Nursing care of overweight children: A concept analysis
Larissa Soares Mariz Vilar de Miranda RN, PhD
Universidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil
Search for more papers by this authorCorresponding Author
Bertha Cruz Enders RN, PhD
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
Correspondence
Bertha Cruz Enders, Campus Universitário, Departamento de Enfermagem, Universidade Federal do Rio Grande do Norte, Avenida Senador Salgado Filho, s/n – Lagoa Nova, Natal – RN, Brazil, 59078–970.
Email: [email protected]
Search for more papers by this authorAna Luisa Brandão de Carvalho Lira RN, PhD
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
Search for more papers by this authorCarla Campos Muniz Medeiros MD, PhD
Universidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil
Search for more papers by this authorCaroline Evelin Nascimento Kluczynik Vieira RN, PhD
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
Search for more papers by this authorDândara Nayara Azevêdo Dantas RN, MSN
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
Search for more papers by this authorLarissa Soares Mariz Vilar de Miranda RN, PhD
Universidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil
Search for more papers by this authorCorresponding Author
Bertha Cruz Enders RN, PhD
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
Correspondence
Bertha Cruz Enders, Campus Universitário, Departamento de Enfermagem, Universidade Federal do Rio Grande do Norte, Avenida Senador Salgado Filho, s/n – Lagoa Nova, Natal – RN, Brazil, 59078–970.
Email: [email protected]
Search for more papers by this authorAna Luisa Brandão de Carvalho Lira RN, PhD
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
Search for more papers by this authorCarla Campos Muniz Medeiros MD, PhD
Universidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil
Search for more papers by this authorCaroline Evelin Nascimento Kluczynik Vieira RN, PhD
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
Search for more papers by this authorDândara Nayara Azevêdo Dantas RN, MSN
Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
Search for more papers by this authorAbstract
Aim
To report an analysis of the concept nursing care of overweight children.
Background
Patient care is the essence of nursing practice. Nursing professionals must define how to serve specific population groups, including overweight children, presenting real solutions to their problem. A clear conceptual analysis is necessary to unify nursing language and to contribute to nursing practice.
Design
Concept analysis.
Data sources
The following databases were searched: COCHRANE, SCOPUS, LILACS, CINAHL, MEDLINE/PubMed, and CAPES Theses Library of Brazil.
Review methods
Walker and Avant's concept analysis methodology was adopted in this study. Twenty-two articles were analyzed, and the uses, attributes, antecedents, and outcomes of the concept were identified. The nursing care assumptions proposed by Virginia Henderson comprised the theoretical referential.
Results
The attributes of nursing care for overweight children included investigation, guidance, and monitoring of dietary, clinical, academic, and social aspects, along with evaluation of lifestyle and anthropometric data related to the affected children and their families.
Conclusion
This study enabled the construction of a defined concept for nursing care of overweight children that may be useful in the construction of a medium-range theory. Further research is recommended to verify the usefulness of the nursing approach.
CONFLICT OF INTEREST STATEMENT
No conflict of interest has been declared by the author(s).
REFERENCES
- 1Hamel LM, Robbins LB, Wilbur J. Computer-and web-based interventions to increase preadolescent and adolescent physical activity: a systematic review. J Adv Nurs. 2011; 67: 251–268.
- 2 World Health Organization. (2016). Obesity and overweight. Updated June 2016. http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed March 14, 2018.
- 3 World Health Organization. (2017). Commission on ending childhood obesity Facts and figures on childhood obesity. Updated October 13 2017. http://www.who.int/end-childhood-obesity/facts/en/. Accessed March 14, 2018.
- 4Ögden CL, Flegal KM. Changes in terminology for childhood overweight and obesity. Nat Health Stat Report. 2010; 25: 1–8.
- 5 Centers for Disease Control and Prevention. (2016). Defining childhood obesity: BMI for children and teens. https://www.cdc.gov/obesity/childhood/defining.html. Accessed March 14, 2018.
- 6 World Health Organization. (2016). Report of the commission on ending childhood obesity. http://ecos-redenutri.bvs.br/tiki-download_file.php?fileId=1698. Accessed March 14, 2018.
- 7Mareno N. Parental perception of child weight: a concept analysis. J Adv Nurs. 2014; 70: 34–45.
- 8Mariz LS, Medeiros CCM, Vieira CENK, Enders BC, Coura AS. Changes in the frequency of food intake among children and teenagers: monitoring in a reference service. Rev Lat Am Enfermagem. 2013; 21: 973–981.
- 9Almeida CSLD, Sales CA, Marcon SS. The existence of nursing in caring for terminally ills’ life: a phenomenological study. Rev Esc Enferm USP. 2014; 48: 34–40.
