Nursing Practice Problem and PICOT Question (Research Paper Sample)
The evidence-based practice change for schools needed to reduce childhood obesity is a healthy eating campaign that will drive positive change. Schools will be required to have days that nutritious school food contributes to wellness culture and reinforces nutrition education. The campaign will demonstrate that schools are taking evidence-based actions to make healthy decisions easier for children. Childhood obesity remains a growing health problem requiring a combination of intervention efforts to prevent and manage childhood obesity successfully.source..
Research Critiques and PICOT Statement Final Draft
Nursing Practice Problem and PICOT Question
The identified nursing practice problem in the four studies is childhood obesity. Childhood obesity is a complex health issue that is jeopardizing children’s health. Nurses play a pivotal role in deterring, promoting health, and tackling the immediate and long-term health risks of childhood obesity. Nurses can join forces with media, communities, and schools to promote healthy lifestyles, reduce stigma for obese children, and empower them to comprehend the social-environmental determinants of obesity. Childhood obesity remains a major preventable public health problem that all nurses have an opportunity to prevent and modify.
This paper’s PICOT question is: In obese children, what is the role of nursing-led interventions in preventing and controlling the detriments of childhood obesity compared to other interventions in one year? The PICOT question will help expose the different interventions that nurses can deploy to impact childhood obesity significantly. For instance, the four articles demonstrate that nurses can create public policy that recommends physical activity, nutrition, and education in all schools. Nurses must be ready to engage in policy debates on whether the government is doing enough to combat the childhood obesity epidemic.
The first article, “General practice views of managing childhood obesity in primary care,” is a qualitative study that seeks to control and manage childhood obesity. The second article, “Barriers and enablers for adopting lifestyle behavior changes in adolescents with obesity,” is a qualitative study that looks into barriers and enablers that affect adopting lifestyle changes among adolescents getting care for weight management. The third article, “A community-based nutrition and physical activity intervention for children who are overweight or obese and their caregivers,” is a quantitative study that illustrates that community-based programs can effectively reduce obesity rates. The fourth article, “Effectiveness of a childhood obesity prevention program delivered through schools, targeting six and 7-year-olds,” is a quantitative study that demonstrates WAVES intervention’s effectiveness in preventing childhood obesity.
The first article is significant to nursing because it expounds on the methods to prevent the detriments of childhood obesity (Kebbe et al., 2019). The second article is vital to nursing because it explores the practices and strategies in preventing and managing adolescent obesity. The third article is significant to nursing because it shows a nursing-led intervention in stages one and two for prevention and weight management. The fourth article is essential to nursing because it highlights that multidisciplinary interventions are associated with more positive results (Adab et al., 2018). This paper’s purpose is to critique four articles that revolve around the issue of childhood obesity. This paper aims to demonstrate that interventions that combine physical activity, nutrition, and education are the most effective in preventing and controlling childhood obesity. The research question is the role of nursing-led interventions in preventing and managing childhood obesity?
Articles Support the Nurse Practice
The first article answers the PICOT question by illustrating how schools and parents feel nurses have an essential role in obesity management, although their participation is inconsistent. The authors conclude that nurses should recommend the training to improve their approach to children’s obesity management. The second article answers the PICOT question by showing that nurses can help children with obesity to adopt lifestyle behavior changes. The third article answers the PICOT question by showing that nursing-led lifestyle interventions are vital in prevention efforts and structural weight management (Kebbe et al., 2019). The fourth article answers the PICOT question by suggesting that since nurses play a critical role in community health, their roles are significantly required in school and family-based intervention programs.
The first article’s intervention is similar to the PICOT question because it effectively trains and enables nurses to educate children on nutrition, physical activity, and obesity-related illnesses (O’Donnell et al., 2017). The second article’s intervention is similar to the PICOT question because it highlights nurse-delivered lifestyle recommendations that focus on proper sleep, good physical and sedentary activity, and nutrition. The third article’s intervention is similar to the PICOT question because it focuses on a community-based intervention for obese children and caregivers. Community-based interventions often rely on community efforts to reverse the obesity epidemic but can also employ nurse-led interventions. The fourth article’s intervention is similar to the PICOT question because it focuses on a school and family-based intervention to prevent childhood obesity. Interventions that combine family support and school activities to help children develop healthy lifestyles may require nurses to help children develop practical ways to be active and make better decisions about their diet.
Method of Study
The method used in the two qualitative studies is semi-structured interviews. The researchers used semi-structured interviews because they helped the researchers to gain an in-depth understanding and extract the necessary information from participants. The third article used Statistical Analysis Software (SAS), which was invaluable in the study. The fourth article used direct assessment to collect information on the participating children—the direct assessment method used school records, interviews, and questionnaires (Adab et al., 2018). The qualitative techniques collected, analyzed, and interpreted the non-numerical information, whereas the quantitative methods collected and analyzed numerical data to make predictions and generalize results.
A semi-structured interview does not firmly follow formalized questions and can involve asking pre-determined questions. The method’s main benefit is the flexibility to pursue ideas, and the main limitation is the method is not objective and can be subject to scrutiny. The main advantage of the SAS method used in the third article is the ability to handle an extensive database, and the main limitation is that the method is expensive. The direct assessment method used in the fourth article involved tests and experiments. The technique’s main advantage is authenticity, and the main limitation is the method can be time-consuming to conduct and score.
Results of Study
The first article’s findings showed that almost all participants acknowledged childhood obesity was an increasingly important public health problem with potential long-term health outcomes. The three themes highlighted in the results were inadequate contact with well children, the subject’s sensitivity, and general practice’s possible effect (O’Donnell et al., 2017). The second article’s findings showed that participants reported different enablers and barriers to sleep habits, physical and sedentary activity, and healthy nutrition. The third article’s results indicated that the children who participated in the study had reduced their carbohydrate, energy, fat, sodium, and saturated fat intake. The findings encouraged the idea that nurses and caregivers should be involved in community-based nutrition and physical activity interventions (Xu et al., 2017). The fourth article’s results showed schools are inept of impacting childhood obesity by incorporating interventions lacking general support from parents and teachers.
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