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Graves RJ, Harrell M, Barinas JL, Taylor SE, Fruh SM, Williams SG, McDermott R, Hall HR, Hauff C, Sittig S, Campbell M, Hudson G, Bernadette MM. Effects of the Perceived Risk of Contracting COVID-19 on Nursing Students' Well-Being. J Nurs Educ 2022; 61:641-645. [PMID: 36343194 PMCID: PMC9782991 DOI: 10.3928/01484834-20220912-06] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND Although mental health symptoms increased during the coronavirus disease 2019 (COVID-19) pandemic, little is known about the associations between nursing students' perceived risk of contracting COVID-19 and their academic and psychological well-being. This study examined associations between perceived COVID-19 risk, likelihood of completing nursing education, and mental health factors of nursing students. METHOD A total of 979 nursing students completed self-report measures of perceived COVID-19 risk, anticipated academic completion, anxiety and depressive symptoms, stress, coping self-efficacy, hope, and social support. RESULTS Students with higher perceived COVID-19 risk reported increased anxiety and depression as well as decreased likelihood of graduating, coping self-efficacy, and levels of social support. CONCLUSION Findings indicate the need for increased mental health support for nursing students for successful completion of their programs. Educators should increase support and proactively strengthen positive psychology factors to mitigate the effects of COVID-19 and other crises on nursing students' well-being. [J Nurs Educ. 2022;61(11):641-645.].
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Graves RJ, Williams SG, Hauff C, Fruh SM, Sims B, Hudson GM, McDermott RC, Sittig S, Shaw T, Campbell M, Barinas JL, Hall HR. Undergraduate versus graduate nursing students: Differences in nutrition, physical activity, and self-reported body mass index. J Am Coll Health 2022; 70:1941-1946. [PMID: 33151837 PMCID: PMC8096854 DOI: 10.1080/07448481.2020.1842421] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 09/15/2020] [Accepted: 10/18/2020] [Indexed: 06/11/2023]
Abstract
ObjectiveThis study compared self-reported nutrition, physical activity, and body mass index (BMI) in undergraduate versus graduate nursing students.ParticipantsRespondents included 233 undergraduate and 230 graduate nursing students in a Southeastern public university.MethodsThe study was an exploratory, descriptive, cross-sectional comparison administered via online questionnaire including self-reported demographics, nutritional intake, physical activity, and BMI.ResultsUndergraduates reported exercising more than graduate students. Graduate students reported consuming significantly more vegetables than undergraduates; however, more graduate students self-reported BMIs in overweight and obese categories than undergraduates.ConclusionsFindings provide a foundational understanding that interventions or educational programs to improve self-care behaviors of nursing students should be tailored depending on the educational level of the students. Educators must establish self-care skills within nursing students at all levels to help them preserve their health in the fast-paced, strenuous, and stressful work of all echelons of nursing upon completion of the educational program.
