Tackling obesity: the challenge of obesity management for practice nurses in primary care

Phillips, Katie; Wood, Fiona; Kinnersley, Paul

doi:10.1093/fampra/cmt054

Cited by 44 publications

(95 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recent research using behavioural coding techniques and time stamping found that medical students were more likely to block discussion of emotion near the end of interactions with simulated patients (Zhou et al, 2013) suggesting that time pressures may increase blocking behaviours. Weight discussion is perceived as time consuming (Foster et al, 2003, Phillips et al, 2013, Tham and Young, 2008), therefore it may be possible that weight was blocked by the GP as a result of time pressures.…”

Section: Discussionmentioning

confidence: 99%

“…Primary care health professionals can therefore play an important role in the implementation of weight management programmes (Phillips et al, 2014, Kloek et al, 2014 and are suitably placed to implement such programmes opportunistically and in a patient-centred approach. Despite this, there is growing international evidence that discussion about patient weight and weight-related counselling happens very seldom in primary care (Bleich et al, 2011, Greiner et al, 2008, Michie, 2007, Sciamanna et al, 2000, Scott et al, 2004, Tham and Young, 2008and may even have declined over the last two decades (Abid et al, 2004, Kraschnewski et al, 2013.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Talk weight: an observational study of communication about patient weight in primary care consultations

Laidlaw

McHale

Locke

et al. 2014

Prim Health Care Res Dev

View full text Add to dashboard Cite

BackgroundObesity is a major public health issue and primary care practitioners are well placed to opportunistically raise the issue of overweight or obesity with their patients.Aim and methodsThis study investigated the prevalence of weight discussion in primary care consultations with overweight and obese patients, in a practice in Fife, Scotland, and described weight-related communication using video analysis.FindingsWeight was raised in 25% of consultations with overweight and obese patients. GPs initiated weight discussion more often than patients; however, these attempts were often blocked by patients. Weight-related outcomes were more common when patients initiated the weight discussion. This study confirms the potential of video analysis for understanding primary care weight discussion. It also suggests that GPs may benefit from a communication-based intervention to tackle patient blocking behaviours and contributes to the evidence suggesting that interventions targeted to increase the prevalence of weight-related discussions with their patients are needed.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Talk weight: an observational study of communication about patient weight in primary care consultations

Laidlaw

McHale

Locke

et al. 2014

Prim Health Care Res Dev

View full text Add to dashboard Cite

show abstract

“…Nurses who implement obesity interventions may benefit from additional training about obesity treatment (Brown, Stride, Psarou, Brewins, & Thompson, 2007; Phillips, Wood, & Kinnersley, 2014; Steele, 2011). For example, formal training in methods such as motivational interviewing can help nurses to counsel children about sensitive issues such as weight in a supportive and meaningful way (Miller & Rollnick, 2004; Rollnick & Miller, 1995).…”

Section: Discussionmentioning

confidence: 99%

Implementation of a School Nurse-led Intervention for Children With Severe Obesity in New York City Schools

Schroeder

Jia

Wang

et al. 2017

Journal of Pediatric Nursing

View full text Add to dashboard Cite

Purpose The Healthy Options and Physical Activity Program (HOP) is a school nurse-led intervention for children with severe obesity. HOP was developed by experts at the New York City Department of Health and Mental Hygiene and implemented in New York City schools beginning in 2012. The purpose of this study was to evaluate HOP implementation with the goal of informing HOP refinement and potential future HOP dissemination. Design and Methods This study entailed a retrospective analysis of secondary data. Analytic methods included descriptive statistics, Wilcoxon rank sum and Chi square tests, and multivariate logistic regression. Results During the 2012–2013 school year, 20,518 children were eligible for HOP. Of these, 1054 (5.1%) were enrolled in the program. On average, enrolled children attended one HOP session during the school year. Parent participation was low (3.2% of HOP sessions). Low nurse workload, low school poverty, higher grade level, higher BMI percentile, and chronic illness diagnosis were associated with student enrollment in HOP. Conclusions As currently delivered, HOP is not likely to be efficacious. Lessons learned from this evaluation are applicable to future nurse-led obesity interventions. Practice Implications Prior to implementing a school nurse-led obesity intervention, nursing workload and available support must be carefully considered. Interventions should be designed to facilitate (and possibly require) parent involvement. Nurses who deliver obesity interventions may require additional training in obesity treatment. With attention to these lessons learned, evidence-based school nurse-led obesity interventions can be developed.

