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 |
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 | |
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 |