Grand Canyon University
December 15, 2013
Overweight and obesity are serious health problems which often begin in childhood. In the United States, about one-third of school-age children are overweight or obese. Obesity in childhood increases the risk of developing a chronic disease including cardiovascular disease, hypertension, and type 2 diabetes in their middle-age. Children spend most of their waking time at school; the school has become a major source that provides balanced nutrition and activity to keep them healthy. School nurse is in a special position that has a great opportunity to contact with children, promote the children’s ...view middle of the document...
Many barriers related to the discussing of the weight with children and families have been identified in this study. Some of them have been discussed in previous research such as lack of the knowledge and resource for nurse and families, personal weight loss challenges of the children, not enough of institutional support, and lack of time for communication between the nurse and parents. However, this study also discovered some new key barriers which including: family characteristic such as parent’s unawareness of their children’s overweight, not understanding their responsibility for their child’s weight gait, children and adolescents lack of motivation to keep in a healthy weight, nurse and parents are fear of having reactions between with each other, nurse’s negative past experience on difficulty of building relationship with children. Those barriers strongly impact the communication between the nurse and the parents. Meanwhile, more than half of the nurse agreed that they had the obligation to change the situation regarding the overweight or obesity in children even though this were not their current practices. The majority of the nurses also expressed their concern that they did not feel adequate or competent in providing the information to children and families. This concern strongly indicates the continue education is very necessary. The study suggested assisting nurse in the approach and interview techniques may also help reduce communication barriers and the motivational interview techniques is...