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Affiliation(s)
- Rebecca J. Graves
- College of Nursing, University of South Alabama, Mobile, Alabama, USA
| | - Susan G. Williams
- College of Nursing, University of South Alabama, Mobile, Alabama, USA
| | - Caitlyn Hauff
- Department of Health, Kinesiology, and Sport, College of Education and Professional Studies, University of South Alabama, Mobile, Alabama, USA
| | - Sharon M. Fruh
- College of Nursing, University of South Alabama, Mobile, Alabama, USA
| | - Brook Sims
- Department of Counseling and Instructional Sciences, College of Education and Professional Studies, University of South Alabama, Mobile, Alabama, USA
| | - Geoffrey M. Hudson
- Department of Health, Kinesiology, and Sport, College of Education and Professional Studies, University of South Alabama, Mobile, Alabama, USA
| | - Ryon C. McDermott
- Department of Counseling and Instructional Sciences, College of Education and Professional Studies, University of South Alabama, Mobile, Alabama, USA
| | - Scott Sittig
- School of Computing, University of South Alabama, Mobile, Alabama, USA
| | - Thomas Shaw
- Department of Political Science and Criminal Justice, University of South Alabama, Mobile, Alabama, USA
| | - Matt Campbell
- School of Computing, University of South Alabama, Mobile, Alabama, USA
| | - Jennifer L. Barinas
- Department of Counseling and Instructional Sciences, College of Education and Professional Studies, University of South Alabama, Mobile, Alabama, USA
| | - Heather R. Hall
- College of Nursing, University of South Alabama, Mobile, Alabama, USA
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Barinas JL, McDermott RC, Williams SG, Fruh SM, Hauff C, Hudson GM, Graves RJ, Melnyk BM. Positive and negative psychosocial factors related to healthy and unhealthy weight control among nursing students. J Prof Nurs 2022; 42:290-300. [PMID: 36150873 PMCID: PMC9783016 DOI: 10.1016/j.profnurs.2022.07.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 07/21/2022] [Accepted: 07/25/2022] [Indexed: 12/27/2022]
Abstract
BACKGROUND Although nursing students are educated on the importance of exercising regularly and maintaining a well-balanced diet, many do not practice healthy weight management behaviors, and some even use unhealthy weight loss methods. Yet, little research has examined both positive and negative psychosocial variables related to weight control among nursing students. PURPOSE The present study aimed to identify the most salient psychosocial variables related to healthy and unhealthy weight control among nursing students. METHOD Using survey data from 241 nursing students, structural equation modeling was conducted to examine the relative contributions of eight interrelated psychosocial variables, including constructs from a strengths perspective (health-specific hope, health self-efficacy, social support, and body satisfaction) and from a deficit perspective (depression, anxiety, weight perception, and barriers to physical activity). RESULTS Results showed that the degree to which individuals perceive themselves to be overweight was related to both healthy and unhealthy weight control. Aside from weight perception, health self-efficacy produced the strongest association with healthy weight control, and anxiety produced the strongest association with unhealthy weight control. The structural model explained 23 % of the variance in healthy weight control and 29 % of the variance in unhealthy weight control. CONCLUSIONS These findings emphasize the need for tailored, integrated weight management interventions for nursing students that equip them with effective anxiety management skills and build self-efficacy.
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Affiliation(s)
- Jennifer L Barinas
- Department of Psychology, University Commons 1000, University of South Alabama, Mobile, AL 36608, United States of America.
| | - Ryon C McDermott
- Department of Counseling and Instructional Sciences, University Commons 3800, University of South Alabama, Mobile, AL 36688, United States of America
| | - Susan G Williams
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Sharon M Fruh
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Caitlyn Hauff
- Department of Health, Kinesiology, and Sport, Suite 1016, University of South Alabama, Mobile, AL 36688, United States of America
| | - Geoffrey M Hudson
- Department of Health, Kinesiology, and Sport, Suite 1016, University of South Alabama, Mobile, AL 36688, United States of America
| | - Rebecca J Graves
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Bernadette Mazurek Melnyk
- College of Nursing, 1585 Neil Avenue, The Ohio State University, Columbus, OH 43210, United States of America
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Fruh SM, Taylor SE, Graves RJ, Hayes K, McDermott R, Hauff C, Williams SG, Sittig S, Campbell M, Hudson G, Hall H, Melnyk BM, Barinas JL. Relationships among hope, body satisfaction, wellness habits, and stress in nursing students. J Prof Nurs 2021; 37:640-647. [PMID: 34016325 DOI: 10.1016/j.profnurs.2021.01.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Indexed: 02/08/2023]
Affiliation(s)
- Sharon M Fruh
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America.
