Warren Natalie, Hunt Jane
University Hospital Southampton NHS Foundation Trust, England (article written while a third year student, Bournemouth University, England).
Bournemouth University, England.
Nurs Child Young People. 2017 Jun 12;29(5):18-23. doi: 10.7748/ncyp.2017.e813.
Excess weight and obesity in childhood is a global problem, with UK prevalence unfavourably high. Despite national policy recommendations and professional guidelines that nurses should address the issue, research shows that practice is not consistent. This literature review identifies barriers nurses face in addressing childhood weight issues with families in acute healthcare settings. Three interlinked themes are identified: parental receptiveness; knowledge, education and resource constraints; and time, priority and continuity constraints. Senior managers, particularly those working in acute settings, must prioritise measures to tackle childhood obesity and excessive weight to enable nurses to address the issue. Additionally, further UK-specific research is needed to explore the barriers perceived by nurses and how these affect local practices. Children's nursing education and practice should include obesity recognition and prevention to increase nurses' confidence and abilities in tackling childhood obesity, despite perceived parental barriers.
儿童期超重和肥胖是一个全球性问题，英国的患病率高得令人担忧。尽管有国家政策建议和专业指南指出护士应解决这一问题，但研究表明实际做法并不一致。这篇文献综述确定了护士在急性医疗环境中与家庭解决儿童体重问题时所面临的障碍。确定了三个相互关联的主题：家长的接受度；知识、教育和资源限制；以及时间、优先级和连续性限制。高级管理人员，尤其是在急性医疗环境中工作的人员，必须优先采取措施应对儿童肥胖和超重问题，以使护士能够解决这一问题。此外，还需要进一步开展针对英国的研究，以探讨护士所感受到的障碍以及这些障碍如何影响当地的实践。儿童护理教育和实践应包括肥胖的识别和预防，以增强护士应对儿童肥胖问题的信心和能力，尽管存在家长方面的障碍。
