Healthy Diet For Patients With Obesity
Healthy Diet For Patients With Obesity
Healthy Diet For Patients With Obesity
AN EDUCATIONAL TRAINING PROGRAM FOR NURSES IN AN OUTPATIENT SETTING REGARDING THE IMPORTANCE OF A HEALTHY DIET FOR PATIENTS WITH OBESITY
By
RTYYUUUIII
A Project
Submitted to the Faculty of D’Youville
Division of Academic Affairs
In partial fulfillment of the requirements for the degree of
Master of Science in Nursing
Buffalo, NY
[February 03, 2023]
Copyright © 2023 by ERTTYYYY. All rights reserved. No part of this project may be copied or reproduced in any form or by any means without the written permission of TYUIOLKJJJJ.
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Name: __ ________Dr. UUUUUUUU_____________________
Signature: ___________________________________________
Discipline: ________________Nursing________________
Project Defended
On
[February 03, 2023]
Abstract
Obesity has become a significant concern in the healthcare system, and diet is the key contributing factor to obesity. Therefore, a healthy diet should be the primary requirement for reducing weight and improving overall health. The health life knowledge gap among patients and limited nursing education programs contribute to this condition. Nurses should collaborate closely with patients to provide healthcare education that will assist patients in improving their nutritional habits and identify the challenges they face in maintaining a healthy diet. An educational training program for nurses regarding obesity and diet will allow nurses to advance their knowledge of the risk factors of obesity, the health conditions associated with obesity, and how to manage obesity (Seger, 2019). Peplau’s Interpersonal Relations in Nursing Theory was utilized as the theoretical framework for this project. Five content experts reviewed the educational training program for content validity.
Table of Contents
Chapter
I. PROJECT INTRODUCTION …………………………………………………………… 7
Statement of Purpose ……………………………………………………………………….. 8
Theoretical Framework ……………………………………………………………………. 8
Initial Review of the Literature ………………………………………………………….12
Significance and Justification ……………………………………………………………19
Project Objectives ……………………………………………………………………………20
Definition of Terms ……………………………………………………………………….. 20
Project Limitations ………………………………………………………………………… 21
Project Development Plan ………………………………………………………………. 22
Plan for Protection of Human Subjects …………………………………………….. 22
Plan for Project Evaluation……………………………………………………………… 23
Summary ……………………………………………………………………………………… 24
II. REVIEW OF LITERATURE …………………………………………………………..
Summary ………………………………………………………………………………………
III. PROJECT DEVELOPMENT PLAN. ……………………………………………….
Project Setting and Population… ……………………………………………………..
Content Expert Participants …………………………………………………………….. Data Collection Methods …………………………………………………………………
Project Tools …………………………………………………………………………………
The Protection of Human Subjects ………………………………………………………
Summary ………………………………………………………………………………………
IV. PROJECT EVALUATION, IMPLICATIONS, AND FUTURE RECOMMENDATIONS
……………………………………………..
Project Evaluation ………………………………………………………………………….
Implications for Future Practice ……………………………………………………….
Future Recommendations ………………………………………………………………..
Summary ………………………………………………………………………………………
References ……………………………………………………………………………………. 27
Appendices …………………………………………………………………………………… 32
Appendix
A D’Youville Patricia H. Garman School of Nursing Full Approval Letter
…………………….….
B Letter of Intent …………………………………………………………………………………….
C Evaluation Tool …………………………………………………………………………………..
D Educational Training Program …………………………………………………………
E Survey tool results in graph……………………………………………….
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Chapter I
The age of fast food and instant gratification brought about by the growth of technology has affected the general population in many ways. In America, obesity is becoming problematic, with a prevalence estimate of 41% leading to risk in the severity of diseases (Kalligeros et al., 2020). As a result, there is a need for nursing practice to take accountability in developing a relationship with collaborative patient care. Obesity can be a lifestyle disease. Therefore, all stakeholder participation must be considered a need to look at the four-metaparadigm perspectives in caregiving using a foundational basis in a theoretical framework. First, a nurse needs expertise in addressing health issues, especially those reversible through natural means, for example, obesity. Obesity is reversible through natural means, including dietary modification and practicing fasting (Balani et al., 2019).
One of the main factors that make successful result in patient with obesity is reversal patient recovery program which includes proper planning. Proper planning allows for allocating adequate time and resources toward the project, resulting in the successful implementation of the program (Shi, 2017). Another factor is incorporating experienced project managers with knowledge about the program. For example, specialists such as nutritionists and experts in physical activity and breastfeeding are essential when developing a program to improve nutrition in children and adults and minimize obesity. Finally, it is essential to practice monitoring and control for a program to succeed. Regular evaluation of the progress and the program results allows for modification and alignment in case of an error or a potential error—effective communication results in a program’s success (Ross et al., 2019).