| | - Sarah E Taylor
- Department of Counseling and Instructional Sciences, University Commons 3800, University of South Alabama, Mobile, AL 36688, United States of America
| | - Rebecca J Graves
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Katey Hayes
- Department of Psychology, University Commons 1000, University of South Alabama, Mobile, AL 36608, United States of America
| | - Ryon McDermott
- Department of Counseling and Instructional Sciences, University Commons 3800, University of South Alabama, Mobile, AL 36688, United States of America
| | - Caitlyn Hauff
- Department of Health, Kinesiology, and Sport, Suite 1016, University of South Alabama, Mobile, AL 36688, United States of America
| | - Susan G Williams
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | - Scott Sittig
- School of Computing, Shelby Hall, 150 Jaguar Drive, Suite 2101, University of South Alabama, Mobile, AL 36688, United States of America
| | - Matthew Campbell
- School of Computing, Shelby Hall, 150 Jaguar Drive, Suite 2101, University of South Alabama, Mobile, AL 36688, United States of America
| | - Geoffrey Hudson
- Department of Health, Kinesiology, and Sport, Suite 1016, University of South Alabama, Mobile, AL 36688, United States of America
| | - Heather Hall
- College of Nursing, 5721 USA Drive North, University of South Alabama, Mobile, AL 36688, United States of America
| | | | - Jennifer L Barinas
- Department of Counseling and Instructional Sciences, University Commons 3800, University of South Alabama, Mobile, AL 36688, United States of America
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McDermott RC, Fruh SM, Williams S, Hauff C, Sittig S, Wright T, Riley B, Swanzy D, Graves RJ, Hall H. Characteristics of Negative and Positive Mental Health Among Nursing Students in the United States. J Am Psychiatr Nurses Assoc 2021; 27:44-53. [PMID: 31347437 PMCID: PMC7094773 DOI: 10.1177/1078390319865322] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND: Researchers have documented significant psychological problems among nursing students, but findings have been inconclusive as to whether nursing students are "at-risk" for mental health problems compared with their non-nursing peers. AIMS: This study examined whether nursing students have unique mental health characteristics compared with students from other professions. METHOD: Undergraduates (N = 18,312; nursing n = 1,399) were selected from the 2016-2017 National Healthy Minds Study. Participants completed the Patient Health Questionnaire-9 (depression), the Generalized Anxiety Disorder-7 (anxiety), and the Flourishing Scale (positive psychology). RESULTS: Nursing students were equally likely to screen positive for depression and anxiety compared with their non-nursing peers. However, when controlling for gender, age, and year in school, multigroup structural equation modeling analyses revealed that female (but not male) nursing students reported significantly higher levels of specific anxiety symptoms and certain psychological strengths than female students from other professions. Nursing students are equally likely to screen positive for depression or anxiety as their non-nursing peers; however, anxiety disorders may reflect symptom profiles unique to nursing students. CONCLUSIONS: Findings suggest a need for tailored screening and interventions to reduce mental health problems and harness psychological strengths unique to nursing students.
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Affiliation(s)
- Ryon C McDermott
- Ryon C. McDermott, PhD, University of South Alabama, Mobile, AL, USA
| | - Sharon M Fruh
- Sharon M. Fruh, PhD, RN, FNP-BC, University of South Alabama, Mobile, AL, USA
| | - Susan Williams
- Susan William, PhD, RN, University of South Alabama, Fairhope, AL, USA
| | - Caitlyn Hauff
- Caitlyn Hauff, PhD, University of South Alabama, Mobile, AL, USA
| | - Scott Sittig
- Scott Sittig, PhD, University of South Alabama, Mobile, AL, USA
| | - Theresa Wright
- Theresa Wright, DPN, RN, University of South Alabama, Mobile, AL, USA
| | - Bettina Riley
- Bettina Riley, PhD, RN, University of South Alabama, Mobile, AL, USA
| | - Debra Swanzy
- Debra Swanzy, PhD, RN, University of South Alabama, Mobile, AL, USA
| | - Rebecca J Graves
- Rebecca J. Graves, PhD, NP-C, University of South Alabama, Mobile, AL, USA
| | - Heather Hall
- Heather Hall, PhD, NNP, RNC, University of South Alabama, Mobile, AL, USA
