A quantitative and qualitative analysis of nurses’ lifestyles and community health practices in Denpasar, Bali, Indonesia

Abstract

Health promotion provision is regarded as an integral component of the health professional's role, particularly for nurses working in a primary healthcare context. This study investigated the health-promoting lifestyle patterns among nurses working across all community healthcare centres termed as Puskesmas in Denpasar, Bali, Indonesia. A parallel mixed-methods design employing the adapted Health-Promoting Lifestyle Profile II questionnaire and semi-structured telephone interviews were conducted. Quantitative data were analysed using Statistical Package for Social Science (SPSS) version 20, and qualitative data from eight telephone interviews were subject to in-depth thematic analysis. It was found that the Puskesmas nurses showed sufficiently positive health-promoting lifestyle patterns, except in the domain of physical activity. Based on particular socio-demographic characteristics of the participants, the means of several Health-Promoting Lifestyle Profile II subscales were significantly different. Six key themes emerged from the thematic analysis. The integration of quantitative and qualitative inferences suggest that there is a connection between the nurses’ personal and professional health promotion practice; it was characterised by the notion of being imperfect role models and a blurred boundary between the nurses’ personal and professional identity.