Aim: Developing a theory explaining how public health nurses accomplish and adapt counselling in lifestyle habits to decrease obesity in people with mobility disability.
Design: Empirical research - qualitative.
Method: Classic grounded theory with face-to-face interviews, 2017-2018, using inductive approach to understand public health nurses' intervening experiences with obesity patients.
Results: To initiate the conversation emerged as the main concern meaning having difficulties initiating conversations about obesity with patients. Public health nurses' facilitators to communicate lifestyle changes emerged as the pattern generating the theory, which consists of the categories; person-centeredness in the situation, experience and knowledge, strengthening conditions, access to other professionals and prioritization in everyday work.
Conclusions: Public health nurses hesitate to raise topics of obesity in patients with mobility disability. They advocate increased integration with lifestyle changes in everyday work including multi-professional cooperation. The implication is testing the emerged theory at primary health care centres.
Impact: Obesity is more common in people with mobility disability than in those without. There is a need to understand how public health nurses adapt counselling in lifestyle habits. Public health nurses hesitate to talk about obesity with patients in fear of offending anyone. Public health nurses did not distinguish between patients with or without mobility disability. Several facilitators could be helpful initiating conversation with the patients. Public health nurses need more time and resources to facilitate conversation with patients with mobility disability to counsel lifestyle changes.
目的: 制定一种理论,解释公共卫生护士如何完成和调整生活方式习惯方面的咨询,以减少行动不便者的肥胖症。 设计: 实证研究--定性。 方法: 2017-2018年,通过面对面访谈的经典基础理论,采用归纳法了解公共卫生护士对肥胖患者的干预经验。 结果: 发起对话成为主要关注点,这意味着难以与患者发起关于肥胖的对话。公共卫生护士沟通生活方式转变的促进者以模式生成理论的形式出现,该理论包括以下几个方面:以人为中心的情况、经验和知识、加强条件、接触其他专业人员和确定日常工作的优先次序。 结论: 公共卫生护士不愿提出流动性残疾患者的肥胖问题。他们主张在日常工作中加强与生活方式变化的融合,包括多专业合作。这意味着在初级卫生保健中心试验这一新兴理论。 影响: 肥胖在行动不便的人中比在没有行动不便的人中更常见。有必要了解公共卫生护士如何适应生活习惯方面的咨询。公共卫生护士不敢和病人谈论肥胖问题,怕冒犯某些人。公共卫生护士没有区分有或没有行动障碍的患者。公共卫生护士需要更多的时间和资源来促进与流动性残疾患者的对话,以指导生活方式的改变。.
Keywords: chronic condition; grounded theory; interdisciplinary team; lifestyle; mobility disability; nurses; obesity; primary health care; primary health care centre; public health nurses.
© 2019 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.