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Bydalek K, Williams SG, Fruh SM, Sims BM, McCardle J, Minchew LA, Graves RJ, Elkins JC, Jones L, Sittig S. Food insecurity among nursing students: A mixed methods study. Nurs Forum 2020; 55:547-552. [PMID: 32446290 PMCID: PMC8060019 DOI: 10.1111/nuf.12460] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 04/21/2020] [Accepted: 04/26/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND College students are among 48.1 table million Americans who experience food insecurity, affecting aspects of daily living, health, and academic performance. This study sought to assess food security in nursing students to determine the prevalence and significance of this issue. METHODS A mixed-methods descriptive design was utilized to collect and analyze data through an online survey of junior and senior undergraduate nursing students. Both qualitative and quantitative questions were related to personal experience with food insecurity. RESULTS Approximately 40% of students responded that they were Sometimes/Often worried that food would run out before the next income arrived. In addition, 52% of the participants Sometimes/Often could not afford an adequate amount of food, and 35% reported having a shortage of food. CONCLUSION University leadership, College of Nursing administrators, and nursing faculty should be aware of food insecurity among their students and identify strategies to assess and decrease this issue.
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Affiliation(s)
- Katheryn Bydalek
- College of Nursing, University of South Alabama, Mobile, Alabama
| | - Susan G Williams
- College of Nursing, University of South Alabama, Mobile, Alabama
| | - Sharon M Fruh
- College of Nursing, University of South Alabama, Mobile, Alabama
| | - Brook M Sims
- College of Nursing, University of South Alabama, Mobile, Alabama
| | - Jillian McCardle
- College of Nursing, University of South Alabama, Mobile, Alabama
| | - Leigh A Minchew
- College of Nursing, University of South Alabama, Mobile, Alabama
| | - Rebecca J Graves
- College of Nursing, University of South Alabama, Mobile, Alabama
| | | | - Loretta Jones
- College of Nursing, University of South Alabama, Mobile, Alabama
| | - Scott Sittig
- College of Nursing, University of South Alabama, Mobile, Alabama
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Mcdermott RC, Fruh SM, Williams S, Hauff C, Graves RJ, Melnyk BM, Hall HR. Nursing students' resilience, depression, well-being, and academic distress: Testing a moderated mediation model. J Adv Nurs 2020; 76:3385-3397. [PMID: 33009859 DOI: 10.1111/jan.14531] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 06/27/2020] [Accepted: 07/24/2020] [Indexed: 02/06/2023]
Abstract
AIM Academic distress is a leading cause of attrition among nursing students. The present study tested a positive psychology-oriented model detailing the potential links between nursing students': (a) psychological resilience; (b) depressive symptoms; (c) intrapersonal well-being; (d) interpersonal well-being; and (e) academic distress. Additionally, we tested whether the academic benefits of resilience were conditional upon nursing students' perceptions of their campus climate as supportive of mental health and well-being. DESIGN A correlational, cross-sectional design was employed. METHOD Nursing students (N = 933) were selected from the national 2017-2018 Healthy Minds Study (HMS). Students completed measures of resilience, depressive symptoms, intrapersonal well-being (flourishing), interpersonal well-being (belonging), and academic distress. RESULTS Conditional process modelling tested depression, belonging, and flourishing as mediators of the associations between resilience and academic distress variables. Furthermore, perceptions of campus climate were included as potential moderators of these mediation effects. Results indicated that the protective academic benefits of resilience were primarily explained by decreases in depression but that this effect was strongest for nursing students with negative perceptions of their campus climate. CONCLUSION Findings highlight the psychological and academic benefits of greater resilience and the moderated mediation results suggest that such benefits were conditional on the broader campus climate. IMPACT Nurse educators and policymakers should consider addressing contextual factors, such as campus climate, in addition to resilience training in their efforts to reduce the negative academic impacts of mental health problems and stress in nursing school.
