Weight management care practices of <scp>E</scp>nglish and <scp>C</scp>hinese nurses

Zhu, Dahuan; While, Alison; Norman, Ian; Ye, W Q

doi:10.1111/inr.12219

Cited by 5 publications

(1 citation statement)

References 38 publications

(83 reference statements)

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“…Similarly, school nurses found that broaching the subject of obesity with parents was challenging and that they faced backlash from parents as a consequence. This difficult conversation has been identified in other populations as a barrier to referrals into weight management services [ 26 – 29 ].…”

Section: Main Textmentioning

confidence: 99%

The difficult conversation: a qualitative evaluation of the ‘Eat Well Move More’ family weight management service

Johnson

Oyebode

Walker³

et al. 2018

BMC Res Notes

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ObjectiveThe Eat Well Move More (EWMM) family and child weight management service is a 12-week intervention integrating healthy eating and physical activity education and activities for families and children aged 4–16. EWMM service providers identified low uptake 12 months prior to the evaluation. The aims of this study were to describe referral practices and pathways into the service to identify potential reasons for low referral and uptake rates.ResultsWe conducted interviews and focus groups with general practitioners (GPs) (n = 4), school nurses, and nursing assistants (n = 12). Data were analysed using thematic analysis. School nurses highlighted three main barriers to making a referral: parent engagement, child autonomy, and concerns over the National Child Measurement Programme letter. GPs highlighted that addressing obesity among children is a ‘difficult conversation’ with several complex issues related to and sustaining that difficulty. In conclusion, referral into weight management services in the community may persistently lag if a larger and more complex tangle of barriers lie at the point of school nurse and GP decision-making. The national prevalence of, and factors associated with this hesitation to discuss weight management issues with parents and children remains largely unknown.

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Section: Main Textmentioning

confidence: 99%

The difficult conversation: a qualitative evaluation of the ‘Eat Well Move More’ family weight management service

Johnson

Oyebode

Walker³

et al. 2018

BMC Res Notes

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Clinical management and treatment of obesity in China

Zeng

Pan

et al. 2021

The Lancet Diabetes & Endocrinology

146

101

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Perceptions, attitudes and barriers to effective obesity care among people living with obesity and healthcare professionals in China: The ACTION‐China study

Ji,

Mu,

Chang

et al. 2024

Diabetes Obesity Metabolism

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AimsTo identify perceptions, attitudes, behaviours and barriers to effective obesity care among people living with obesity (PLwO) and healthcare professionals (HCPs) across mainland China.Materials and MethodsACTION‐China (ClinicalTrials.gov: NCT05428501) was a cross‐sectional, observational, descriptive, online survey‐based study of 7000 PLwO and 1000 HCPs (conducted between August and November 2022).ResultsThe majority of PLwO (76.8% [5374/7000]) and HCPs (94.6% [946/1000]) agreed that obesity is a chronic disease. Only 40.8% of PLwO (2853/7000) had discussed their weight or talked about losing weight with an HCP in the past 5 years. The most frequent reason given by PLwO for not discussing weight management with an HCP was believing it was their responsibility to manage their weight (34.7% [2430/7000]), whereas the most frequent reason HCPs gave for not discussing obesity with their patients with obesity was having more important health issues to discuss (72.1% [721/1000]). A smaller proportion of PLwO (19.1%) than HCPs (53.6%) felt that weight management discussions with an HCP would be very or extremely helpful for the patient, and 30.7% of PLwO experienced negative feelings after their most recent discussion. Overall, 34.8% (2438/7000) of PLwO had been diagnosed with obesity by an HCP, while 30.0% (2101/7000) of PLwO did not recognize that they had obesity.ConclusionsThis large, national survey conducted among PLwO and HCPs highlights key barriers to effective obesity care in China, including underestimation of weight status by PLwO and the need for increased communication between HCPs and PLwO regarding weight management.

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Weight management care practices of English and Chinese nurses

Abstract: Skill development of pre-registration and qualified nurses is indicated as well as the development of the nurse role to include weight management care of obese patients. Evidence-based guidelines should be readily accessible to support the nurse role in weight-related care.

Cited by 5 publications

References 38 publications

The difficult conversation: a qualitative evaluation of the ‘Eat Well Move More’ family weight management service

The difficult conversation: a qualitative evaluation of the ‘Eat Well Move More’ family weight management service

Clinical management and treatment of obesity in China

Perceptions, attitudes and barriers to effective obesity care among people living with obesity and healthcare professionals in China: The ACTION‐China study

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