DNP Scholarly Projects

Abstract

Background: There is considerable evidence showing the correlation between weight related bias among healthcare professionals, and poor health outcomes for patients with obesity. Educating healthcare professionals on both safe and effective care practices and compassionate patient-centered care techniques can reduce the negative health impact of weight bias on this patient population. Purpose: This scholarly project adjusted the existing curriculum to address existing weight bias among a cohort of undergraduate baccalaureate nursing students and to inspire improvement in their care of patients with obesity. Methods: Using Kolb’s ELT a sequence of learning activities were adapted and implemented as a pilot learning module in the existing BSN program of study. The existing simulation was adapted to include a standardized patient who wore a bariatric simulation suit. After the simulation, the students watched a lecture on weight bias and how it can affect a patient’s health outcomes and experience. The students were provided with a set of evidence-based tools and strategies to support patient dignity, respect and safety. The students then reflected on their experience and content they had learned by completing a five-question reflection. Student learning was evaluated through student responses to the reflection questions and patient experience was evaluated through a survey completed by the standardized patient. Results: Ninety-seven percent of students (n=100) reported encountering patients with obesity in the clinical setting. Ninety-one percent of the students (n=92) identified weight bias during the simulation. Seventy-one percent (n=72) of students identified at least one intervention that could improve patient experience and 85% (n=85) of students identified at least one intervention that could improve patient outcomes. Conclusion: Undergraduate nursing students encounter patients with obesity. Teaching students about weight bias and strategies to mitigate its effects is an essential part of nursing education. Simulation is an effective way to introduce patient-centered compassionate care practices and patient safety measures. These concepts reinforce learning through reflective practice. By using simulation as a tool to teach about bias and caring for a patient with obesity, students can advance their skills in a safe environment.

Date

Spring 4-29-2024

First Advisor

Elizabeth Morse

Scholarly Project Team Member

David Phillippi

Department

Nursing, School of

College

Health Sciences & Nursing, Gordon E. Inman College of

Document Type

Scholarly Project

Degree

Doctorate of Nursing Practice (DNP)

Degree Level

Doctoral

Degree Grantor

Belmont University

Keywords

implicit bias, ELT, bariatric simulation suit, obesity, simulation, Bachelor of Nursing

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