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Affiliation(s)
- Ryon C Mcdermott
- Counseling and Instructional Sciences, University of South Alabama, Mobile, AL, USA
| | - Sharon M Fruh
- College of Nursing, University of South Alabama, Mobile, AL, USA
| | - Susan Williams
- College of Nursing, University of South Alabama, Mobile, AL, USA
| | - Caitlyn Hauff
- Department of Health, Kinesiology, and Sport, University of South Alabama, Mobile, AL, USA
| | - Rebecca J Graves
- College of Nursing, University of South Alabama, Mobile, AL, USA
| | | | - Heather R Hall
- College of Nursing, University of South Alabama, Mobile, AL, USA
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Hauff C, Fruh SM, Sims BM, Williams SG, Herf C, Golden A, Graves RJ, Minchew LA, Hall HR. Nurse practitioner students' observations of preceptor engagement in obesity management and weight bias: A mixed-methods approach. J Am Assoc Nurse Pract 2020; 32:520-529. [PMID: 32590444 PMCID: PMC7451910 DOI: 10.1097/jxx.0000000000000440] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND Obesity is considered a growing epidemic in the United States. Nurse practitioners (NPs) have the opportunity to serve as leaders in addressing concerns related to disease management, particularly obesity. Currently, we lack an awareness of how NP students are learning obesity management from their preceptors. PURPOSE Thus, the current study sought to explore how NP students perceive preceptors' behaviors when managing patients with obesity. METHODOLOGICAL ORIENTATION This study used a mixed-methods design. Participants were asked to report how often they observed their preceptors engage in different strategies when interacting with patients with obesity (e.g., calculate body mass index, identify goals). Students were then asked to respond to the statement: "share observations you made of how patients with obesity were treated in this environment." Students completed 2 clinical rotations during this period and, thus, were asked to answer the questions twice to capture experiences at both clinical sites. SAMPLE Researchers surveyed 225 NP students completing clinical rotations in 3 settings (Family Practice, Pediatrics, and Obstetrics/Gynecology). CONCLUSIONS Quantitative results revealed significant differences in the frequency of observed obesity management behaviors by all preceptors. Qualitative results revealed that NP students most often observed preceptors displaying interpersonal warmth without weight bias when working with patients with obesity. Contrary to current literature, this sample of NP students observed their preceptors engaging in positive interactions with individuals with obesity. IMPLICATIONS FOR PRACTICE Educators must continue to teach students to engage in unbiased behavior toward patients. It is critical to continue to improve obesity management content offered in NP programs.
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Affiliation(s)
- Caitlyn Hauff
- Department of Health, Kinesiology, & Sport, College of Education and Professional Studies, University of South Alabama, Mobile, Alabama
| | - Sharon M. Fruh
- College of Nursing, University of South Alabama, Mobile, Alabama
| | - Brook M. Sims
- Combined-Integrated Clinical and Counseling Psychology Program, University of South Alabama, Mobile, Alabama
| | - Susan G. Williams
- College of Nursing at Baldwin County Campus, University of South Alabama, Fairhope, Alabama
| | - Cindy Herf
- College of Nursing at Baldwin County Campus, University of South Alabama, Fairhope, Alabama
| | | | | | - Leigh A. Minchew
- College of Nursing, University of South Alabama, Mobile, Alabama
| | - Heather R. Hall
- College of Nursing, University of South Alabama, Mobile, Alabama
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Fruh SM, Golden A, Graves RJ, Hall HR, Minchew LA, Williams S. Advanced Practice Nursing student knowledge in obesity management: A mixed methods research study. Nurse Educ Today 2019; 77:59-64. [PMID: 30954857 PMCID: PMC6564685 DOI: 10.1016/j.nedt.2019.03.