Implementing obesity management in primary care: Linking evidence based guidelines with a nurse practitioner model of care
View File(s)
- Author(s)
- Details
-
Lisa Cogswell, DNP, CNP-BC, cogswellrn@yahoo.com; Nancy A. O'Connor; Diane Burgermeister; Susan M. Hasenau
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Cogswell, Lisa by View
Title | Page Views |
---|
Popular Works for Cogswell, Lisa by Download
Title | Downloads |
---|
View Citations
Citations
Background: Obesity is a rising epidemic, affecting over one third of U.S. adults and over 13% of the world’s population, carrying significant morbidity and mortality. There have been decreasing rates of obesity counseling documented in primary care despite readily available practice guidelines. Multiple barriers to implementing weight loss counseling into primary care exist including patient and provider lack of motivation, knowledge deficit, and inadequate resources.
Aims: To utilize a nurse practitioner as the bridge linking evidence to practice for obesity management in primary care.
Methods: Evidence based practice was implemented in a cohort design, in a small, U.S. suburban, primary care practice over four months. The program included calculating caloric needs, instruction in calorie and exercise tracking, negotiated weight loss goals, weekly home weights, and office follow up every three weeks for weight checks and plan management.
Results: Of the patients who completed the program compliance with follow up was 96%, food and exercise diaries were used 95% of the time, BMI decreased from 35.5%-32.7% and average weight loss was 17.4 lbs. Comorbidities of hypertension, LDL cholesterol, and fasting blood sugar were improved.
Linking Evidence to Action: Guideline implementation fits within a typical provider schedule, and dedicated visits allow time for focused discussion on weight management. Initially, patients were given very basic goals – record calories and exercise, then gradually worked on improving healthy behaviors and food choices. Smart phone apps were the preferred method for calorie tracking. Creating a culture of partnership and accountability, shared decision making, and patient empowerment was done via use of a nurse practitioner.
Implication for Practice: Partnering with a nurse practitioner can bridge evidence to practice and provide an ideal model of care for a primary care weight loss intervention.
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Other |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Nurse Practitioners; Obesity; Primary Care; Evidence Based Practice; Weight Loss |
CINAHL Subject(s) | Nurse Practitioners; Weight Loss |
MESH Subject(s) | Obesity--therapy; Primary Health Care; Evidence-Based Practice |
MESH Subject(s) | Obesity--therapy; Primary Health Care; Evidence-Based Practice |
Grantor | Madonna University |
Advisor | O'Connor, Nancy A. |
Level | DNP |
Year | 2016 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Nutrition education content in nurse practitioner curricula: What are Michigan NP's learning about nutrition?
Trapp, Caroline; O'Connor, Nancy A.; Hasenau, Susan M.; Schmitz, Karen (2016-05-27)Background and Purpose: Unhealthy diets are linked to common chronic diseases in the U.S. and Michigan. Healthy People 2020 calls for more nutrition counseling in primary care office visits. The last known survey of nutrition ... -
Improving patient care outcomes through better delegation-communication among nurses and assistive personnel
Wagner, Elissa A.; O'Connor, Nancy A.; Hasenau, Susan M. (2016-06-08)In acute care settings, registered nurses must depend on and delegate to unlicensed assistive personnel when providing direct care to patients. The nurses’ ability to effectively delegate can affect the safety and ... -
Pediatric cardiac transplant: Quality of life of urban families
Kelm, Lauren; O'Connor, Nancy A.; Banfield, Barbara; Hasenau, Susan M. (2016-05-31)Introduction: To describe quality of life (QoL) of pediatric cardiac transplant recipients and caregivers in an urban setting, to examine differences in QoL between recipients and caregivers, and to determine ... -
Empowering nurses to implement evidence-based practice through instructional design
O'Connor, Priscilla C. (2016-03-21)Session presented on Saturday, November 7, 2015: Staff nurses have been mandated to conduct and use research in their pracice as part of a Magnet application. However, many nurses are reluctant to begin the process, because ... -
Practice enhancement for exclusive breastfeeding (PEEB) – an implementation science approach
Mulcahy, Helen; Leahy-Warren, Patricia; Lehane, Elaine; O'Driscoll, Michelle; Murphy, Margaret; O'Connell, Rhona; Buckley, Catherine; O'Connor, Sandra; O'Sullivan, Mairead; O'Connor, Mary; Cogan, LizBackground: Implementation science looks at “what works, for whom, and in what circumstances,” to enable research uptake into practice.1 Ensuring healthy lives and promoting well-being at all ages is ...