0000011467 00000 n Nurses are more likely to have the most contact with obese patients in primary care. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Nurses are regulated by the Nursing Midwifery Council (NMC, 2008). Assessment is the first phase of nursing process. This paper presents a review of all empirical studies focusing on nurses’ attitudes towards adult overweight or obese patients, with the aim of clarifying the dimensions and patterns of these attitudes and the methods by which they have been studied. If you have previously obtained access with your personal account, If you do not receive an email within 10 minutes, your email address may not be registered, Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of NursingAnswers.net. If patients feel fit and healthy, they do not seek for help and advice from healthcare professionals. The nurses have a very important role in helping patients who are overweight or obese to achieve good weight loss results (Pack, 2008). For example the nurses must make careful decisions in order to divide time shared between patients. 11th Feb 2020 0000014880 00000 n “Nursing model tells us what the nursing care should be like and nursing process describes how it should be organized” (Heath, 1995). 0000016852 00000 n 0000010667 00000 n 0000009792 00000 n 0000028806 00000 n 0 According to Jasper (2007) adults are always assumed to be competent to give consent for treatment unless demonstrated otherwise. Methods. McLean and Mason (2003) suggests than duty is established between the nurses and the patients as soon as the nurses offers to treat. The Disability Discrimination Act (DDA) 2005 defines a disabled person as someone who has a physical or mental impairment that has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities. Study for free with our range of nursing lectures! Findings. You can view samples of our professional work here. 70 35 Waters (2008) looked at the findings of this campaign, 11% of nurses said they left work upset because it is been made impossible for them deliver dignified care, 35% thinks they have not enough time to deliver dignified care, 70% sometimes leave work upset because dignified care have not been given by them, 77% said organizations they work for makes patient dignity a priority, 86% want to make dignity higher priority every day and finally 89% of questioned nurses are ready to challenge a colleague who compromise a patients dignity. A number of variables that influence attitudes of nurses can be identified, including age, gender, experience and the weight/body mass index of the nurse. There is relatively little research about nurses’ attitudes towards obese patients, and the studies reviewed mostly have weaknesses of sampling and measurement. In addition the NMC considers allegations of misconduct or unfitness to practice due to ill health. In conclusion, this essay has discussed why obesity is a public health issue and role of the nurses in promoting health and equality with regards to obesity by educating people to maintain they own health. NMC maintain a register of all qualified nurses, midwives and health visitors and set standards for education, practice and conduct. 0000004682 00000 n It also leads to other serious conditions such us type2 diabetes. However, they do consistently suggest that a proportion of nurses have negative attitudes and beliefs, reflecting wider stereotypes within Western cultures. 0000009995 00000 n 0000002999 00000 n These contradict the principles of patient-centred care and reduce care quality. First it is respect for autonomy, which means, the nurses have to respect the patient and understand that each patient is unique and they have rights to make their own decisions, even when that decision might shorten the patients life. endstream endobj 71 0 obj <> endobj 72 0 obj <> endobj 73 0 obj <>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 74 0 obj <> endobj 75 0 obj <> endobj 76 0 obj [/ICCBased 94 0 R] endobj 77 0 obj <> endobj 78 0 obj <> endobj 79 0 obj <> endobj 80 0 obj <>stream This essay will explore the different concepts, such us legal and ethical, which can influence professional nursing practice. 0000000996 00000 n 0000028599 00000 n 0000001955 00000 n Kozier et al. The report produced by Foresight at the Government office for Science, Tackling Obesities: Future choices predict that by 2015, 36% of men and 28% of women age 21-60 living in England will be obese. However Arnold and Boggs (2003) believes that good understanding of communication styles enables the nurses to more effective client-centred approach in resolving difficult health care issues. The disability discrimination Act (DDA) 1995 requires public bodies to promote equality of opportunities for disabled people (Directgov, 2009). assessing weight bias in nurses toward obese patients and its effect on quality of care by janelle t. garcia a dissertation presented to the graduate school of the university of florida in partial fulfillment of the requirements for the degree of doctor of philosophy university of florida 2012 *You can also browse our support articles here >. A cost of obesity arises from NHS consultations, drugs and treatment of obesity related illnesses. 