Pierce, H, Perry, L, Gallagher, R & Chiarelli, P 2019, 'Culture, teams, and organizations: A qualitative exploration of female nurses' and midwives' experiences of urinary symptoms at work.', Journal of advanced nursing, vol. 75, no. 6, pp. 1284-1295.View/Download from: UTS OPUS or Publisher's site
AIM:To explore nurses' and midwives' experiences of urinary symptoms at work. BACKGROUND:Lower urinary tract symptoms are common in female nurses and midwives. There is limited understanding of the relationship between urinary symptoms, bladder health practices, and work. DESIGN:Qualitative design providing in-depth exploration of nurses' and midwives' experiences of urinary symptoms at work through focus group discussions. METHODS:Twelve focus groups were held July-September 2016 with 96 Registered Nurses and midwives working at two tertiary-referral hospitals in urban New South Wales, Australia. A semi-structured question schedule was used. An inductive process guided thematic analysis of data using a socioecological framework of health behaviours. RESULTS:Nurses' and midwives' experiences of urinary symptoms at work primarily relate to delaying voiding. This practice is explained by a work culture of "patient-first" care at expense of self-care, relationships in the nursing team, demands of the nursing role, and inadequacy of workplace amenities. The first two themes reflect cultural and social caring dilemmas central to nursing. The second two themes identify issues with workforce management and physical workplace environments. CONCLUSION:Nurses' and midwives' urinary symptoms and behaviours in response to sensory cues for bladder emptying are dependent on several socioecological influences. Occupational health initiatives in the workforce are required to break cultural norms that deter self-care and to promote work environments that support healthy bladder practices. Workforce management and physical workplace environments are key influences on nurses' timely and dignified access to amenities.
Pierce, HM, Perry, L, Gallagher, R & Chiarelli, P 2019, 'Delaying voiding, limiting fluids, urinary symptoms, and work productivity: A survey of female nurses and midwives', JOURNAL OF ADVANCED NURSING.View/Download from: Publisher's site
Pierce, HM, Perry, L, Gallagher, R & Chiarelli, P 2018, 'Severity of urinary incontinence and its impact on work productivity among nurses and midwives in urban Australia.', Australian and New Zealand Continence Journal, vol. 24, no. 1, pp. 7-15.View/Download from: UTS OPUS
Nicholls, R, Perry, L, Duffield, C, Gallagher, R & Pierce, H 2017, 'Barriers and facilitators to healthy eating for nurses in the workplace: an integrative review.', Journal of Advanced Nursing, vol. 73, no. 5, pp. 1051-1065.View/Download from: UTS OPUS or Publisher's site
AIM: The aim was to conduct an integrative systematic review to identify barriers and facilitators to healthy eating for working nurses. BACKGROUND: There is growing recognition of the influence of the workplace environment on the eating habits of the workforce, which in turn may contribute to increased overweight and obesity. Overweight and obesity exact enormous costs in terms of reduced well-being, worker productivity and increased risk of non-communicable diseases. The workplace is an ideal place to intervene and support healthy behaviours. This review aimed to identify barriers and facilitators to nurses' healthy eating in the workplace. DESIGN: Integrative mixed method review. DATA SOURCES: Five electronic databases were searched: CINAHL, MEDLINE, PROQUEST Health and Medicine, ScienceDirect and PsycINFO. Reference lists were searched. Included papers were published in English between 2000-2016. Of 26 included papers, 21 were qualitative and five quantitative. REVIEW METHODS: An integrative literature review was undertaken. Quality appraisal of included studies used standardized checklists. A social-ecological framework was used to examine workplace facilitators and constraints to healthy eating, derived from the literature. Emergent themes were identified by thematic analysis. RESULTS: Review participants were Registered, Enrolled and/or Nurse Assistants primarily working in hospitals in middle or high income countries. The majority of studies reported barriers to healthy eating related to adverse work schedules, individual barriers, aspects of the physical workplace environment and social eating practices at work. Few facilitators were reported. Overall, studies found the workplace exerts a considerable negative influence on nurses' dietary intake. CONCLUSION: Reorientation of the workplace to promote healthy eating among nurses is required.
Pierce, H, Perry, L, Gallagher, R & Chiarelli, P 2017, 'Urinary incontinence, work, and intention to leave current job: A cross sectional survey of the Australian nursing and midwifery workforce.', Neurourology and Urodynamics.View/Download from: UTS OPUS or Publisher's site
AIMS: To determine the prevalence and severity of urinary incontinence (UI) in a group of female nurses and midwives, and to examine the relationship between UI, work and intention to leave current job. METHODS: An electronic survey "Fit for the future" was distributed to nurses and midwives in NSW, Australia between May 2014 and February 2015. UI was investigated using the International Consultation on Incontinence UI-Short Form. Examined work characteristics included: work role, location, setting, contract, shift, job satisfaction, and plans to leave current job. Logistic regression modelling was performed to determine whether the severity of UI had an independent effect on intention to leave. RESULTS: Of 5041 survey responses, 68.5% answered the question on urine leakage. Of the included female sample (n = 2,907) the prevalence of UI was 32.0% (95% CI: 30-34%): of these 40.5% experienced moderate and 4.4% "severe or very severe" symptoms. UI was more likely to be reported in nurses or midwives working part-time or days only (not shifts). Those with "severe or very severe UI" were more likely to indicate an intention to leave at 12 months (OR: 2.68; 95% CI: 1.18-6.06) than those with slight or moderate symptoms, after accounting for age, body mass index, parity, pelvic organ prolapse, anxiety, depression, work contract, shift, and job satisfaction. CONCLUSIONS: UI is a condition of high prevalence and significant severity in female nurses and midwives. In this workforce, severe UI was associated with intentions related to future employment.
