmali, F., & Yilmaze, G. (2014). Health promoting lifestyle behaviour in medical Students: A multicentre study from Turkey. Asian Pacific Journal of Cancer Prevention, 15(20), 8969-8974. https://doi.org/10.7314/apjcp.2014.15.20.8969
  33. Nassar, O. S., & Shaheen, A. M. (2014). Health-promoting behaviours of university nursing students in Jordan. Health, 6(19), 2756-2763. https://doi.org/10.4236/health.2014.619315
  34. National Institute of Health. (2021). Changing your habits for better health. https://www.niddk.nih.gov/health-information/diet-nutrition/changing-habits-better-healt
  35. Oducado, R. M. F., Cleofas, J. V., & Soriano, G. P. (2022). Predicting nursing students' intention to attend face-to-face classes on school reopening: A theory of planned behavior application. Nursing Forum, 57(5), 733-738. https://doi.org/10.1111/nuf.12732
  36. Oducado, R. M. F., Fajardo, M. T. R., Parreño-Lachica, G. M., Maniago, J. D., Villanueva, P. M. B., Dequilla, M. A. C. V., Montaño, H. C., & Robite, E. E. (2021). Predictors of videoconference fatigue: Results from undergraduate nursing students in the Philippines. Asian Journal for Public Opinion Research, 9(4), 310-330. https://doi.org/10.15206/ajpor.2021.9.4.310
  37. Oducado, R. M. F., & Soriano, G. P. (2021). Shifting the education paradigm amid the COVID-19 pandemic: Nursing students’ attitude to e-learning. Africa Journal of Nursing and Midwifery, 23(1), 1-14. https://doi.org/10.25159/2520-5293/8090
  38. Polat, Ü., Özen, Ş., Kahraman, B. B., & Bostanoğlu, H. (2016). Factors affecting health-promoting behaviors in nursing students at a university in Turkey. Journal of Transcultural Nursing, 27(4), 413–419. https://doi.org/10.1177/1043659615569536
  39. Rabacal, J. S., Lausa, S. M., Egcas, R. A., Oducado, R. M. F, Cleofas, J. V., & Tamdang, K. A. (2022). More than a year into the pandemic: Do higher education students still practice protective behaviors against COVID-19? Journal of Education and Health Promotion, 11, 155. https://doi.org/10.4103/jehp.jehp_1235_21
  40. Ross, A., Bevans, M., Brooks, A. T., Gibbons, S., & Wallen, G. R. (2017). Nurses and health-promoting behaviors: Knowledge may not translate into self-care. AORN Journal, 105(3), 267-275. https://doi.org/10.1016/j.aorn.2016.12.018
  41. Schleicher, A. (2020). The impact of Covid-19 on education insights from education at a glance 2020. https://www.oecd.org/education/the-impact-of-covid-19-on-education-insights-education-at-a-glance-2020.pdf
  42. Shaheen, A. M., Nassar, O. S., Amre, H. M., & Hamdan-Mansour, A. M. (2015). Factors affecting health-promoting behaviors of university students in Jordan. Health, 7(1),1-8. https://doi.org/10.4236/health.2015.71001
  43. Shariferad, G., Shojaeezadeh, D., Tol, A., & Tavassoli, E. (2013). Health-promoting lifestyle and quality of life among undergraduate students at school of health, Isfahan university of medical sciences. Journal of Education and Health Promotion, 2(1), 11. https://doi.org/10.4103/2277-9531.108006
  44. Singh, B., Jain, S., & Rastogi, A. (2021). Effects of nationwide COVID-19 lockdown on lifestyle and diet: An Indian survey. Journal of Family Medicine and Primary Care, 10(3), 1246. https://doi.org/10.4103/jfmpc.jfmpc_2046_20
  45. Stenberg, M., & Carlson, E. (2015). Swedish student nurses’ perception of peer learning as an educational model during clinical practice in a hospital setting—An evaluation study. BMC Nursing, 14, 48. https://doi.org/10.1186/s12912-015-0098-2
  46. Tamanal, J. M., & Kim, C. H. (2020). Promoting healthy lifestyle in high school students: Determination of the lifestyle status through the healthy lifestyle screen (HLS) assessment. Journal of Lifestyle Medicine, 10(1), 30-43. https://doi.org/10.15280/jlm.2020.10.1.30
  47. Tejada, R. S. (2019). Health promoting lifestyle and perceived social support measure of nursing students in a selected college of nursing. Journal of Health and Caring Sciences, 1(1), 21-32. https://doi.org/10.37719/jhcs.2019.v1i1.oa002
  48. Thivel, D., Tremblay, A., Genin, P. M., Panahi, S., Rivière, D., & Duclos, M. (2018). Physical activity, inactivity, and sedentary behaviors: Definitions and implications in occupational health. Frontiers in Public Health, 6, 288. https://doi.org/10.3389/fpubh.2018.00288
  49. Tuppal, C. P., Ninobla, M. M. G., Ruiz, M. G. D., Loresco, R. D., Tuppal, S. M. P., Panes, I. I., Oducado, R. M. F., Prudencio, D. A. M., Vega, P. D., Eribal, M. J. E., Real, D. V. P., & Roa, M. N. T. (2021). Knowledge, attitude, and practice toward COVID-19 among healthy population in the Philippines. Nurse Media Journal of Nursing, 11(1), 61-70. https://doi.org/10.14710/nmjn.v11i1.36067
  50. Van der Werf, E. T., Busch, M., Jong, M. C., & Hoenders, H. R. (2021). Lifestyle changes during the first wave of the COVID-19 pandemic: A cross-sectional survey in the Netherlands. BMC Public Health, 21(1), 1226. https://doi.org/10.1186/s12889-021-11264-z
  51. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile: Development and psychometric characterizations. Nursing Research, 36(2), 76-81. https://doi.org/10.1097/00006199-198703000-00002
  52. Wang, D., Ou, C. Q., Chen, M. Y., & Duan, N. (2009). Health-promoting lifestyles of university students in Mainland China. BMC Public Health, 9, 379. https://doi.org/10.1186/1471-2458-9-379
  53. Wei, C. N., Harada, K., Ueda, K., Fukumoto, K., Minamoto, K., & Ueda, A. (2012). Assessment of health-promoting lifestyle profile in Japanese university students. Environmental Health and Preventive Medicine, 17, 222-227. https://doi.org/10.1007/s12199-011-0244-8

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