0000007897 00000 n Nursing is moral/ethical activity. Purpose of communication is to shear information. 0000009080 00000 n d3"a�����k�f�ͪ�c���b�̑��h��J����Z�H�d�5=��)�D�����6߶9�>�eȧ� �' �2�!Qh���g̞�A����_�1Ω�B��t%�䣵��"��,��W^Ґt������+*�/:���~l��"��%`�W,�g��cO�_�&�{�4���¨`�k�0�H��Y4�J�)Zx3���. Nurses must be able to communicate with obese patients clearly and effectively. 0000001586 00000 n 0000010496 00000 n Unlimited viewing of the article PDF and any associated supplements and figures. The Universal Declaration of Human Rights Article 7 states that “All are entitled to equal protection against any discrimination in violation of this Declaration and against any incitement to such discrimination” (UN, 2009). Nurses act as role models by educating patients and families on nutrition, the health care system, and obesity-related illnesses. People need to be encouraged to maintain their own health through eating good diet and integrating exercises in to weekly activities. There could be different types of discrimination. So as sense of justice should persist. <<5FD1A89365E1224893F20AD0A1A9023D>]>> 0000003822 00000 n Sometimes situations can arise when communication with the patients might become difficult, causing misunderstandings (Sully and Dallass, 2005). According to the Information centre statistics (2009) in 2007, 24% of adults, age 16 or over, in England were classified as obese. It is a requirement within professional code of conduct” (Beech, 2007). A nurse can help their patients overcome obesity by talking about the many health complications associated with obesity as listed above. No plagiarism, guaranteed! Eleven studies met the inclusion criteria. There is lot of different ethnic groups of people in UK and nurses need to understand their culture and appreciate their needs (Duffin, 2008). x�b```f``1e`e`�sb�g@ ~��0�?�~ ��ݛ�Y?��0�``h�l�&�����A ��M����\�%.wY�[�xh�ΜY�3c;���/�8���YF3gVյ�2��� “Public health is the science and art of preventing diseases, prolonging life and promoting physical health and efficiency through organised community efforts” (Winslow, 1920). The search terms were built around obesity (and related terms), nursing (and its branches) and attitudes (and related terms). “Confidentiality in health care is a legal obligation that is derived from statutory and case law as well as forming part of the duty of care to a patient. By 2025, these figures are estimated to rise to 47% in men and 36% in women (Information Centre, statistics 2009). To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! Role of the nurses is to provide patient-centred, structured nursing care and promote healthy eating and activity. Last year RCN at the congress set up a campaign on dignity and questioned more than 2000 nurses. Background. and you may need to create a new Wiley Online Library account. 0000022381 00000 n All work is written to order. NMC (2008) stated that the nurses must not discriminate in any way against those in care. View the article PDF and any associated supplements and figures for a period of 48 hours. Disclaimer: This work has been submitted by a student. 0000003390 00000 n The duty of care is the minimum standard of practice that a patient can expect. (2008) noted that for consent to be valid the patients should be informed about the facts relating to their care in the form of communication they understand. The nurse should introduce the notion of keeping a food and activity diary, which the patient should complete as truthfully as possible for at least a week before an appointment. � ��h�@���h�H+ �!T���@��X ��c����'{�/�,ba��ż����k����՛ł���6�*������%�b)S���(�����@d�mƟ+Am��X ��A�7� ����?c*L8P���=c� �Ķ@���8���@� � However, nurses agreed that preserving patient’s dignity must be at the heart of good nursing practice (Waters, 2008). Further more DOH (2009) stated that obesity is a major public health issue because it is associated with risk factors of number of health problems such as heart diseases, stroke and some cancers. Main focuses of professional conduct is protect patients and insure nurse’s behavior meets the level of community expectations. Obesity has become a common condition and a major public health concern, but it is often associated with negative attitudes and discrimination. 