Maryam Bagheri; Abbas Heydari; Zahra Sadat Manzari
Volume 25, Issue 1 , 2023
Abstract
Background: Healthcare workers try their best to deal with the challenges of caring for patients with obesity (PWO). However, no study has addressed the strategies used in taking care of PWO. Healthcare workers experiences of these strategies can facilitate the challenges of caring for these patients.
Objectives: ...
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Background: Healthcare workers try their best to deal with the challenges of caring for patients with obesity (PWO). However, no study has addressed the strategies used in taking care of PWO. Healthcare workers experiences of these strategies can facilitate the challenges of caring for these patients.
Objectives: This study aimed to explain healthcare workers experiences of the strategies used in caring for PWO.
Methods: A conventional content analysis (Graneheim and Lundmans approach) was conducted during 2018-2021. A total of 25 personnel (including nurses, physicians, and nursing assistants) who experienced working with PWO at least for three years in two large teaching hospitals in Iran were selected by purposeful sampling. Semi-structured interviews were conducted to collect the data and the MAXQDA software (version 10) was used to analyze them.
Results: The findings introduced help-seeking to provide care as the most important strategy used by healthcare workers to deal with the challenges of caring for PWO. The four categories included help-seeking in performing clinical procedures, help-seeking in general care with assistance, help-seeking in the patients treatment course, and help-seeking for patient safety.
Conclusion: Healthcare workers, particularly nurses, seek help from others to meet all the care and treatment needs of patients and provide better care with the least negative consequences for patients and themselves.
Maryam Bagheri; Abbas Heydari; Zahra Sadat Manzari
Volume 24, Issue 7 , 2022
Abstract
Background: Nurses have difficulties in caring for patients with obesity (PWO) due to their large size and complex care needs. As there have been few studies on these challenges, it is necessary to identify them for PWO through access to nurses experiences.
Objectives: This study aimed to explain the ...
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Background: Nurses have difficulties in caring for patients with obesity (PWO) due to their large size and complex care needs. As there have been few studies on these challenges, it is necessary to identify them for PWO through access to nurses experiences.
Objectives: This study aimed to explain the nurses experiences of the challenges of caring for admitted PWO.
Methods: This qualitative study was performed on 12 nurses working in two large urban teaching hospitals in Iran. They were selected using the purposive sampling method. Data were collected using semi-structured interviews during 2018-2020. Content analysis and MAXQDA software (version 10) were used to analyze data.
Results: According to the results, "threat to the patient safety" was the main theme extracted from nurses experiences, which included three categories, namely "from care difficulty to inaccurate care", "exacerbation of clinical complications", and "limited self-care". The category of "from care difficulty to inaccurate care" consisted of the subcategories of "care difficulty" and "inevitability of performing inaccurate care". The category of "exacerbation of clinical complication" was composed of the subcategories of "domino-like deterioration of the clinical condition", "multiple physical problems", "patient injury", and "death". The category of "limited self-care" included the subcategories of "patient difficulties with personal hygiene", "limited ability to move/change position", and "inability to meet defecation needs".
Conclusion: According to nurses, "threat to patient safety" was the main challenge of caring for PWO. Patients with obesity could receive competent care from nurses who have a thorough awareness of the obesity threat to patient safety.
