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Describing Nursing Care of Severely Obese Patients in Critical Access Hospitals Using Total Quality Management Theory : = A Qualitative Study.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Describing Nursing Care of Severely Obese Patients in Critical Access Hospitals Using Total Quality Management Theory :/
Reminder of title:	A Qualitative Study.
Author:	Blankenship, Amy.
Description:	1 online resource (153 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-10, Section: B.
Contained By:	Dissertations Abstracts International85-10B.
Subject:	Health sciences. -
Online resource:	click for full text (PQDT)
ISBN:	9798382307039

Describing Nursing Care of Severely Obese Patients in Critical Access Hospitals Using Total Quality Management Theory : = A Qualitative Study.
Blankenship, Amy.

Describing Nursing Care of Severely Obese Patients in Critical Access Hospitals Using Total Quality Management Theory :A Qualitative Study. - 1 online resource (153 pages)

Source: Dissertations Abstracts International, Volume: 85-10, Section: B.

Thesis (Ph.D.)--Idaho State University, 2024.

Includes bibliographical references

Purpose: The purpose of this study was to explore nurses' perceptions and experiences regarding caring for severely obese patients and factors that affect quality care of these patients in Critical Access Hospitals (CAHS).Background: Class III or severe obesity is on the rise in the world and in the United States. More obese patients are seen in rural communities than in urban communities. Urban hospitals have looked at caring for this population, but rural settings have not. Nurses spend a significant amount of time with patients and therefore have expertise and knowledge in caring for specific populations. Methods: This study was an exploratory, qualitative design using phenomenological interpretive description. The theoretical framework of Total Quality Management (TQM) was used to create a model and questionnaire for semi-structured interviews. Convenience and snowball recruitment was done through email via the Oregon Nurses Association and the principal investigator (PI) email. Interviews were performed through Zoom video and audio recording and transcripts were edited for clarity and conciseness. Data analysis was done using directed content analysis approach with TQM framework to create coding categories. The study sample were Oregon Nurses who currently worked in CAHs, at least 18 years of age, and had access to a phone or computer for video interviews. Nurses came from a variety of regions in Oregon and were interviewed in their preferred setting.Results: Fifteen Oregon Nurses currently working in CAHs were participants in semi-structured interviews. The TQM Framework was used to create coding categories under customer focus, teamwork, and continuous improvement. Data revealed factors that affect care of the severely obese individual. Some were lack of staff to run specialized equipment or assist in positioning or transferring patients, difficulty with bariatric transport, poor attitudes of team members, and lack of specialized equipment to name a few. Conclusion: Severely obese individuals are a population that is on the rise in the last many years. There is a lack of resources to provide quality care to this population. Caring for this population has many complexities and is challenging for nursing teams in Critical Access Hospitals.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798382307039Subjects--Topical Terms:

1179212
Health sciences.
Subjects--Index Terms:

Critical Access HospitalsIndex Terms--Genre/Form:

554714
Electronic books.

Describing Nursing Care of Severely Obese Patients in Critical Access Hospitals Using Total Quality Management Theory : = A Qualitative Study.
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