- 10Aimar A, Videla N, Torre M. Tendencias y perspectivas de la ciencia enfermera. Enfermería Global. 2006; 5: 1–9.
- 11Backes DS, Sousa FGMD, Mello ALSFD, Erdmann AL, Nascimento KC, Lessmann JC. Care conceptions: an analysis of PhD dissertations presented in a nursing graduate program. Texto & Contexto-Enfermagem. 2006; 15(SPE): 71–78.
10.1590/S0104-07072006000500008 Google Scholar
- 12Henderson V. The concept of nursing. J Adv Nurs. 2006; 53: 21–31.
- 13Styles G. 30th anniversary commentary on Henderson V. (1978). The concept of nursing. Journal of Advanced Nursing, 3, 113–130. J Adv Nurs. 2006; 53: 32–33.
- 14Walker LO, Avant KC. Strategies for Theory Construction in Nursing. 5th ed. Upper Saddle River, NJ: Prentice Hall; 2011.
- 15Dalpezzo NK. Nursing care: a concept analysis. Nurs Forum. 2009; 44: 256–264.
- 16Risjord M. Rethinking concept analysis. J Adv Nurs. 2009; 65: 684–691.
- 17 World Health Organization. (2012). Social determinants of health and well-being among young people: Health Behaviour in School-Aged Children (HBSC) study: international report from the 2009/2010 survey. http://www.euro.who.int/__data/assets/pdf_file/0003/163857/Social-determinants-of-health-and-well-being-among-youngpeople.pdf. Accessed July 11, 2014.
- 18Duarte MEB, (2011). Estilos de vida familiar e peso excessivo na criança em idade pré-escolar (Doctoral thesis). Lisbon, Portuga: University of Lisbon. http://repositorio.ul.pt/bitstream/10451/7308/1/ulsd063972_td_Maria_Duarte.pdf. Accessed July 11, 2014.
- 19Isma GE, Bramhagen AC, Ahlstrom G, Östman M, Dykes AK. Swedish child health care nurse conceptions of overweight in children: a qualitative study. BMC Fam Pract. 2012; 13: 57.
- 20Vieira CENK, Mariz LS, Medeiros CCM, Enders BC, Coura AS. Nursing care in childcare services: acantose nigricans as a marker for metabolic risk. Rev Lat Am Enfermagem. 2013; 21: 1220–1227.
- 21Gonzaga NC, Araújo TL, Cavalcante TF, Lima FET, Galvão MTG. Nursing: promoting the health of overweight children and adolescents in the school context. Rev Esc Enfermagem USP. 2014; 48: 153–161.
- 22Small L, Anderson D, Sidora-Arcoleo K, Gance-Cleveland B. Pediatric nurse practitioners' assessment and management of childhood overweight/obesity: results from 1999 and 2005 cohort surveys. J Pediatr Health Care. 2009; 23: 231–241.
- 23Liu J, Zhang A, Li L. Sleep duration and overweight/obesity in children: review and implications for pediatric nursing. J Spec Pediatr Nurs. 2012; 17: 193–204.
- 24Seal N. Introduction to genetics and childhood obesity: relevance to nursing practice. Biol Res Nurs. 2011; 13: 61–69.
- 25Gance-Cleveland B, Gilbert LH, Kopanos T, Gilbert KC. Evaluation of technology to identify and assess overweight children and adolescents. J Spec Pediatr Nurs. 2010; 15: 72–83.
- 26Avery G, Johnson T, Cousins M, Hamilton B. The school wellness nurse: a model for bridging gaps in school wellness programs. Pediatr Nurs. 2013; 39: 13–17.
- 27Tucker SJ, Ytterberg KL, Lenoch LM, et al. Reducing pediatric overweight: nurse-delivered motivational interviewing in primary care. J Pediatr Nurs. 2013; 28: 536–547.
- 28Hessler K, Siegrist M. Nurse practitioner attitudes and treatment practices for childhood overweight: how do rural and urban practitioners differ?. J Am Acad Nurse Pract. 2012; 24: 97–106.
- 29Wen LM, Baur LA, Simpson JM, Rissel C, Wardle K, Flood VM. Effectiveness of home based early intervention on children's BMI at age 2: randomised controlled trial. BMJ. 2012; 344: e3732.
- 30 World Health Organization. (2007). Promoting physical activity in schools: an important element of health-promoting schools. http://www.who.int/school_youth_health/resources/information_series/FINAL%20Final.pdf. Accessed March 14, 2018.
- 31Seal N, Broome M. Using evidence to recommend interventions for long term weight control in overweight children. J Nurs Pract. 2011; 7: 293–302.
