Phase 4 is all about results, this part of the paper will be based on the hypothetical analysis. Meaning since we will not be implementing the process, the results described will be based on whatever
Running Head: LITERATURE REVIEW LITERATURE REVIEW Lilisbet Alonso Florida National University Prof: Claudia Davis PhD, RN -BC June 10, 2020 NURSING RESEARCH 2 1.1 LITERATURE REVIEW This chapter will intensely discuss the existing knowledge in this similar area of research. This will look into obesity causes, health and economic effects, steps, and programs to fight obesity and, finally, the importance of these programs. Obesity causes and effects Obesity results from a combination of factors, individual and genetic factors together with additional contributing factors in the society. On individual factors, the behavior is the leading cause of obesity with low physical activity, lack or excess sleep, energy intake in excess of the energy body needs, psychological conditions, and genet ics. On low physical exercise, there has been a decline in time for sports and physical exercises in schools, which is a major cause behind obesity in children, with physical exercise associated with 23% -43% obesity risk management in children (Anrig, 2003 ). In adults, the working lifestyle with no time for physical activity is associated with the high cases of obesity in the world (Donnelly et al., 2009). Recent research shows excess calorie intake is almost a sure way to obesity and caloric restriction re mains a crucial approach to clinical weight loss and weight management. Genetics can contribute to obesity, but this is very minimal, with only 1% of cases being linked to hormonal causes (Neiman, 2004).Mental health has also been linked to obesity cases being on the rise with negative feelings that push one into depression, and most individuals turn into food for comfort. Obesity is linked to vascular dementia risks in midlife by increasing this risk by 26% -35%. Recent research in the united states shows that obese male individuals incur an extra $1152 annually, while female NURSING RESEARCH 3 individuals incur an extra $3613 annually on medical bills associated with obesity as compared to their other non -obese counterparts. (Cawley & Meyerhoefer, 2012) Programs to fight ob esity and their importance The programs in place mainly feature deepened research into obesity and obesity mitigation in the future. The AFRI childhood obesity prevention challenge area is a program in the united states that focuses on obesity problems and other nutritional challenges (Koenings et al., 2016). This program is of major significance since, in 2010, 17% of children within the age range of 2 -19 years were linked to obesity. This program has been a major step to reduce cases of child obesity in t he U.S. Another program is, the regional nutrition education program and obesity prevention centers of excellence (RNECE), which was started to help in the dissemination of nutritional information to help combat obesity crisis (Brewer et al., 2015). this p rogram has been majorly used in improving food and physical activity behaviors among the low -income members of the society in the united states. According to Brewer et al., with the right information, the population is well equipped to reduce obesity cases while also preventing it (2015). 2.2 RESEARCH METHODOLOGY Introduction This chapter will briefly discuss the methodology which is used in the research, the process used to collect the data from different sources such as identifying the relevant literature review by finding a number of articles and academic journals on this similar area of research. This chapter also discuss es the process used to analyze the collected data and the procedure used to collect the NURSING RESEARCH 4 data from empirical findings, the process that is to be followed to achieve the findings is outlined in detail in the data analysis section. Research Method The me thod used to complete the research study is based on both the qualitative and quantitative approaches to data acquisition. This is through the use of questionnaires, interviews, and earlier research done in this field. Personal interviews and telephone int erviews with nurses in the industry are conducted to determine the impact of obesity on the nursing career. In some cases, questionnaires on nurses are also used, and feedback is used as a source of data. Interviews and questionnaires on obese individuals are also carried out to try and find answers to the set research questions. To acquire quantitative data, a literature review is used to obtain the national average number of individuals struggling with obesity and the economic consequences associated with this. This research aims to come with the causes and effects of obesity on both individuals and nurses providing services in the healthcare system. This research is also to establish the weight management programs that can be put to combat obesity in the populat ion. Design of study Data from the 2017 -2018 center for disease control and prevention is used to get the statistics of the obese population. This report also looks at the obesity statistics by CDC for 1999 -2000 and comes up with the percentage increase i n cases of obesity in the population. This is used to make predictions for future population statistics expected to be struggling with obesity if this issue is not solved and continues increasing. NURSING RESEARCH 5 Using the CDC report of 2008, it is also used to establish the economic consequences associated