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 02/06/2019] [Accepted: 03/27/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND Obesity, the most prevalent chronic disease affecting multiple systems, is associated with increased mortality and a decreased life expectancy. OBJECTIVES The purpose of this study was to identify Advanced Practice Nursing (APN) students' confidence of obesity management as well as satisfaction of APN curriculum on and curricular recommendations regarding obesity management. DESIGN Modified convergent mixed-methods design. SETTING A university-based college of nursing in the Deep South. PARTICIPANTS Graduate APN Students. METHODS An exploratory mixed methods online survey was administered to APN students. The survey included demographics; confidence in obesity management; knowledge of pharmacological treatment; self-reported height and weight; experiences and challenges related to obesity management; and suggestions of curricular content changes for the treatment of obesity that would increase student expertise and confidence. RESULTS Ninety-nine surveys were completed by 94 female and five male APN students aged 26 to 61 years. The majority (70.7%) were white with BMIs ranging from 19.57 to 51.37 (x̅=27.81). Areas where students were least comfortable were prescribing anti-obesity medications and accurately billing for obesity management. Fourteen percent of APN students reported feeling that their graduate nursing education program did not prepare them well in obesity management, 25.3% reported feeling slightly well prepared, 32% reported feeling moderately well prepared, and 27.8% reported feeling very well or extremely well prepared. Qualitative responses accentuated insecurity in areas such as initiating a discussion on obesity management with patients who have obesity. CONCLUSIONS Overall, APN students requested that their curriculum incorporate more instruction on how to begin the discussion of weight loss and provide clear evidence-based guidelines that include diet, exercise, and medication options. An efficient way to affect the management and treatment of obesity is to ensure that the next generation of providers is thoroughly prepared to implement the best evidence-based obesity management for patients.
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Affiliation(s)
- Sharon M Fruh
- University of South Alabama, College of Nursing, 5721 USA Drive North Room 4080, Mobile, AL 36688, United States of America.
| | - Angela Golden
- 940 Pinewood Boulevard, Munds Park, AZ 86017, United States of America
| | - Rebecca J Graves
- University of South Alabama, College of Nursing, 5721 USA Drive North, Mobile, AL 36688, United States of America.
| | - Heather R Hall
- University of South Alabama, College of Nursing, 5721 USA Drive North, Mobile, AL 36688, United States of America.
| | - Leigh A Minchew
- University of South Alabama, College of Nursing, 5721 USA Drive North, Mobile, AL 36688, United States of America.
| | - Susan Williams
- University of South Alabama, College of Nursing, 5721 USA Drive North, Mobile, AL 36688, United States of America.
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Fruh SM. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. J Am Assoc Nurse Pract 2017; 29:S3-S14. [PMID: 29024553 PMCID: PMC6088226 DOI: 10.1002/2327-6924.12510] [Citation(s) in RCA: 281] [Impact Index Per Article: 40.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2017] [Revised: 07/20/2017] [Accepted: 07/25/2017] [Indexed: 12/15/2022]
Abstract
Background and Purpose The aims of this article are to review the effects of obesity on health and well‐being and the evidence indicating they can be ameliorated by weight loss, and consider weight‐management strategies that may help patients achieve and maintain weight loss. Methods Narrative review based on literature searches of PubMed up to May 2016 with no date limits imposed. Search included terms such as “obesity,” “overweight,” “weight loss,” “comorbidity,” “diabetes,” cardiovascular,” “cancer,” “depression,” “management,” and “intervention.” Conclusions Over one third of U.S. adults have obesity. Obesity is associated with a range of comorbidities, including diabetes, cardiovascular disease, obstructive sleep apnea, and cancer; however, modest weight loss in the 5%–10% range, and above, can significantly improve health‐related outcomes. Many individuals struggle to maintain weight loss, although strategies such as realistic goal‐setting and increased consultation frequency can greatly improve the success of weight‐management programs. Nurse practitioners have key roles in establishing weight‐loss targets, providing motivation and support, and implementing weight‐loss programs. Implications for Practice With their in‐depth understanding of the research in the field of obesity and weight management, nurse practitioners are well placed to effect meaningful changes in weight‐management strategies deployed in clinical practice.
