Nurses' and Nursing Students' Perceptions Toward People Living with Obesity: A Scoping Review Protocol

Main Article Content

Karyne Duval
https://orcid.org/0000-0001-6110-9665
Élise Couturier
https://orcid.org/0000-0002-5209-4307
Marie-Claude Laferrière
https://orcid.org/0000-0002-2820-1387
Marie-Pierre Gagnon
https://orcid.org/0000-0002-0782-5457
Maria Cecilia Gallani
https://orcid.org/0000-0002-3418-9134

Abstract

Introduction: There is significant and pervasive weight bias, weight stigma, and weight-based discrimination everywhere today, even in healthcare settings. Studies have shown that health care professionals (HCPs) hold negative perceptions toward people living with obesity (PLO), which results in heightened health risks for patients. Nurses play a central role in health promotion and the health management of PLO. Thus, identifying nurses' and nursing students' perceptions toward PLO within healthcare practice or educational contexts is paramount to consider further exploratory and intervention studies.


Objective: We aim to review and map nurses' and nursing students' perceptions toward PLO from available literature.


Method: A search of MEDLINE via PubMed, CINAHL Plus with Full Text (EBSCOhost), and PsycINFO (OVID) will be conducted to identify relevant studies in English, French, Spanish, Portuguese, or Italian on nurses' and nursing students' weight bias. The period covered will be from January 1, 2005, onward, including those available up until our scheduled search in January 2024. Two independent reviewers will conduct screening, study selection, and data extraction. Data will be charted according to the study design, the research setting, years and regions of publication, concepts, and use of theoretical models. The results will be summarized and reported, identifying implications for nursing research and practice.


Discussion and Research Spin-offs: This scoping review will inform nursing research and facilitate the development of educational and clinical tools aimed at preventing and reducing weight bias among nurses to promote nursing and interdisciplinary care that upholds principles of equity, diversity, and inclusion.

Article Details

How to Cite
Duval, K., Couturier, Élise, Laferrière, M.-C., Gagnon, M.-P., & Gallani, M. C. (2023). Nurses’ and Nursing Students’ Perceptions Toward People Living with Obesity: A Scoping Review Protocol. Science of Nursing and Health Practices, 6(2), 77–90. https://doi.org/10.7202/1108910ar
Section
Research protocol articles

References

Alberga, A. S., Edache, I. Y., Forhan, M., & Russell-Mayhew, S. (2019). Weight bias and health care utilization: a scoping review. Primary Health Care Research & Development, 20, e116. https://doi.org/10.1017/s1463423619000227

Alberga, A. S., Pickering, B. J., Alix Hayden, K., Ball, G. D. C., Edwards, A., Jelinski, S., Nutter, S., Oddie, S., Sharma, A. M., & Russell-Mayhew, S. (2016). Weight bias reduction in health professionals: a systematic review. Clinical obesity, 6(3), 175-188. https://doi.org/10.1111/cob.12147

Barrea, L., Framondi, L., R, D. I. M., Verde, L., Vetrani, C., Graziadio, C., Pugliese, G., Laudisio, D., Vitale, G., Iannicelli, A. M., Savastano, S., Colao, A., & Muscogiuri, G. (2021). The role of the nurse in the Obesity Clinic: a practical guideline. Panminerva Medica, 63(4), 539-546. https://doi.org/10.23736/s0031-0808.21.04540-7

Brown, I. (2006). Nurses’ attitudes towards adult patients who are obese: literature review. Journal of Advanced Nursing (Wiley-Blackwell), 53(2), 221-232. https://doi.org/10.1111/j.1365-2648.2006.03718.x

Budd, G. M., Mariotti, M., Graff, D., & Falkenstein, K. (2011). Health care professionals' attitudes about obesity: An integrative review. Applied Nursing Research, 24(3), 127-137. https://doi.org/10.1016/j.apnr.2009.05.001

Cavaleri, R., Short, T., Karunaratne, S., & Chipchase, L. S. (2016). Weight stigmatisation in physiotherapy: a systematic review. Physical Therapy Reviews, 21(1), 1-9. https://doi.org/10.1080/10833196.2016.1213976

Clark, O., Lee, M. M., Jingree, M. L., O'Dwyer, E., Yue, Y., Marrero, A., Tamez, M., Bhupathiraju, S. N., & Mattei, J. (2021). Weight Stigma and Social Media: Evidence and Public Health Solutions. Frontiers in Nutrition, 8, 739056. https://doi.org/10.3389/fnut.2021.739056

Edache, I. Y., Kakinami, L., & Alberga, A. S. (2021). Weight bias and support of public health policies. Canadian Journal of Public Health. Revue Canadienne de Santé Publique, 112(4), 758-765. https://doi.org/10.17269/s41997-020-00471-7

Fishbein, M., Ajzen, I., & Ajzen, I. (2010). Predicting and changing behavior: The reasoned action approach. Psychology Press.

