“Is it time to throw out the weighing scales?” Implicit weight bias among healthcare professionals working in bariatric surgery services and their attitude towards non-weight focused approaches

Abbott, Sally; Shuttlewood, E.; Flint, Stuart W.; Chesworth, Paul; Parretti, Helen

doi:10.1016/j.eclinm.2022.101770

Cited by 4 publications

(2 citation statements)

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“…20,21 Healthcare professionals are not immune from holding stereotypical perceptions of people living with obesity such as being less trustworthy, and less adherent to health advice. [22][23][24] This stigma and bias may impact clinicians' ability to develop a trusting relationship with patients. Surgical staff further described a sense that higher professional power and status of surgeons may impact trust, either negatively, where patients may not accurately report due to experiencing social desirability bias, or positively, where patients may respect and/or action surgeons' advice more readily than they would from other health professionals.…”

Section: Discussionmentioning

confidence: 99%

“…It appears this distrust by health professionals may extend to other healthcare recommendations after bariatric surgery such as postoperative eating habits in the context of weight regain 20,21 . Healthcare professionals are not immune from holding stereotypical perceptions of people living with obesity such as being less trustworthy, and less adherent to health advice 22–24 . This stigma and bias may impact clinicians' ability to develop a trusting relationship with patients.…”

Section: Discussionmentioning

confidence: 99%

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Dietitian‐led micronutrient management in a public bariatric surgery outpatient clinic

Lewis

Hiatt

Jersey

et al. 2023

Nutrition & Dietetics

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AimsThis study aimed to explore the multidisciplinary team attitudes and knowledge of bariatric surgery micronutrient management (pre‐ and postoperative care) and to evaluate the implementation of an extended‐scope of practice dietitian‐led model of care for micronutrient monitoring and management.MethodsA mixed method study design included quantitative evaluation of micronutrient testing practices and deficiency rates. Qualitative reflexive thematic analysis was used to interpret multidisciplinary experience with micronutrient monitoring in a traditional and dietitian‐led model of care. In addition, deductive analysis used normalisation process theory mapping of multidisciplinary experience with the implementation of the dietitian‐led model of care.ResultsIn the traditional model, a lack of quality evidence to guide micronutrient management, and a tension in trust between surgeons and patients related to adherence to micronutrient prescriptions were described as challenges in current practice. The dietitian‐led model was seen to overcome some of these challenges, increasing collaborative, and coordinated, consistent and personalised patient care that led to increased testing for and detection of micronutrient deficiencies. Barriers to sustainability of the dietitian‐led model included a lack of workforce succession planning, and no clearly defined delegation for some aspects of care.ConclusionAn extended scope dietitian‐led model of care for micronutrient management after bariatric surgery improves clinical care. Challenges such as succession planning must be considered in design of extended scope services.

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