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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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Nudging Hospital Visitors Towards Stair Use, in Greece.

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Nudge-based posters significantly increased stair use among hospital visitors, demonstrating a simple, low-cost method to promote physical activity. While effective immediately, long-term impact requires further investigation.

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Area of Science:

  • Public Health
  • Behavioural Science
  • Health Promotion

Background:

  • Stair use is a readily accessible physical activity with significant health benefits.
  • Nudges are effective tools for promoting healthy behaviours in public health.
  • Hospital settings present opportunities for interventions to increase physical activity.

Purpose of the Study:

  • To evaluate the effectiveness of nudge-based posters in encouraging stair use among hospital visitors.
  • To assess the impact of point-of-choice interventions on physical activity behaviour.
  • To determine the efficacy of posters as a low-cost public health strategy.

Main Methods:

  • A quasi-experimental design with five observational phases (baseline, two intervention, two post-intervention) was employed.
  • Posters were strategically placed at the point-of-choice between stairs and elevators.
  • A total of 3,071 visitor choices between stairs and elevators were recorded and analyzed using Chi-square tests.

Main Results:

  • Posters significantly increased stair use from 22.6% at baseline to 37.3% during the first intervention.
  • Stair use returned to baseline levels post-intervention, but increased again during the second intervention phase (37.8%).
  • Immediate, albeit temporary, behavioural changes were observed, highlighting the posters' immediate impact.

Conclusions:

  • Point-of-choice posters are an effective, simple, and low-cost intervention for increasing stair use in hospital settings.
  • The intervention demonstrates potential for broader application in public health policies to promote physical activity.
  • Further research is needed to ascertain the long-term sustainability of behaviour change induced by such nudges.