Fruh, S. M., Graves, R. J., Hauff, C., Williams, S. G., & Hall, H. R. (2021). Weight Bias and Stigma: Impact on Health. Nursing Clinics of North America, 56(4), 479-493. https://doi.org/10.1016/j.cnur.2021.07.001

Fulton M., Dadana S., & Srinivasan VN. (2023, Oct 26). Obesity, Stigma, and Discrimination. In: StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK554571/

Government of Canada. (2020). Addressing Stigma: Towards a More Inclusive Health System. Public Health Agency of Canada. https://www.canada.ca/en/public-health/corporate/publications/chief-public-health-officer-reports-state-public-health-canada/addressing-stigma-toward-more-inclusive-health-system.html

Huizinga, M. M., Cooper, L. A., Bleich, S. N., Clark, J. M., & Beach, M. C. (2009). Physician Respect for Patients with Obesity. Journal of General Internal Medicine, 24(11), 1236-1239. https://doi.org/10.1007/s11606-009-1104-8

Janssen, I. (2013). The Public Health Burden of Obesity in Canada. Canadian Journal of Diabetes, 37(2), 90-96. https://doi.org/10.1016/j.jcjd.2013.02.059

Lacroix, E., Alberga, A., Russell-Mathew, S., McLaren, L., & von Ranson, K. (2017). Weight Bias: A Systematic Review of Characteristics and Psychometric Properties of Self-Report Questionnaires. Obesity facts, 10(3), 223-237. https://doi.org/10.1159/000475716

Lawrence, B. J., Kerr, D., Pollard, C. M., Theophilus, M., Alexander, E., Haywood, D., & O'Connor, M. (2021). Weight bias among health care professionals: A systematic review and meta-analysis. Obesity (Silver Spring, Md.), 29(11), 1802-1812. https://doi.org/10.1002/oby.23266

Lazarou, C., & Kouta, C. (2010). The role of nurses in the prevention and management of obesity. British Journal of Nursing, 19(10), 641-647. https://doi.org/10.12968/bjon.2010.19.10.48203

Le Bodo, Y., Blouin, C., Dumas, N., De Wals, P., & Laguë, J. (2017). The Quebec experience in promoting healthy lifestyles and preventing obesity: how can we do better?. Obesity reviews: an official journal of the International Association for the Study of Obesity, 18(9), 967-986. https://doi.org/10.1111/obr.12559

Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC medical research methodology, 18(1), 143. https://doi.org/10.1186/s12874-018-0611-x

Oliver, T. L., Shenkman, R., Diewald, L. K., & Smeltzer, S. C. (2021). Reflective journaling of nursing students on weight bias. Nurse Education Today, 98, 104702. https://doi.org/10.1016/j.nedt.2020.104702

Panza, G. A., Armstrong, L. E., Taylor, B. A., Puhl, R. M., Livingston, J., & Pescatello, L. S. (2018). Weight bias among exercise and nutrition professionals: a systematic review. Obesity Reviews, 19(11), 1492-1503. https://doi.org/10.1111/obr.12743

Peters, M. D. J., Godfrey, C., McInerney, P., Khalil, H., Larsen, P., Marnie, C., Pollock, D., Tricco, A. C., & Munn, Z. (2022). Best practice guidance and reporting items for the development of scoping review protocols. JBI evidence synthesis, 20(4), 953-968. https://doi.org/10.11124/jbies-21-00242

Powell-Wiley, T. M., Poirier, P., Burke, L. E., Després, J. P., Gordon-Larsen, P., Lavie, C. J., Lear, S. A., Ndumele, C. E., Neeland, I. J., Sanders, P., & St-Onge, M. P. (2021). Obesity and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation, 143(21), e984-e1010. https://doi.org/10.1161/cir.0000000000000973

Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., Apovian, C. M., Aronne, L. J., Batterham, R. L., Berthoud, H. R., Boza, C., Busetto, L., Dicker, D., De Groot, M., Eisenberg, D., … Dixon, J. B. (2020). Joint international consensus statement for ending stigma of obesity. Nature medicine, 26(4), 485-497. https://doi.org/10.1038/s41591-020-0803-x

Shelton, S. A. (2016). “As their waistlines recede”: Tracing and challenging the fat quest in young adult literature. Fat Studies, 5(2), 172-190. https://doi.org/10.1080/21604851.2016.1146117

The EndNote Team. (2013). EndNote. (Version EndNote X9) [64 bit]. Clarivate Analytics. https://endnote.com/

Tomiyama, A. J., Carr, D., Granberg, E. M., Major, B., Robinson, E., Sutin, A. R., & Brewis, A. (2018). How and why weight stigma drives the obesity 'epidemic' and harms health. BMC Medicine, 16(1), 123. https://doi.org/10.1186/s12916-018-1116-5

Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467-473. https://doi.org/10.7326/M18-0850

Veritas Health Innovation (2023). Covidence systematic review software. www.covidence.org

World Health Organization. (2022). Nursing and midwifery. https://www.who.int/news-room/fact-sheets/detail/nursing-and-midwifery

Wu, Y. K., & Berry, D. C. (2018). Impact of weight stigma on physiological and psychological health outcomes for overweight and obese adults: A systematic review. Journal of Advanced Nursing, 74(5), 1030-1042. https://doi.org/10.1111/jan.13511

Most read articles by the same author(s)