The success of any nursing program to facilitate proper education on patient-centered care should have ways to effect cultural change. As such, education plays a significant role in making people adopt healthy habits. Education is well achievable after evaluating the clients through wellness programs and other community programs that involve health checkups and screening. However, personal barriers such as individual change resistance may negatively impact the success of the social change (Allan, 2020). Some people are susceptible to changes they perceive as threats to their social environment, including the workplace. Individuals may develop resistance to change when they feel uncertain about the intervention or when the change comes as a surprise without the time to prepare mentally. The questions about the competency of the intervention concerning the new environment—the resistance results in difficulty in implementing the intervention to achieve social change (Ross et al., 2019). The literature supports the need for education of a healthy diet for patients with obesity.
Statement of Purpose
The purpose of this project is to develop an educational training program for nurses in an outpatient setting regarding the importance of a healthy diet for patients with obesity.
Theoretical Framework
Hildegard Peplau’s (1991) Interpersonal Relations in Nursing Theory is utilized as the theoretical framework for developing this project. A brief overview of the theory is presented as well as a discussion regarding how the theory was utilized to guide the development of the project. In addition, Peplau’s (1991) theoretical definitions for nursing’s four metaparadigm concepts (nursing, health, person, and environment) as well as the Project Author’s operational definitions for nursing’s four metaparadigm concepts will be presented.
Interpersonal Relations in Nursing Theory
Hildegard E. Peplau’s impact on nursing and patient care is reflected in her development and establishment of the Interpersonal Relations Theory. Her theory development began with questions of the philosophical underpinning of psychology as fundamental in-patient care especially when it came to nursing and patient relationships (Peplau, 1991). According to Peplau (1991), the development of patient care begins by understanding the foundational elements as concepts of nursing care. namely, the orientation, identification, exploitation, and resolution defined. In her book, Interpersonal Relations in Nursing, the theory emphasizes the importance of crosscutting issues and their effect on nursing care and patient wellness, such as nursing education on dietary interventions for patients with obesity. Orientation refers to the reaction of the patient and the difference from one to another with consideration to resolve in treatment difficulty. Exploitation on the other hand is the ability of the patient to recognize interpersonal relationships and use the services offered effectively. Lastly, there is a resolution that refers to the relinquishing of ties in the relationship as the patient utilizes the lesson learned to better manage their health (Peplau, 1991).
As a mother of nursing psychiatry, Peplau (1991) describes interpersonal relations as a conditional aspect that includes first the interaction of the nurse and patient. She points out that this is attained when understanding each patient’s condition is an experience that allows for improving nursing care (Peplau, 1991). Therefore, the focus in the definition of the theory begins with grasping the nurse and patient metaparadigm concepts as the interaction between patient and nurse makes the relationship personal. Similarly, considerable insights thus point out that the patient care process is personalized in a way that responsibility is both technical and emotional. Peplau (1991) explains that effective patient outcome delivery comes from trust in diagnostics and thus acceptance of health as an essential metaparadigm aspect. The theory focuses on developing the relationship between a nurse and a patient to emphasize trust and collaboration.
Based on Peplau (1991), the experience of establishing a connection between a nurse and a patient is an indicator of progress reporting and is the only source of data for patient experience information. Perception of the phenomena of patient information as instrumental to positive is highlighted as a primary measure of the direction of health. Based on the fact that health is described to be only a success when it moves in the positive direction, by looking at the patient with obesity this means loss of weight. At the same time, with the insistence on the sustainability of better health as the result being sought, there is direct evidence that the management of health, in the long run, is the better outcome for the patient in this project.
Peplau (1991) is supported by her in-depth analysis of the achievability of better health through utilitarian task alignment. Using communication as the necessary tool for the nurse to ensure that a patient attains a favorable outcome, as a theory, Interpersonal Relations in Nursing Theory emphasizes the built-in interaction as a psychodynamic need. This need is important as it is directionally focused on relieving the patient’s anxiety and improving their confidence regardless of external and self-perceived variables. Centralization of goal setting for a patient with obesity is linked directly to the strengthening of the nurse-patient relationship as the best approach to attaining better health outcomes.
This theory is a perfect fit for this project as the relationship between the nurse and patient must be founded on trust so that information can be shared comfortably and with trusted support from nurses. A support system must be developed because obesity and the issues surrounding obesity may lead to decreased self-esteem and mental health issues. This theorist ideology will assist in identifying and orienting nurses to the causes of obesity, introducing a perfectly balanced diet with regular exercise, and finally producing solutions for diabetic prevention, a foundation that this theoretical framework supports.
Interpersonal Relations in Nursing Theory and Nursing’s Metaparadigm
Interpersonal Relations in Nursing Theory explains it as an input for developing positive outcomes and relinquishing the relationship with a support system that enhances positive outcomes Peplau (1991) . It is the promotion of health through appropriate methods and illness prevention by recognizing triggers for all patients. Therefore, the nurse can only facilitate treatment and not make a diagnosis; hence, the critical aspect is ensuring that the environment is conducive and that communication in the relationship with patients is constant. This means the nurse favors patients’ understanding of their issues by explaining the problem and the treatment plan. This includes a preventive measure to ensure informed decision-making is enhanced and thus a partnership that, in essence, is therapeutic.
