Weight Bias and Psychosocial Implications for Acute Care of Patients With Obesity

2017 ◽  
Vol 28 (3) ◽  
pp. 254-262 ◽  
Author(s):  
Rachel Smigelski-Theiss ◽  
Malisa Gampong ◽  
Jill Kurasaki
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Health Care Providers ◽  
Physical Environment ◽  
Medical Condition ◽  
Weight Bias ◽  
Care Providers ◽  
Optimal Care ◽  
Childhood Experiences ◽  
Appropriate Care

Obesity is a complex medical condition that has psychosocial and physiological implications for those suffering from the disease. Factors contributing to obesity such as depression, childhood experiences, and the physical environment should be recognized and addressed. Weight bias and stigmatization by health care providers and bedside clinicians negatively affect patients with obesity, hindering those patients from receiving appropriate care. To provide optimal care of patients with obesity or adiposity, health care providers must understand the physiological needs and requirements of this population while recognizing and addressing their own biases. The authors describe psychosocial and environmental factors that contribute to obesity, discuss health care providers’ weight biases, and highlight implications for acute care of patients suffering from obesity.

Interaction between Family Members and Health Care Providers in an Acute Care Setting in Finland

2001 ◽  
Vol 7 (4) ◽  
pp. 371-390 ◽  
Author(s):  
Päivi Åstedt-Kurki ◽  
Eija Paavilainen ◽  
Tarja Tammentie ◽  
Marita Paunonen-Ilmonen
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Health Care Providers ◽  
Care Setting ◽  
Family Members ◽  
Acute Care Setting ◽  
Care Providers

scholarly journals Negotiating candidacy: ethnic minority seniors' access to care

2009 ◽  
Vol 29 (4) ◽  
pp. 585-608 ◽  
Author(s):  
SHARON KOEHN
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Ethnic Minority ◽  
Health Care Providers ◽  
Service Providers ◽  
Future Research ◽  
Care Providers ◽  
Optimal Care ◽  
Barriers To Access ◽  
Recommendations For Action

ABSTRACTThe ‘Barriers to Access to Care for Ethnic Minority Seniors’ (BACEMS) study in Vancouver, British Columbia, found that immigrant families torn between changing values and the economic realities that accompany immigration cannot always provide optimal care for their elders. Ethnic minority seniors further identified language barriers, immigration status, and limited awareness of the roles of the health authority and of specific service providers as barriers to health care. The configuration and delivery of health services, and health-care providers' limited knowledge of the seniors' needs and confounded these problems. To explore the barriers to access, the BACEMS study relied primarily on focus group data collected from ethnic minority seniors and their families and from health and multicultural service providers. The applicability of the recently developed model of ‘candidacy’, which emphasises the dynamic, multi-dimensional and contingent character of health-care access to ethnic minority seniors, was assessed. The candidacy framework increased sensitivity to ethnic minority seniors' issues and enabled organisation of the data into manageable conceptual units, which facilitated translation into recommendations for action, and revealed gaps that pose questions for future research. It has the potential to make Canadian research on the topic more co-ordinated.

scholarly journals Weight bias among health care providers for children in UAE

2017 ◽  
Vol 5 (11) ◽  
pp. 4697
Author(s):  
Naguib M. Abdel Reheim ◽  
Nehad Gomaa Ramadan Ali ◽  
Shaf Khot ◽  
Motahareh Vamegh ◽  
Mohammad Anwar ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Weight Bias ◽  
Care Providers ◽  
Obese Children ◽  
Normal Children ◽  
Healthcare Profession ◽  
Healthcare Professions ◽  
Children Education

Background: This research looks at weight bias among healthcare providers for children in UAE.Methods: This study was done through self-administered questionnaire. Our targets were health care providers for children working in both governmental and private hospitals in UAE. 198 participants were enrolled in the study after exclusion of invalid questionnaires.Results: While 15.4% of healthcare professions in our study acknowledged practice of weight bias during care of obese children, 52.5% denied and 32.1% are not sure about it. 149 participants (76%) believed that failure of obesity management in children is attributed to their weak willpower and poor commitment. Compared with normal children, overweight/obese children are considered less complaint by 59% of our participants, less active by 78.2%, less willpower by 59.5%, less confident by 73.2% and less intelligent by 17.7%. Finally, 10% of our participants consider treatment of overweight/obesity is a waste of time.Conclusions: This study shows significant weight bias among healthcare profession which can occur unintentionally. Weight bias among health care providers affects the quality of medical care of obese children. Education, training and increasing awareness of weight bias among health care providers in UAE is an initial and essential step to decrease the risk of weight bias which is a significant barrier in management of childhood obesity.

