School Nurses' Perceived Barriers to Discussing Weight With Children and Their Families: A Qualitative Approach

Steele, Ric G.; Wu, Yelena P.; Jensen, Chad D.; Pankey, Sydni; Davis, Ann M.; Aylward, Brandon S.

doi:10.1111/j.1746-1561.2010.00571.x

Cited by 60 publications

(141 citation statements)

References 26 publications

(89 reference statements)

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“…Over 70% of nurses in both studies found that one of the major factors is lack of parental concern. This was confirmed by DiNapoli, Sytnyk [20] and Steele, Wu [21] (see Table 2). Similarly, Nauta, Byrne, [17] Moyers, Bugle [18] and Steele, Wu [21] confirmed that unhealthy food available at school and non-nutritious foods contribute to childhood overweight/obesity.…”

Section: Resultssupporting

confidence: 70%

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Exploring nurses’ knowledge and attitudes about children who are overweight/obese: A review of the literature

Tsai

Luck

Jefferies

et al. 2017

CNS

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The study reviewed the published research on nurses' knowledge and attitudes about children who are overweight/obese. A literature search of research published in English between 2000 and 2016 was conducted in CINAHL, MEDLINE, Scopus and Google Scholar. A total of 5 papers met the inclusion criteria for this review with only one paper specifically discussing the attitudes of student nurses to childhood overweight/obesity. This review has shown that although there are very few articles on nurses' knowledge and attitudes to overweight/obese children, the papers included in the review demonstrate that nurses were generally lacking in knowledge about this issue.

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Section: Resultssupporting

confidence: 70%

“…52 [20] 9% of nurses perceive lack of parental motivation is the barrier to provide obesity education. Steele et al, [21] 1. Family characteristics (motivation, culture, resources, language, body size perceptions) 2.…”

Section: Resultsmentioning

confidence: 99%

Exploring nurses’ knowledge and attitudes about children who are overweight/obese: A review of the literature

Tsai

Luck

Jefferies

et al. 2017

CNS

View full text Add to dashboard Cite

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“…HCPs themselves may also be poor at visually recognizing a child's overweight (Robinson, 2017; Smith, Gately, & Rudolf, 2008), so unless they employ objective tools the opportunity for weight‐related discussions may be missed. Whilst HCPs in this review were cognizant of the impact of societal perceptions of overweight on their interactions with parents, they seemed less concerned with the impact of their own weight and lifestyle (personal weight challenges were only cited in 1/13 studies (Steele et al ., 2011)). Health professionals may often be overweight themselves, not always eating a healthy diet or partaking in sufficient PA (Esposito & Fitzpatrick, 2011; Kaur & Walia, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…At this stage, these emergent themes and subthemes were identified by the research team as being broadly consistent with the levels of the socio‐ecological model (SEM) (Bronfenbrenner, 1992; Davison & Birch, 2001). The SEM has been previously applied to research in child weight (Davison & Birch, 2001; Huang & Glass, 2008; Steele et al ., 2011). By highlighting the importance of considering influences at the intrapersonal, interpersonal, and organizational/societal levels (Neuhauser & Kreps, 2003), the model helps to conceptualize the range of factors that contribute to this complex topic and identify potential areas for change within a particular organization/setting.…”

Section: Methodsmentioning

confidence: 99%

“…Parents express dissatisfaction with primary care experiences, sometimes finding advice unhelpful or judgemental (Edmunds, Rudolf, & Mulley, 2007). Meanwhile, HCPs can feel uncomfortable, unable, or ill‐equipped to provide information about child weight and its management (Steele et al ., 2011; Turner, Owen, & Watson, 2016). Reasons for HCP discomfort include the following: a lack of understanding of the complexities of childhood obesity; a lack of confidence; feelings of intimidation; and limited child weight‐related training and protocols (Rudolf, Hunt, George, Hajibagheri, & Blair, 2010; Teachman & Brownell, 2001; Turner et al ., 2016; Willis, Potrata, Hunt, & Rudolf, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators to health care professionals discussing child weight with parents: A meta‐synthesis of qualitative studies

Bradbury

Chisholm

Watson

et al. 2018

British J Health Psychol

135

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IntroductionChildhood obesity is one of the most serious global public health challenges. However, obesity and its consequences are largely preventable. As parents play an important role in their children's weight‐related behaviours, good communication between parents and health care professionals (HCPs) is essential. This systematic review provides a meta‐synthesis of qualitative studies exploring the barriers and facilitators experienced by HCPs when discussing child weight with parents.MethodsSearches were conducted using the following databases: MEDLINE (OVID), Psych INFO (OVID), EMBASE (OVID), Web of Knowledge and CINAHL. Thirteen full‐text qualitative studies published in English language journals since 1985 were included. Included studies collected data from HCPs (e.g., nurses, doctors, dieticians, psychologists, and clinical managers) concerning their experiences of discussing child weight‐related issues with parents. An inductive thematic analysis was employed to synthesize findings.FindingsEmerging subthemes were categorized using a socio‐ecological framework into intra/interpersonal factors, organizational factors, and societal factors. Perceived barriers and facilitators most commonly related to intra/interpersonal level factors, that is, relating to staff factors, parental factors, or professional–parent interactions. HCPs also attributed a number of barriers, but not facilitators, at the organizational and societal levels.ConclusionThe findings of this review may help to inform the development of future weight‐related communication interventions. Whilst intra/interpersonal interventions may go some way to improving health care practice, it is crucial that all stakeholders consider the wider organizational and societal context in which these interactions take place. Statement of contribution What is already known on the subject? Childhood obesity is one of the United Kingdom's most serious current public health challenges.Health care professionals are in a prime position to identify child weight issues during routine consultations.However, they often feel unable or unequipped to raise the topic and provide information on child weight management. What does this study add? To our knowledge, this is the first review to synthesize barriers and facilitators to discussing child weight.This review interprets key barriers and facilitators in the context of the socio‐ecological model.Supports the development of interventions matched to the appropriate level of the socio‐economic model.

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The Use of Effective Language and Communication in the Management of Obesity: the Challenge for Healthcare Professionals

2021

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Purpose of Review Initial conversations about weight with patients are important to set the tone for future dialogue and management of obesity. There is often reluctance in raising the topic of overweight or obesity in consultations. We aimed to evaluate literature to discover the perceived barriers to optimal discussion about weight status and preferred weight-based terminology for adults, adolescents and parents of younger children. Recent Findings Fear of offending patients, insufficient training and lack of knowledge of referral pathways were identified as factors hindering healthcare professionals’ ability to discuss weight with patients. Neutral terms, such as ‘weight’, were preferred by patients, with ‘fat’ and ‘obese’ viewed as undesirable and stigmatising words. Summary There is a need for greater support and provision of specific training, including education on communicating weight status, for those involved in the management of obesity. More research is necessary to assess the impact of interventions to improve initial discussions with patients about weight.

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School Nurses' Perceived Barriers to Discussing Weight With Children and Their Families: A Qualitative Approach

Cited by 60 publications

References 26 publications

Exploring nurses’ knowledge and attitudes about children who are overweight/obese: A review of the literature

Exploring nurses’ knowledge and attitudes about children who are overweight/obese: A review of the literature

Barriers and facilitators to health care professionals discussing child weight with parents: A meta‐synthesis of qualitative studies

The Use of Effective Language and Communication in the Management of Obesity: the Challenge for Healthcare Professionals

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