Perception, Practices, and Barriers for Health-Seeking Behaviour of Nurses in a South Indian Tertiary Hospital

Abstract

Nurses play a vital role in the healthcare system, but their health-seeking behaviour often presents a contradiction. Even with their clinical knowledge, many engage in poor health practices. Understanding the perceptions, practices, and barriers to health-seeking behaviour among nurses is essential to promote better self-care, enhance their ability to provide quality patient care, and strengthen overall workforce health. The study aimed to assess the health-seeking behaviour of registered nurses, assess their perceptions, identify barriers to seeking care, and explore associations with demographic characteristics. A cross-sectional descriptive study involved 90 nurses selected using a purposive sampling technique. Data were gathered through a structured, validated questionnaire that included demographic information, checklists on health-seeking behaviour (HSB) and on perceived barriers, and a 5-point Likert scale on perceptions. SPSS v23.0 was used for statistical analysis. Chi-square tests and odds ratios (ORs) were used to compare the barriers for seeking physical and mental health care. Most respondents (91.1%) reported using home remedies when feeling ill, and 71% engaged in self-medication, primarily with antipyretics and antihistamines. While 75.6% sought formal outpatient care, 37.8% preferred consulting peers. Although 58.9% disagreed with the notion that self-treatment is ideal, ∼50% supported self-diagnosis. Barriers such as long waiting times (78.9%), lack of time (75.6%), fear of side effects (77.8%), and concerns about confidentiality and stigma significantly affected both physical and mental health-seeking behaviours. Fear of peer rejection (OR = 137.45) and embarrassment (OR = 66.0) were major deterrents for mental healthcare. The health-seeking behaviour of nurses is inadequate, and many barriers influence this behaviour. Efforts by institutions to enhance access and confidentiality are crucial for promoting healthier practices among nursing professionals.