Nurses’ Role in Obesity Management in Adults in Primary Healthcare Settings Worldwide: A Scoping Review
Abstract
:1. Introduction
Significance
2. Methods
2.1. Protocol
2.2. Eligibility Criteria
2.3. Information Sources
2.4. Search Strategy
2.5. Selection of Sources of Evidence
2.6. Process of Data Extraction
2.7. Thematic Analysis
3. Results
3.1. Characteristics of the Studies
3.2. Synthesis of Results
3.2.1. Patient-Centred Care
3.2.2. Patient Assessments
3.2.3. Therapeutic Nursing Interventions
3.2.4. Patient Education
3.2.5. Care Management
3.2.6. Professional Development
4. Discussion
Limitations
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Inclusion | Exclusion | |
---|---|---|
Population | Registered nurses Case management nurses General practice nurses | Student nurses Advanced practice nurses Nurse practitioner (NP) Clinical nurse specialist (CNS) Certified Registered Nurse Anesthetist (CRNA) Certified Nurse Midwife (CNM) |
Concept | Individuals with obesity Adults (19–64 years old) Nurses’ role or intervention | RN’s role indecipherable from other disciplines Primary focus on other disease (e.g., cancer, serious mental illness, NAFLD, T2DM, etc.) Bariatric and pharmaceutical related interventions Population who requires expertise beyond scope of this paper (i.e., perinatal, postnatal, prenatal, and parenting and people with developmental, and intellectual disabilities) |
Context | Worldwide Primary healthcare setting District nursing General practice Community settings (home care, occupational health, or faith-based) | Any setting outside inclusion criteria |
Medical Subject Headings (MeSHs) and Descriptors | String/ Boolean | Keywords (Title or Abstract) | |
---|---|---|---|
Population | “nurses” OR “nursing” OR “Public Health Service Nurses” | Or | nurs* |
And | |||
Concept | “role” OR “Nursing Role” OR “Nursing Interventions” OR “Professional Role” OR “Delivery of Health Care” OR “Practice Patterns, Nurses” OR | Or | role* or “nurs* intervention*” OR “nurs* strateg*” OR “nurs* role” OR “nurs* guided” OR “nurse-directed” OR “nurse-led” OR “nurse-managed” OR “nurs* function*” |
And | |||
“obesity” OR “Obesity, Morbid” OR “weight control” OR “Weight Reduction Programs” OR “weight management” OR “obesity management” OR “Body Weight Maintenance” OR “Body Weight Changes” OR “weight loss+” OR “Weight Reduction Programs+” OR “Body Weight” OR “overweight” OR “body mass index” OR “Obesity (Attitudes Toward)” | Or | obes* OR “high BMI” OR “high body mass index” OR “weight control” OR “weight reduction” OR “weight management” OR “overweight” | |
Context | Omitted (too restrictive) | Omitted (too restrictive) |
Frist Author/Year/Citation | Title | Study Design | Population | Setting | Country | |
---|---|---|---|---|---|---|
Barrea (2021) [34] | The role of the nurse in the obesity clinic: a practical guideline. | Review | RNs caring for people living with obesity (PwO) | Outpatient obesity clinics | Italy | |
Braga (2020) [35] | Actions of nurses toward obesity in primary health care units. | Qualitative | Primary healthcare nurses (PHNs) | Primary healthcare Units | Brazil | |
Brewah (2018) [36] | Can community nurses take on obesity? | Commentary | District/ community RNs caring for homebound PwO | Home care | U.K. | |
Campbell- Scherer (2019) [37] | Changing provider behaviour to increase nurse visits for obesity in family practice: the 5As Team randomized controlled trial (RCT). | Mixed-methods, RCT, and qualitative | Chronic disease RNs in a primary care clinic providing care for PwO | Primary care network clinics | Canada | |
Fernández- Ruiz (2018) [38] | Short-medium-long-term efficacy of interdisciplinary intervention against overweight and obesity: randomized controlled clinical trial. | RCT | Multidisciplinary program for PwO led and coordinated by RNs | Community care centre | Spain | |
Fernández- Ruiz (2018) [39] | Impact of the I(2)AO(2) interdisciplinary program led by nursing on psychological comorbidity and quality of life: randomized controlled clinical trial. | RCT | Multidisciplinary program for PwO led and coordinated by RNs | Community care centre | Spain | |
Govindasamy (2023) [40] | Experiences of overweight and obese patients with diabetes and practice nurses during implementation of a brief weight management intervention in general practice settings serving culturally and linguistically diverse disadvantaged populations. | Qualitative | RNs PwO who are culturally and linguistically diverse with socioeconomic disadvantage | General practice office | Australia | |
Hinks (2022) [41] | Exploring community nurses’ views on the implementation of a local weight management pathway. | Qualitative | District and community RNs | Community care | Isle of Man | |
Kelley (2018) [42] | The role of the faith community nurse in weight management. | Opinion | Faith community RNs providing care for PwO | Faith community setting (church) | USA | |
Palmeira (2019) [43] | Effect of remote nursing monitoring on overweight in women: clinical trial. | RCT | RNs providing remote weight monitoring for PwO | Primary care Remote nursing | Brazil | |
Parker | 2018 [46] | Preventing chronic disease in patients with low health literacy using eHealth and teamwork in primary healthcare: protocol for a cluster randomised controlled trial. | Protocol | RNs caring for PwO | General practice | Australia |
2022 [45] | Preventing chronic disease in overweight and obese patients with low health literacy using eHealth and teamwork in primary healthcare (HeLP-GP): a cluster randomised controlled trial. | RCT | RNs caring for PwO | General practice | Australia | |
2024 [44] | Exploring organisational readiness to implement a preventive intervention in Australian general practice for overweight and obese patients: key learnings from the HeLP-GP trial. | Qualitative | RNs caring for PwO | General practice | Australia | |
Shaji et al. (2023) [47] | Effectiveness of nurse-led lifestyle modification intervention on obesity among young women in India. | Quantitative | RN caring for PwO | General practice office and telehealth | India | |
Virtanen (2021) [48] | The impact of lifestyle counselling on weight management and quality of life among working-age females. | Quantitative cohort study | RNs caring for PwO | Primary healthcare | Finland |
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Piwowarczyk, E.; MacPhee, M.; Howe, J. Nurses’ Role in Obesity Management in Adults in Primary Healthcare Settings Worldwide: A Scoping Review. Healthcare 2024, 12, 1700. https://doi.org/10.3390/healthcare12171700
Piwowarczyk E, MacPhee M, Howe J. Nurses’ Role in Obesity Management in Adults in Primary Healthcare Settings Worldwide: A Scoping Review. Healthcare. 2024; 12(17):1700. https://doi.org/10.3390/healthcare12171700
Chicago/Turabian StylePiwowarczyk, Emilia, Maura MacPhee, and Jo Howe. 2024. "Nurses’ Role in Obesity Management in Adults in Primary Healthcare Settings Worldwide: A Scoping Review" Healthcare 12, no. 17: 1700. https://doi.org/10.3390/healthcare12171700