Pierce, H, Perry, L, Chiarelli, P & Gallagher, R 2016, 'A systematic review of prevalence and impact of symptoms of pelvic floor dysfunction in identified workforce groups.', Journal of Advanced Nursing, vol. 72, no. 8, pp. 1718-1734.View/Download from: Publisher's site
To investigate the prevalence and impact of symptoms of pelvic floor dysfunction in identified workforce groups.Productivity of workforce groups is a concern for ageing societies. Symptoms of pelvic floor dysfunction are associated with ageing and negatively influence psychosocial health. In the general population, lower urinary tract symptoms negatively influence work productivity.A systematic review of observational studies.Electronic searches of four academic databases. Reference lists were scanned for relevant articles. The search was limited to English language publications 1990-2014.The Centre for Reviews and Dissemination procedure guided the review method. Data extraction and synthesis was conducted on studies where the workforce group was identified and the type of pelvic floor dysfunction defined according to accepted terminology. Quality appraisal of studies was performed using a Joanna Briggs Institute critical appraisal tool.Twelve studies were identified of variable quality, all on female workers. Nurses were the most frequently investigated workforce group and urinary incontinence was the most common subtype of pelvic floor dysfunction examined. Lower urinary tract symptoms were more prevalent in the studied nurses than related general populations. No included study investigated pelvic organ prolapse, anorectal or male symptoms or the influence of symptoms on work productivity.Lower urinary tract symptoms are a significant issue among the female nursing workforce. Knowledge of the influence of symptoms on work productivity remains unknown. Further studies are warranted on the impact of pelvic floor dysfunction subtypes in workforce groups.
Pierce, H, Homer, CS, Dahlen, HG & King, J 2012, 'Pregnancy-related lumbopelvic pain: listening to Australian women.', Nursing research and practice, vol. 2012.View/Download from: UTS OPUS or Publisher's site
UNLABELLED: Objective. To investigate the prevalence and nature of lumbo-pelvic pain (LPP), that is experienced by women in the lumbar and/or sacro-iliac area and/or symphysis pubis during pregnancy. Design. Cross-sectional, descriptive study. Setting. An Australian public hospital antenatal clinic. SAMPLE POPULATION: Women in their third trimester of pregnancy. Method. Women were recruited to the study as they presented for their antenatal appointment. A survey collected demographic data and was used to self report LPP. A pain diagram differentiated low back, pelvic girdle or combined pain. Closed and open ended questions explored the experiences of the women. Main Outcome Measures. The Visual Analogue Scale and the Oswestry Disability Index (Version 2.1a). Results. There was a high prevalence of self reported LPP during the pregnancy (71%). An association was found between the reporting of LPP, multiparity, and a previous history of LPP. The mean intensity score for usual pain was 6/10 and four out of five women reported disability associated with the condition. Most women (71%) had reported their symptoms to their maternity carer however only a small proportion of these women received intervention. Conclusion. LPP is a potentially significant health issue during pregnancy.
Pierce, H, Perry, L, Gallagher, R & Chiarelli, P 2018, '"HOLD TILL YOU BUST": A QUALITATIVE EXPLORATION OF NURSES' EXPERIENCES OF URINARY SYMPTOMS IN THE WORKPLACE', NEUROUROLOGY AND URODYNAMICS, Meeting of the International-Continence-Society (ICS), WILEY, Philadelphia, PA, pp. S151-S152.
Pierce, H, Perry, L, Gallagher, R & Chiarelli, P 2018, '417 Limited fluid and restricted toileting are associated with reduced work productivity in women at work.', Triennial Congress of the International Commission on Occupational Health, Dublin, Ireland.View/Download from: UTS OPUS or Publisher's site
Pierce, H, Perry, L, Gallagher, R & Chiarelli, P 2017, 'LIMITED FLUID INTAKE AND RESTRICTED TOILETING ARE BEHAVIOURS ASSOCIATED WITH REDUCED WORK PRODUCTIVITY FOR WOMEN WITH STORAGE LOWER URINARY TRACT SYMPTOMS AT WORK.', NEUROUROLOGY AND URODYNAMICS, 47th Annual Meeting of the International-Continence-Society (ICS), WILEY, Florence, ITALY, pp. S430-S432.