with obesity in the population. In this one, the research compares the medical bill associated with obese individuals as compared to other individuals in the population. It is also used to predict future savings on medi cal bills that could be made from the elimination of obesity challenges in society. The research also establishes the economic impact of obesity from individuals struggling with obesity. Finally, there is data collection from healthcare systems to establi sh the economic impact on these facilities from handling obesity issues. This article also establishes the obesity and overweight management programs available to deal with the obesity crisis. This looks into statistics of available local and state progra ms in place to fight obesity in society. The already taken steps by these programs are established as we also focus on the weaknesses of these programs and what further steps could be taken to deal with the obesity crisis. Finally, the interviews and quest ionnaires are used to establish qualitative data on the obesity issue and come up with suggestions from nurses and individuals on what could be done to reduce obesity cases. Data collection Prior to the documentation of the report, the collection of data is started by framing a literature review; a number of journals and research papers were referred to find and follow the procedure for data acquisition. A qualitative research method is used to gather all the data which is required to full fill the object ives of the present research study. The primary data collection method is based on interviews and questionnaires, mainly. A questionnaire is formulated to help the members of the community give us data on the nutrition practices on a daily basis. A questi onnaire to nurses is used to establish the impact of obese cases on their practice and the frequency of coming around an obese case. Telephone interviews with nurses are also used in qualitative data collection. NURSING RESEARCH 6 Quantitative data is gathered based on secon dary sources available that look into the statistics of obesity in the United States. There is also the use of national health reports on nutrition. Qualitative data acquisition is used to get the numbers that are affected by obesity versus the number of available nurses nationally in a move to compare the two and establish a greater number between the two. America The quantitative research method is also used in establishing the economic consequences associated with obesity in the community. This will esta blish the extra cost that is predicted to be associated with obesity and the benefits that can be obtained by eliminating this extra cost by combating obesity. The sampling methodology There is the use of different sampling methods to obtain informatio n on obesity and the effects associated with this. Considering it is not possible to collect information from every individual in a group, only part of the group individuals can answer to interviews and questionnaires. The methods used to sample individual s from a group of people are random, systematic, and stratified. Random sampling is used in interviews and questionnaire administration to nurses in healthcare.
There is also the use of systematic sampling of obese individuals in conducting the interview a nd questionnaire administration. The system sampling used is an interview for one individual out of every four individuals we encountered in healthcare facilities. On stratified sampling, an interview is done on every chief nurse in a healthcare facility t o help bring out the bigger picture associated with the obesity issue. Necessary tools NURSING RESEARCH 7 The research instruments used in this research are questionnaires and interviews for qualitative data collection. Surveys are also used to obtain quantitative data fr om secondary sources. Telephone calls are also used for the virtual interview to obtain primary research data on obesity. Summary In brief, this chapter has discussed the method of research that is employed to obtain the findings and the methods used i n collecting data, design of the study of the collected data is also briefly discussed in this chapter. The data obtained in this chapter will be discussed in detail in the next chapter of findings of the final findings of the present research study on obe sity. References NURSING RESEARCH 8 References Cawley, J., & Meyerhoefer, C. (2012). The medical care costs of obesity: an instrumental variables approach. Journal of health economics , 31 (1), 219 -230. Anrig, C. D. C. (2003). The obese child. Dynamic Chiropractic , 21 (22), 27 -31. Neiman, P. (2004). Childhood Obesity. Retrieved on September 25th, 2004 from the World Wide Web: http://ditk -kids.com/articles/childhood_obesity.htm. Koenings, M. M., Perez, C., Krishnan, K., & Chester, D. N. (2016). Does the left hand know what the right hand is doing? Part II: Alignment between the AFRI Childhood Obesity Prevention Challenge Area Program and the 2010 Dietary Guidelines. The FASEB Journal , 30 (1_supplement), 433 -2. Brewer, D., Kurzynske, J., Mullins, J., Ammerman, A., Ba ker, S., Dollahite, J., ... & Vail, A. (2015). Improving Health through USDA, SNAP & EFNEP: Regional Nutrition Education and Obesity Prevention Centers of Excellence. Journal of the Academy of Nutrition and Dietetics, 115(9), A97. Donnelly, J. E., Blair, S . N., Jakicic, J. M., Manore, M. M., Rankin, J. W., & Smith, B. K. (2009). Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine & Science in Sports & Exercise, 41(2), 459 -471 .