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|Title: ||The development and evaluation of a holistic approach to obesity management for primary care nurses.|
|Authors: ||Brown, Jennifer E.|
|Supervisors: ||Broom, John|
West, Bernice J. M.
|Issue Date: ||Aug-2008|
|Publisher: ||The Robert Gordon University|
|Abstract: ||The prevalence of obesity (BMI≥30kg/m²) in the Scottish population is rising at an
alarming pace. The health implications for those affected and the lack of sustained success
in treatment, demands that new strategies be explored to improve patient outcomes (Harvey
et al. 2005). Primary care nurses appear well placed to address obesity management.
Therefore, the aim of this research was to develop and evaluate an evidence based, holistic,
person centred approach to management, which was relevant to both professionals and
those who are obese.
A conceptual framework was developed to encompass the physical, social and emotional
components of weight management in conjunction with the nursing models of Roper,
Logan and Tierney and Peplau. The approach used mixed methods of data collection,
which was carried out in two phases. Outcomes from the initial exploratory, longitudinal
survey phase, involving 64 outpatients attending a specialist obesity clinic, showed that
physical, social and emotional factors, in conjunction with beliefs about weight
management are interrelated.
Evidence from the exploratory phase contributed to the development of materials for the
intervention phase which was implemented in primary care by nine practice nurses (PNs)
who recruited 28 obese individuals for a three month period. Methods of data collection
included questionnaires, booklets, field notes and interviews.
The key findings of this study confirmed that obesity is complex and a holistic, person
centred approach to weight management through partnership working between nurses and
obese individuals can be effective. While PNs have a key role to play in obesity
management they recognised their need for appropriate tools and education to help
individuals towards self-management. The results also suggested that nurses and
individuals who took ownership of this approach had successful outcomes in terms of
|Appears in Collections:||Theses (Nursing & Midwifery)|
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