Do New Zealand’s nursing students know how to access health promotion services and look after their own health?

Abstract
The importance of health promotion and self-care to nurses provided the impetus for a project examining nursing students’ knowledge about services, their access to facilities and their confidence in signposting sources of help to other students related to health promotion.  A web-based survey exploring students’ knowledge and confidence in self-accessing or signposting others to sources of help with a wide range of health promotion issues was widely advertised and distributed to nursing students at all 23 nursing schools (including separate entries from multi-campus programmes) providing undergraduate nursing education in New Zealand.  Descriptive statistical analysis and comparisons between groups (age group, year of study and ethnicity) using 2-sample t-tests were carried out using statistical software within the Survey Monkey (Pro) platform. Nearly a thousand nursing students responded from across all years and from every nursing school. Respondents reported on service availability and health promoting aspects of each campus. Access to services and a healthy environment differed between schools. While there were differences attributable to age group, independently of age, confidence in giving health promotion advice increased as nurses progressed through the three years of undergraduate nursing education. Many aspects of nursing school campuses are less than ideal as health promoting institutions. Two key areas for improvement are the provision of affordable healthy food, and reinforcement of smoke-free messages. Additionally, issues such as gender diversity, financial management, shiftwork management and emotional preparedness all emerged as areas about which students needed more information. Given different age and ethnicity profiles in the different schools, a varied range of targeted health promotion education may be required.

Ngā ariā matua
Nā te hira o te whakatairanga me te taurima i a rātou anō mā te tapuhi, ka hua ake tēnei kaupapa tātari I te mōhiotanga o ngā ākonga tapuhi mō ngā ratonga, te wātea mai o ngā whare hauora ki a rātou, me tō rātou māia ki te tohutohu i ngā puna āwhina mō te whakatairanga hauora ki ētahi atu ākonga. I pānuitia whānuitia, i tohaina hoki ki ngā ākonga tapuhi i ngā kura tapuhi 23 (tae atu ki ētahi i whakauru mai i ngā kaupapa hōpuni maha) e hora ana i te akoranga tapuhi paetahi i Aotearoa, tētahi uiuinga ā-ipurangi e tūhuratia ai te mōhiotanga me te māia o ngā ākonga ki te tomo ā-kiri, ki te tohutohu rānei ki ētahi atu ākonga ngā puna āwhina mō te huhua o ngā take whakatairanga hauora.I kawea he tātaritanga tatauranga me ngā whakatairitenga i waenga i ētahi rōpū (reanga ā-tau, tau o te akoranga me te momo ā-iwi) mā te whakamahi i ngā ‘t-test’ tātauira 2, me te whakamahi i ngā pūmanawa tatauranga i te pūhara Survey Monkey (Pro). Tata ki te kotahi mano ngā ākonga tapuhi i whakautu mai I ngā tau katoa mai i ia kura tapuhi. I whakahoki korero te hunga urupare mō te wātea mai o ngā ratonga me ngā āhuatanga whakatairanga hauora i ia hōpuni. He rerekē te wātea mai o ngā ratonga me te taiao hauora i waenga i ngā kura. Ahakoa i puta he rerekētanga nā te āhua o te reanga ā-tau, i piki anō te māia o te hoatu tohutohu whakatairanga hauora, ahakoa te pakeke, i roto i ngā tau e toru o te akoranga tapuhi paetahi. He maha tonu ngā āhuatanga o ngā hōpuni kura tapuhi kāore I te tino pai hei whare whakatairanga hauora. E rua ngā wāhi matua hei whakapainga ake, tuatahi ko te kaha hauora, ngāwari te utu, tuarua ko te whakapūmau i ngā pānui whakamutu i te kaipaipa. I tua atu i tērā, arā atu ngā wāhi pēnei i te kanorau momo ira, te whakahaere pūtea, te whakahaere mahi tīpako, me te takatū o te ngakau ki ngā uauatanga o te mahi, ēnei katoa, i noho hei wāhanga me nui ake ngā mōhiotanga mā te ākonga.  Ina tirohia ngā kōtaha ā-tau, ā-momo iwi rerekē o ngā kura nei, me mātua hora pea te huhua o ngā momo akoranga whakatairanga hauora.

Keywords / Ngā kupu matua
Nursing students / Ngā ākonga tapuhi; health promotion / whakatairanga hauora; self-care / taurima i a rātou anō; New Zealand / Aotearoa