Table 2 Themes generated from the findings

Superordinate Themes

Subordinate themes

Booth et al., 2011 [41]

Broome et al., 2015 [38]

Dockrell & Hurley, 2021 [52]

Drake et al., 2005 [49]

Drake et al., 2008 [42]

Ecklund & Kurlak, 2004 [39, 54]

Gardner & Gibbs 2013 [44, 45]

Gardner & Pagano, 2013a [43]

Gardner & Pagano,2013b [46]

Hignett et al., 2007 [47]

Holland et al., 2001 [40]

Palmer, 2004 [53]

Rose et al., 2007 [48]

Rose et al., 2010 [50]

Frequency

Access, knowledge and training related to equipment

Appropriate equipment available

X

X

X

X

X

X

X

X

X

X

X

11

Appropriate equipment unavailable

X

X

X

X

X

X

X

X

X

X

X

X

11

Equipment failure/malfunction

X

X

X

X

X

5

Staff knowledge about how to use equipment

X

X

X

X

3

Weight capacity of equipment identified and known

X

X

X

X

4

Patient Care

Circulation issues

X

1

Elimination (and personal hygiene) needs

X

X

X

3

Gait and mobility issues

X

X

X

X

X

X

X

X

X

X

10

Maintaining patient comfort and dignity

X

X

X

X

X

X

X

X

8

Maintaining patient safety

X

X

X

X

X

X

X

X

X

X

10

Nutritional assessment to insure adequate caloric intake

X

X

2

Pain and symptom management

X

X

2

Patient care plan (daily routine)

X

X

X

X

X

5

Patient education about their own self-care

X

X

2

Patient’s psychosocial care and needs

X

X

X

X

4

Respiration issues

X

X

X

X

4

Skin integrity issues identified

X

X

X

X

4

Opportunities to improve care

Communication between staff members

X

X

X

X

4

Nurses’ concerns/attitudes/safety

X

X

X

X

X

X

6

Patient’s acuity and independence levels determined how challenging nursing patients with class III obesity was

X

X

2

Protocols available on the care of people living with class III obesity

X

X

X

X

X

X

X

X

X

X

X

10

Hospital policies and procedures for the care of patients with class III obesity either not in place or not followed

X

X

X

X

X

X

5

Increased resources needed to care for patients with class III obesity

X

X

X

X

X

X

X

X

X

7

Infrastructure/facility not retrofitted or lack of space to accommodate necessary equipment (including lifts, floors and doors)

X

X

X

X

X

X

X

X

X

9

Multidisciplinary/interdisciplinary approach to the care of patients with class III obesity

X

X

X

X

X

5