show abstract

“…La enfermera de AP ocupa una labor fundamental en el abordaje de la Obesidad, y el tipo de seguimiento que lleve a cabo con el paciente supondrá un factor determinante para el éxito del tratamiento (40). Nuevamente, se destaca la psicoeducación como una medida terapéutica eficaz para producir cambios conductuales positivos y duraderos en el paciente (29).…”

Section: Técnicas Conductualesunclassified

“…Por otra parte, tras la revisión de los resultados (20,21,37,39,40,41) se considera que desde la enfermería comunitaria se puede realizar un abordaje integral e individualizado…”

Section: Técnicas Conductualesunclassified

Síndrome del comedor nocturno: nuevo plan de cuidados desde la enfermería

Andrés¹

2018

Rev Enferm Salud Ment.

View full text Add to dashboard Cite

Resumen.Introducción: El Síndrome del Comedor Nocturno se clasificó recientemente como un Trastorno de la Conducta Alimentaria y se configuró, como un Síndrome en el que se producía una cronodisrupción del organismo, que daba lugar a alteraciones de los ritmos biológicos hormonales y de la nutrición. A pesar de que la primera definición del Síndrome fue conceptualizada en el año 1955, se continúa considerando un problema desconocido de salud, no sólo entre la población general, sino también, entre los profesionales de la salud.Objetivo: Analizar el rol de la enfermera 1 en el diagnóstico y tratamiento del Síndrome del Comedor Nocturno, dentro del ámbito de atención comunitaria.Metodología: Se revisaron 37 publicaciones científicas. En su mayoría eran artículos originales, sobre investigaciones cuantitativas observacionales, y revisiones narrativas.Junto con la revisión de otras fuentes, entre ellas, Guías de Práctica Clínica y manuales de procedimientos, sumaron un total de 44 referencias consultadas. Resultados: Se analizaron los aspectos más relevantes en relación al Síndrome delComedor Nocturno: etiopatogenia, comorbilidad, diagnóstico y tratamiento. Además, se estableció su relación con la práctica clínica enfermera utilizando como nexos de unión y de comparación, los cuidados enfermeros en pacientes con Trastornos de la Conducta Alimentaria y Obesidad.Conclusiones: Se determina la función asistencial de la enfermera en relación al diagnóstico y al tratamiento, diseñando un Plan de Cuidados adaptado al Síndrome que nos ocupa. También se reconoce la necesidad de investigarlo en España para estimar su prevalencia real y verificar la eficacia de los cuidados enfermeros que se proponen. Abstract.Introduction: Night Eating Syndrome has been recently classified as an eating disorder, in which chronologic alterations take place, namely of hormonal cycles and nutritional habits. Even though the syndrome's definition was coined in 1995, it is still perceived as an unknown health concern, not only by the general population, but also among health experts themselves. Aim:To analize the role of nursing in the diagnosis and treatment of the Night Eating Syndrome within primary care services. Materials and methods:Up to 37 scientific publications have been revised, being the majority of these peer-reviewed articles about quantitative observational studies and literature reviews. Several guidelines have been revised too. Results:The most significant aspects in relation to the Night Eating Syndrome were analyzed, including etiology, comorbidity, diagnosis and treatment. As well, a positive relation could be found with clinical nursing practice by taking into account nursing care with patients with eating disorders. Conclusion:Nursing takes an assistance function in the diagnosis and treatment, participating in the design of a care plan adapted to the night eater. The need for more research regarding this syndrome in Spain is also detected, in order to estimate the real prevalence in the Spanish population and verify the effi...

show abstract

Tackling obesity: the challenge of obesity management for practice nurses in primary care

Cited by 44 publications

References 21 publications

Talk weight: an observational study of communication about patient weight in primary care consultations

Talk weight: an observational study of communication about patient weight in primary care consultations

Implementation of a School Nurse-led Intervention for Children With Severe Obesity in New York City Schools

Síndrome del comedor nocturno: nuevo plan de cuidados desde la enfermería

Contact Info

Product

Resources

About