Acute Care Pharmacy Practice: A Perspective for Pharmacy Students, Residents, and Other Health-Care Providers

2018 ◽  
Vol 33 (3) ◽  
pp. 350-355
Author(s):  
Rebecca L. Dunn ◽  
Jonathan C. Cho ◽  
Brittany L. Parmentier
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Health Care Providers ◽  
Care Setting ◽  
Pharmacy Practice ◽  
Interdisciplinary Teams ◽  
Acute Care Setting ◽  
Care Providers ◽  
Patient Centered ◽  
Medication Therapy

Purpose: To describe the acute care setting with a specific focus on acute care pharmacy practices. Summary Acute care is the sector of health care where time-sensitive episodes of illness are managed. Acute care pharmacy practice includes both hospital and clinical pharmacists serving, in a variety of domains, as medication experts and authority on patient-centered medication therapy. Pharmacists serving in this area can have a beneficial impact on patient care and the health-care system. Conclusion: The demand for acute care services is likely to grow as the population continues to grow and age. Pharmacists are key members of interdisciplinary teams in the acute care setting.

scholarly journals The impact of acute care clinical practice guidelines on length of stay: A closer look at some conflicting findings

2014 ◽  
Vol 3 (4) ◽  
pp. 25 ◽  
Author(s):  
Moriah Ellen ◽  
G. Ross Baker ◽  
Adalsteinn Brown
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Acute Care ◽  
Health Care Providers ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Organizational Support ◽  
Full Potential ◽  
Care Providers ◽  
The Impact

Systematic reviews have found that clinical practice guidelines (CPGs) are associated with lower lengths of stay (LOS), but a secondary analysis of Ontario acute care hospitals found few significant relationships between CPGs and LOS. This research explored possible reasons for these findings and what other factors may impact the CPG-LOS relationship. Semi-structured interviews were conducted with staff from nine hospitals whose jobs dealt with developing, implementing, monitoring, updating, or evaluating CPGs. Interviews were analyzed utilizing methods outlined by Aurebach. A variety of leaders and hospital types were represented. Five main factors influencing relationships between CPGs and LOS were identified: 1) the purpose of implementation, 2) evidence base for CPG content and selection, 3) health care professionals’ response to change and compliance, 4) dissemination strategies, and 5) organizational support and resources. The interviews suggested possible reasons why CPGs are not realizing their full potential impact on LOS in Ontario hospitals, ranging from poor compliance to resistance from health care providers. CPGs themselves are not perceived to be the reason for ineffectiveness; rather, organizational- and individual-level barriers seem to be the causes.

scholarly journals Nurses’ voice: the role of hierarchy and leadership

2020 ◽  
Vol 33 (1) ◽  
pp. 12-26 ◽  
Author(s):  
Hanna Krenz ◽  
Michael Josef Burtscher ◽  
Bastian Grande ◽  
Michaela Kolbe
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Multilevel Regression ◽  
Open Communication ◽  
Content Type ◽  
Significant Relationships ◽  
Safety Research ◽  
Clinical Scenarios

Purpose Voicing concerns and suggestions is crucial for preventing medical errors and improving patient safety. Research suggests that hierarchy in health-care teams impair open communication. Hierarchy, however, can vary with changing team composition, particularly during acute care situations where more senior persons join the team later on. The purpose of this study is to investigate how changes in hierarchy and leadership were associated with nurses’ voice frequency and nurses’ time to voice during simulated acute care situations. Design/methodology/approach This study’s sample consisted of 78 health-care providers (i.e. nurses, residents and consultants) who worked in 39 teams performing complex clinical scenarios in the context of interprofessional, simulation-based team training. Scenarios were videotaped and communication behaviour was coded using a systematic coding scheme. To test the hypotheses, multilevel regression analyses were conducted. Findings Hierarchy and leadership had no significant effect on nurses’ voice frequency. However, there were significant relationships between nurses’ time to voice and both hierarchy (γ = 30.00, p = 0.002; 95 per cent confidence interval [CI] = 12.43; 47.92) as well as leadership (γ = 0.30, p = 0.001; 95 per cent CI = 0.12; 0.47). These findings indicate that when more physicians are present and leadership is more centralised, more time passes until the first nurses’ voice occurred. Originality/value This study specifies previous findings on the relationships between hierarchy, leadership and nurses’ voice. Our findings suggest that stronger hierarchy and more centralised leadership delay nurses’ voice but do not affect the overall frequency of voice.

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