Childhood obesity prevention: a review of school nurse perceptions and practices

Quelly, RN Susan B.

doi:10.1111/jspn.12071

Cited by 16 publications

(15 citation statements)

References 55 publications

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“…The Norwegian national guidelines appeared to be challenging to implement among staff in primary health care (Nordstrand, Fridlund, & Sollesnes, 2016;Riiser, Londal, Ommundsen, Misvaer, & Helseth, 2015). There is limited research on the implementation of guidelines to combat obesity; however, barriers to such interventions in primary health care have been reported (Quelly, 2014a;Regber, Marild, & Johansson Hanse, 2013;Steele et al, 2011). Because public health nurses are considered key personnel in the prevention, identification and treatment of overweight and obesity among adolescents, a focus group study with school nurses was conducted to learn more about the current barriers and implementation processes.…”

Section: Introductionmentioning

confidence: 99%

Implementing guidelines for preventing, identifying and treating adolescent overweight and obesity—School nurses’ perceptions of the challenges involved

Helseth

Riiser

Fagerlund

et al. 2017

Journal of Clinical Nursing

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Section: Introductionmentioning

confidence: 99%

Implementing guidelines for preventing, identifying and treating adolescent overweight and obesity—School nurses’ perceptions of the challenges involved

Helseth

Riiser

Fagerlund

et al. 2017

Journal of Clinical Nursing

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“…Research shows parents feel schools and school nurses have an important role, 17 , 23 although participation of school nurses in obesity management is inconsistent. 24 From the perspective of head teachers, there may be barriers to increased school involvement which need further attention before implementing a formal initiative. 25 These centre on time, academic pressures, the requirement for more expert support and better facilities and resources within schools.…”

Section: Discussionmentioning

confidence: 99%

General practice views of managing childhood obesity in primary care: a qualitative analysis

2017

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ObjectiveTo explore general practice staff views of managing childhood obesity in primary care.DesignA qualitative study to elicit the views of clinical and non-clinical general practice staff on managing childhood obesity.SettingInterviews were conducted at 30 general practices across England. These practices were interviewed as part of the Quality and Outcomes Framework Pilot Study.ParticipantsA total of 52 staff from 30 practices took part in a semi-structured interview.Main outcome measuresKey themes were identified through thematic analysis of transcripts using an inductive approach.ResultsThree themes were identified: lack of contact with well children, sensitivity of the issue, and the potential impact of general practice. Identifying overweight children was challenging because well children rarely attended the practice. Interviewees felt ill equipped to solve the issue because they lacked influence over the environmental, economic and lifestyle factors underpinning obesity. They described little evidence to support general practice intervention and seemed unaware of other services. Raising the issue was described as sensitive.ConclusionGeneral practice staff were unconvinced that they could have a significant role in managing childhood obesity on a large scale. Participants believed schools have more contact with children and should coordinate the identification and management of overweight children. Future policy could recommend a minor role for general practice involving opportunistically identifying overweight children and signposting to obesity services.

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“…It has been found that more children and families benefit when school nurses are involved in performing obesity prevention (Quelly, 2014). Table 3 describes ideas for school nurse obesity prevention involvement.…”

Section: Role Of the School Nursementioning

confidence: 99%

Are Body Mass Index Screening Programs in Schools Enough? Body Mass Index Notification, Follow-up, and School Nurse Role

Kowalski

Hartung

2018

NASN School Nurse

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Childhood and adolescent obesity are epidemic in the United States. Because of this crisis, schools in our nation have been challenged to develop strategies to decrease the number of overweight and obese youth, with many states passing legislation requiring body mass index (BMI) monitoring by the school. This may be done as a screening or surveillance program depending on the state, with some states requiring notification to parents. As school nurses are often the only health professional in the school, they are typically the employee tasked with leading the BMI screening programs. School nurses, both in states requiring and in states without requirements for BMI screening programs, must be knowledgeable about evidence-based programs and strategies that have promise in reversing the obesity epidemic. Indeed, school nurses are in a position to be an active participant in the fight against the obesity and overweight crisis.

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Childhood obesity prevention: a review of school nurse perceptions and practices

Abstract: Efforts are needed to develop and implement interventions and policies to modify those perceptions that may promote school nurse active engagement in COP practices.

Cited by 16 publications

References 55 publications

Implementing guidelines for preventing, identifying and treating adolescent overweight and obesity—School nurses’ perceptions of the challenges involved

Implementing guidelines for preventing, identifying and treating adolescent overweight and obesity—School nurses’ perceptions of the challenges involved

General practice views of managing childhood obesity in primary care: a qualitative analysis

Are Body Mass Index Screening Programs in Schools Enough? Body Mass Index Notification, Follow-up, and School Nurse Role

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