M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, USA.
MacDonald Center for Obesity Prevention and Education, M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, USA.
Nurs Forum. 2021 Jan;56(1):58-65. doi: 10.1111/nuf.12522. Epub 2020 Nov 6.
Weight bias continues to be problematic within the healthcare setting among practicing healthcare providers (HCPs). These HCPs serve as influential role models for nursing students when immersed in the clinical environment. However, if HCPs are demonstrating bias toward patients with obesity, this may influence nursing students' beliefs and practices.
This study aimed to explore nursing students' reflections of observed weight bias within the healthcare setting.
MATERIALS & METHODS: A descriptive qualitative study design was used involving reflective journaling and qualitative content analysis. Two cohorts of third-year baccalaureate nursing students (n = 197) participated in weight sensitivity training and submitted reflective journals over one academic semester.
Reports of weight bias were categorized into three themes-(1) Direct Impact: Observed Implicit and Explicit Provider Weight Bias; (2) Indirect Impact: Weight Bias Due to Skills, Equipment, or Staffing/Environmental Deficits; and (3) Reactions toward HCP Weight Bias: Conflict Between Weight Bias Training and Real-World Healthcare Experiences.
Weight bias was observed in some HCPs within the healthcare setting. Student reflections explored weight bias and the opposing messages between weight sensitivity training and real-world practices.
Preventing bias through continuing education for HCPs is crucial to provide compassionate care and instill ethical values in the next generation nurses.
体重偏见在医疗保健环境中仍然是一个问题，存在于执业医疗保健提供者（HCPs）中。当护理学生沉浸在临床环境中时，这些 HCP 是有影响力的榜样。然而，如果 HCP 对肥胖患者表现出偏见，这可能会影响护理学生的信念和实践。
本研究旨在探讨护理学生在医疗保健环境中观察到的体重偏见的反思。
采用描述性定性研究设计，包括反思性日志和定性内容分析。两个三年级护理学生（n=197）队列参与了体重敏感性培训，并在一个学术学期内提交了反思性日志。
体重偏见的报告分为三个主题：（1）直接影响：观察到的隐含和显式提供者体重偏见；（2）间接影响：由于技能、设备或人员/环境缺陷导致的体重偏见；（3）对 HCP 体重偏见的反应：体重敏感性培训与现实医疗保健经验之间的冲突。
在医疗保健环境中，一些 HCP 中存在体重偏见。学生的反思探讨了体重偏见以及体重敏感性培训和现实实践之间的矛盾信息。
通过继续教育预防 HCP 的偏见对于提供富有同情心的护理和向下一代护士灌输伦理价值观至关重要。