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Affiliation(s)
- Sharon M Fruh
- College of Nursing, University of South Alabama, Mobile, Alabama
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Abstract
Overweight and obesity are escalating in epidemic proportions in the United States. Individuals with overweight and obesity are often reluctant to seek medical help, not only for weight reduction but also for any health issue because of perceived provider discrimination. Providers who are biased against individuals with obesity can hinder our nation's effort to effectively fight the obesity epidemic. By addressing weight bias in the provider setting, individuals affected by obesity may be more likely to engage in a meaningful and productive discussion of weight. Providers need to be the go-to source for obesity-focused information on new and emerging treatments.
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Affiliation(s)
- Sharon M Fruh
- Professor at the University of South Alabama in Mobile
| | | | - Heather R Hall
- Professor and Associate Dean for Academic Affairs at the University of South Alabama
| | - Sara L Davis
- Instructor at the Division of Nursing at Springhill College in Mobile, AL
| | - Errol D Crook
- Abraham A. Mitchell Professor and Chair at the Department of Internal Medicine at the University of South Alabama
| | - Kimberly Zlomke
- Assistant Professor at the Department of Psychology at the University of South Alabama
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Abstract
Childhood overweight and obesity is a major health concern in the United States. It is recommended that every well-child examination include body mass index measurements and obesity prevention discussions that encourage healthy eating habits, regular physical exercise, and limited television and computer screen time. Providers can make a difference through strategic intervention.
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Fruh SM, Fulkerson JA. Calorie Awareness Related to Weight Control. J Contin Educ Nurs 2014; 45:10-1. [DOI: 10.3928/00220124-20140103-13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Fruh SM, Mulekar MS, Dierking J. Guiding patients to safe weight loss. Nurse Pract 2013; 38:1-7. [PMID: 24042357 DOI: 10.1097/01.npr.0000434093.41971.e4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Many patients have questions about diets, and those adhering to specific diets need patient-tailored monitoring. Nurse practitioners are often called upon to advise, prescribe, and monitor specific weight-reduction and weight-control diets. This article provides guidelines for safe weight reduction and a review of some popular diets.
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Affiliation(s)
- Sharon M Fruh
- Sharon M. Fruh is an associate professor at the University of South Alabama, College of Nursing, Mobile. Madhuri S. Mulekar is professor and chair of the department of mathematics and statistics at the University of South Alabama. Jennifer Dierking is a scientific writer and editor
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Fruh SM, Mulekar MS, Hall HR, Fulkerson JA, Hanks RS, Lemley T, Evans B, Dierking J. Perspectives of Community Health Advocates: Barriers to Healthy Family Eating Patterns. J Nurse Pract 2013; 9:416-421. [PMID: 24163643 PMCID: PMC3805664 DOI: 10.1016/j.nurpra.2013.04.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Sharon M Fruh
- University of South Alabama, College of Nursing, Associate Professor, Mobile, AL
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Fruh SM, Mulekar MS, Hall HR, Adams JR, Lemley T, Evans B, Dierking J. Meal-Planning Practices with Individuals in Health Disparity Zip Codes. J Nurse Pract 2013; 9:344-349. [PMID: 23888126 DOI: 10.1016/j.nurpra.2013.03.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Sharon M Fruh
- University of South Alabama, College of Nursing, Associate Professor, Mobile, AL
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Fruh SM, Mulekar MS, Hall HR, Fulkerson JA. Perspectives and Observations of Graduate Nursing Students Related to Family Meals. J Nurse Pract 2013. [DOI: 10.1016/j.nurpra.2012.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Fruh SM, Mulekar MS, Hall H, Fulkerson J, King A, Jezek K, Roussel L. Benefits of Family Meals With Adolescents: Nurse Practitioners' Perspective. J Nurse Pract 2012. [DOI: 10.1016/j.nurpra.2011.09.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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