0000009631 00000 n Good record keeping is very important part of safe and effective nursing practice (NMC, 2007). (2008) the nurses have to follow ethical principles when treating obese patients. Nurses legally owe obese patients a duty of care and they are responsible and accountable for their own actions in practice when caring for obese patients. Listening skills are part of non-verbal communication. xref Nurses legally owe obese patients a duty of care and they are responsible and accountable for their own actions in practice when caring for obese patients. Due to development of health care system the practice of nursing has developed and nursing process have been implemented as a major framework for delivering care. To communicate effectively with obese patients it is important to speak clearly and make sure the patients understand what is being said. Learn about our remote access options, Lecturer, School of Nursing and Midwifery, University of Sheffield, Sheffield, UK. In addition understanding of accountability, consent, confidentiality, autonomy, duty of care and the use of the nursing process will be demonstrated. 0000007067 00000 n In order to provide continues, high quality patient care it is responsibility of the nurses to keep clear and accurate records of the discussions they have with obese patients and records of assessments and treatments. Martin (2001) suggests that the professional duty of confidentiality is fundamental to building and maintaining trustful relationships with the patients and it helps the patients to be opened and honest with the nurses. Institute of Race Relations (IRR, 2009) defines discrimination as “to treat one particular group of people less favorably than others because of their race, color, nationality, or ethnic or national origin”. Learn more. 0000003034 00000 n However, nurses are not immune to the prejudice against obesity that is prevalent in society in general. During assessment the nurses must collect information about the patients, this includes collecting information from variety of sources and this information must be organized, validated and documented (Kozier et al, 2008). Nurses are likely to encounter obese patients, and they have a key role to play both in managing and preventing obesity. startxref They determine for registrants and the public what standards to expect from every practitioner on the register. However if there is any doubts about patients competence, further information or explanation may be needed. Electronic searches were carried out on seven databases from inception to December 2004, along with hand‐searching of references in relevant studies. A healthy diet is a key component to reducing weight and overall health. Do you have a 2:1 degree or higher in nursing or healthcare? Roper, Logan and Tierney’s model is the most extensively used by nurses in UK and it is based on 12 activities of living (Aggleton and Chalmers, 2000). The next phase of nursing process is diagnosing, where all health problems, risks and strength are identified. Arnold and Boggs (2003) believes that communication is complex process which composite of verbal and nonverbal behaviours. Nurses will need to adjust their nursing care as the numbers of larger, heavier patients increase over time. The understanding of the importance of record-keeping, awareness of anti-discriminatory and the need that nurses treat every patient equally and with dignity in practice was considered. 0000028277 00000 n 0000000016 00000 n 70 0 obj <> endobj Sometimes using medical terminology, lack of confidence, light problems or noise environment can cause problems to communicate effectively. Burnard (1997) stated that important is not to assume things about the patient, but important is to listen what the patients have to say. Working off-campus? Nursing Essay Finally the recognition of potential barriers to communicating within the health care will be highlighted. The main role of the NMC is to protect the public. 0000029330 00000 n The second principle is beneficence, which means the nurses are obligated “to do good” and their actions must benefit patients and their support persons. Right volume of voice is essential and right form of communication must be chosen. Aarti (2009) suggests that people are judged by first impression of appearance so it is very important for the nurses to look presentable when caring for patients. 0000027965 00000 n The next principle is nonmaleficence which is the duty to “do no harm”. A shift in focus towards the sets of attitudes (positive as well as negative) and behaviours that influence health service quality and outcomes for obese persons would be useful. Some of basic ways of communication are speaking, sign language, body language, touch and eye contact. Information about given medicines have to be recorded as well as information about how effective those medicines have been (NMC, 2008). With negative attitudes towards obese patients access nursing care and promote healthy eating and activity help patients that! Make careful decisions in order to divide time shared between patients associated with negative and. Health issue of obesity registered in England and Wales * you can view samples of professional... 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