Kerbyson Myah, Clark Kristen D
Department of Nursing University of New Hampshire Durham New Hampshire USA.
Department of Medical Sciences Uppsala University Uppsala Sweden.
Obes Sci Pract. 2024 Sep 20;10(5):e70008. doi: 10.1002/osp4.70008. eCollection 2024 Oct.
Mistreatment of individuals due to their body size or weight stigma has been described as a source of stress and as a deterrent for engagement in the healthcare system. Efforts to reduce weight stigma have included curricular interventions to reduce weight bias among future healthcare professionals. However, few studies have examined students' observations of weight stigma and subsequent socialization to healthcare environmental norms.
The purpose of this study is to evaluate observed weight stigma among pre-licensure nursing students and recent graduates during clinical rotations and its effect on the perceived ability to provide respectful care to people in larger bodies.
A cross-sectional, descriptive study was conducted from February to March 2023. Participants answered questions related to personal weight bias (Fat Phobia Scale), observations of weight stigma, and perceived ability to provide respectful care.
Ninety-one participants completed the survey, of whom half ( = 48) held a high level of weight bias. A quarter of participants ( = 23) reported that they engaged in weight stigma behaviors and a quarter ( = 24) of participants observed weight stigma behaviors from two or more healthcare professional roles. Almost one-third ( = 10) of participants who observed weight stigma behaviors perceived that it impacted their ability to provide respectful care to patients in larger bodies.
These findings describe that weight stigma enacted by multiple healthcare professional roles is observed by nursing students during clinical rotations and is perceived to impact their ability to provide respectful care. Efforts to improve healthcare professionals' sensitivity to the effects of weight bias and weight stigma should include addressing the role of socialized norms on weight bias among future healthcare professionals.
因个人体型或体重耻辱感而受到的不公正对待已被描述为一种压力来源，也是人们参与医疗保健系统的阻碍。减轻体重耻辱感的努力包括课程干预，以减少未来医疗保健专业人员中的体重偏见。然而，很少有研究考察学生对体重耻辱感的观察以及随后对医疗环境规范的社会化情况。
本研究的目的是评估在临床轮转期间，预执照护理专业学生和应届毕业生中观察到的体重耻辱感，及其对为体型较大者提供尊重性护理的感知能力的影响。
2023年2月至3月进行了一项横断面描述性研究。参与者回答了与个人体重偏见（肥胖恐惧症量表）、体重耻辱感观察以及提供尊重性护理的感知能力相关的问题。
91名参与者完成了调查，其中一半（n = 48）存在高度体重偏见。四分之一的参与者（n = 23）报告称他们有体重耻辱行为，四分之一的参与者（n = 24）观察到来自两个或更多医疗专业角色的体重耻辱行为。几乎三分之一（n = 10）观察到体重耻辱行为的参与者认为这影响了他们为体型较大的患者提供尊重性护理的能力。
这些发现表明，护理专业学生在临床轮转期间观察到多个医疗专业角色实施的体重耻辱感，并认为这会影响他们提供尊重性护理的能力。提高医疗保健专业人员对体重偏见和体重耻辱感影响的敏感性的努力，应包括解决社会化规范对未来医疗保健专业人员体重偏见的作用。