- 32Wright K, Giger JN, Norris K, Suro Z. Impact of a nurse-directed, coordinated school health program to enhance physical activity behaviors and reduce body mass index among minority children: a parallel-group, randomized control trial. Int J Nurs Stud. 2013; 50: 727–737.
- 33 World Health Organization. (1986). The Ottawa charter for health promotion. In: First International Conference on Health Promotion, Ottawa, September 21, 1986. http://www.who.int/healthpromotion/conferences/previous/ottawa/en. Accessed March 14, 2018.
- 34 U.S. Department of Health and Human Services. (2010). The Surgeon's General Vision for a Healthy and Fit Nation. U.S. Rockville: Department of Health and Human Services. http://www.ncbi.nlm.nih.gov/books/NBK44660/pdf/Bookshelf_NBK44660.pdf
- 35Araújo MFM, Lemos ACS, Chaves ES. Creche comunitária: um cenário para a detecção da obesidade infantil. Ciência, Cuidado e Saúde. 2006; 5: 24–31.
- 36Estrada E, Eneli I, Hampl S, et al. Children's Hospital Association consensus statements for comorbidities of childhood obesity. Childhood Obesity. 2014; 10: 304–317.
- 37Marchi-Alves LM, Yagui CM, Rodrigues CS, Mazzo A, Rangel EML, Girão FB. Infant obesity in the past and nowadays: the importance of anthropometric assessment by nurses. Esc Anna Nery. 2011; 15: 238–244.
10.1590/S1414-81452011000200004 Google Scholar
- 38Edvardsson K, Edvardsson D. Raising issues about children's overweight–maternal and child health nurses’ experiences. J Adv Nurs. 2009; 65: 2542–2551.
- 39Barry MM, Allegrante JP, Lamarre M, Auld ME, Taub A. The Galway Consensus Conference: international development on the core competencies for health promotion and health education. Global Health Promotion. 2009; 16: 5–11.
- 40 Centers for Disease Control and Prevention. (2016). Childhood obesity and consequences. Retrieved from https://www.cdc.gov/obesity/childhood/causes.html
- 41Harbaugh BL, Jordan-Welch M, Bounds W, Blom L, Fisher W. Nurses and families rising to the challenge of overweight children. Nurse Pract. 2007; 32: 30–35.
- 42Gance-Cleveland B, Sidora-Arcoleo K, Keesing H, Gottesman MM, Brady M. Changes in nurse practitioners' knowledge and behaviors following brief training on the healthy eating and activity together (HEAT) guidelines. J Pediatr Health Care. 2009; 23: 222–230.
- 43Chan CM, Deave T, Greenhalgh T. Obesity in Hong Kong Chinese preschool children: where are all the nurses?. J Pediatr Nurs. 2010; 25: 264–273.
- 44Prida-Villa E, Ronzón-Fernández MA, Sandoval-González V, Maciá-Bobes C. Necesidad de abordar la obesidad en Asturias. Propuesta de actuaciones de enfermería en atención primaria. Enfermería Clín. 2010; 20: 366–369.
- 45Lindsay AC, Sussner KM, Kim J, Gortmaker S. The role of parents in pre venting childhood obesity. Childhood obesity. 2006; 16: 169–186.
- 46Raingruber B. Health education, health promotion & health: what do these definitions have to do with nursing?. In: Contemporary Health Promotion in Nursing Practice. 2nd ed. Burlington, MA.: Jones & Bartlett; 2017: 2–22.
- 47Kemppenien K, Tossavainen K, Turunen H. Nurses´ roles in health promotion practice. Health Promotion Int. 2012; 28: 490–501.
- 48Raingruber B. The history of health promotion. In: Contemporary Health Promotion in Nursing Practice. 2nd ed. Burlington, MA.: Jones & Bartlett; 2017: 23–47.
- 49Willis DG, Grace P, Roy C. A central unifying focus for the discipline. Facilitating humanization, meaning, choice, quality of life, and healing in living and dying. Adv Nurs Sci. 2008; 31: E28-E40.
- 50Cook LB, Peden A. Finding a focus for nursing: the caring concept. Adv Nurs Sc. 2017; 40: 12–23.
- 51Whitehead D. Reviewing health promotion in nursing education. Nursing Educ Today. 2007; 27: 225–237.
- 52Peeters A, Barendregt JJ, Willekens F, Mackenbach P, Mamun AA, Bonneux L. Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Intern Med. 2003; 138: 24–32.
- 53Fawcett J. Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories. 3nd ed. Philadelphia: F.A. Davis Company; 2013.