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Table 3 Results of Individual Sources of Evidence

From: The nursing care of people with class III obesity in an acute care setting: a scoping review

Author & date

Study Method

Setting

Purpose

Sample

Outcomes Measured

Booth et al., 2011 [41]

Retrospective

Registry Records

United Kingdom, Hospital

To ascertain the number of reported patient safety events involving people with obesity

People living with class III obesity in acute care

Patient safety incidents involving people living with obesity

Broome et al., 2015 [38]

Case study

USA, Hospital

To describe the care of a ‘super’ bariatric patient

A person with class III obesity (n = 1), aged 56 years, BMI 73 kg/m2

A description of the complex interdisciplinary care challenges for one patient with class III obesity

Dockrell & Hurley, 2021 [52]

Analytical cross-sectional survey

Ireland, Hospital

To explore frequency, logistics, and barriers of bariatric equipment availability in acute care hospitals

Clinical nurse managers working in acute care settings (n = 132), 110 (83.2%) had > 3 years’ experience

Barriers to the provision of care for people with class III obesity

Drake et al., 2005 [49]

Qualitative; focus groups, thematic analysis

USA, Hospital

To investigate nurses’ perceptions of the challenges they face in caring for patients with class III obesity in the acute care setting

Nurses whose role included caring for people with class III obesity (n = 17). Three males, 14 females, mean age 38.32 years old and mean nursing experience 13 years. Five participants held a baccalaureate degree, 9 held an associate degree, 2 held a diploma of nursing.

Care challenges faced by nurses when caring for patients with class III obesity

Drake et al., 2008 [42]

Descriptive, survey

USA, Hospital

To determine nurses’ perception of the challenges in caring for people with class III obesity

Members of the National Association of Bariatric Nurses. Nine males 100 females.

Pressure ulcer prevalence in patients with a BMI ≥40 kg/m2 and Braden Scale of ≥16, compared to patients with lower BMI

Ecklund & Kurlak, 2004 [39, 54]

Case study

USA, Hospital

To highlight issues involved in caring for a person who has class III obesity

A person with class III obesity, male 39 years old, BMI 91 kg/m2

Strategies to manage multisystem and organisational issues of managing a patient with class III obesity

Gardner & Gibbs, 2013 [44, 45]

Descriptive, retrospective records review and hospital survey

USA, Hospital

To ascertain the number of reported patient safety events involving people with class III obesity

Patients living with class III obesity in acute care (n = 1774)

Part 1: Number of patient safety incidents involving people living with Class III obesity

Part 2: Pennsylvania hospitals’ readiness to accommodate patients with class III obesity.

Gardner & Pagano 2013a [43]

Descriptive, retrospective records review and hospital survey

USA, Hospital

To ascertain the reported number of serious skin integrity events involving people with class III obesity

Patients living with class III obesity in acute care (n = 1774)

Part 1: Event reports of people living with class III obesity reviewed for skin integrity issues.

Part 2: The prevalence of patient skin care protocols for patients with class III obesity

Gardner & Pagano, 2013b [46]

Descriptive, retrospective records review and hospital survey

USA, Hospital

To ascertain the reported number of falls event reports involving people with class III obesity

Patients living with class III obesity in acute care (n = 1774)

Part 1: Event reports involving falls in people living with class III obesity

Part 2: Hospital state-wide survey about hospital preparedness to care for patients with class III obesity and falls

Hignett et al., 2007 [47]

Descriptive. Mixed methods (focus groups and questionnaire)

United Kingdom, special interest groups

To identify and explore manual handling risks and process planning pathways for patients with class III obesity

Members of the National Back Exchange (NBE) (n = 224). Special Interests Group on Bariatrics and The National Ambulance Risk and Safety Forum (NARSF) (n = 25)

Manual handling risks and pathway planning for patients

Holland et al., 2001 [40]

Case study

USA, hospital

To use a case report to illustrate care and discharge planning for a patient with class III obesity

A person living with class III obesity in acute care. Male aged 49, BMI 72.6 kg/m2

Care and discharge planning requirements

Palmer, 2009

Case study

United Kingdom, hospital

To illustrate the strategies employed to aid the moving and handling of one patient with class III obesity

A person living with class III obesity, female, age and BMI not reported

Requirements for safe moving and handling of a patient with class III obesity

Rose et al., 2007 [48]

Cross-sectional, naturalistic observation

USA, hospital

To compare resource requirements when caring for patients with class III obesity and those who do not have obesity

Nursing staff caring for patients with class III obesity and patients who were not obese in an acute care setting

Resource and safety concerns when caring for patients with class III obesity

Rose et al., 2010 [50]

Descriptive, qualitative, semi-structured interview

USA, professional association members

To examine nurses’ perceptions of safety concerns when caring for patients with class III obesity

Nurses who are members of the National Association of Bariatric Nurses (NABN) (n = 19)

Number of adverse events, near misses and out-of-control situations in relation to the care of patients with class III obesity