IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i21p8123-d439534.html
   My bibliography  Save this article

Clinical Leadership and Management Perceptions of Inpatients with Obesity: An Interpretative Phenomenological Analysis

Author

Listed:
  • Danielle Hitch

    (Allied Health, Western Health, 3021 St. Albans, Australia
    Occupational Therapy, Deakin University, 3217 Geelong, Australia)

  • Fiona Pazsa

    (Allied Health, Western Health, 3021 St. Albans, Australia)

  • Alison Qvist

    (Allied Health, Western Health, 3021 St. Albans, Australia)

Abstract

While obesity is recognized as a key global public health issue, there has been no research to date on the perceptions of care for people with this condition held by individuals in positions of organizational power. The aim of this study was therefore to describe the perceptions and experiences of clinical leaders and managers of providing care to inpatients with obesity at a metropolitan public health service. This study applied an interpretative phenomenological analysis (IPA) approach to qualitative research, conducting interviews with 17 participants. Their perceptions of care for inpatients with obesity encompassed both their personal understanding as an individual, and their observations about the organizational, patient and carer perspectives. Three overall themes were identified: (1) the problem of inpatients with obesity, (2) inpatients with obesity as sources of risk and (3) personal and professional perceptions of inpatients with obesity. While clinical leaders and managers were aware of the potential impact of stigma and weight bias on care given to this cohort, elements of implicit bias, stereotyping, “othering” and ambivalence were frequently present in the data. Ongoing efforts to improve care for patients with obesity must therefore include efforts to address perceptions and attitudes at all organisational levels of the workforce.

Suggested Citation

  • Danielle Hitch & Fiona Pazsa & Alison Qvist, 2020. "Clinical Leadership and Management Perceptions of Inpatients with Obesity: An Interpretative Phenomenological Analysis," IJERPH, MDPI, vol. 17(21), pages 1-13, November.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8123-:d:439534
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/21/8123/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/21/8123/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Adrian James & Silvia Mendolia & Alfredo R. Paloyo, 2020. "Intergenerational Transmission of Body Mass and Obesity Status in Australia," The Economic Record, The Economic Society of Australia, vol. 96(312), pages 1-18, March.
    2. Puhl, R.M. & Heuer, C.A., 2010. "Obesity stigma: Important considerations for public health," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1019-1028.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Peggy J. Liu & Kelly L. Haws & Karen Scherr & Joseph P. Redden & James R. Bettman & Gavan J. Fitzsimons, 2019. "The Primacy of “What” over “How Much”: How Type and Quantity Shape Healthiness Perceptions of Food Portions," Management Science, INFORMS, vol. 65(7), pages 3353-3381, July.
    2. Roose, Gudrun & Van Kerckhove, Anneleen & Huyghe, Elke, 2017. "Honey they shrank the food! An integrative study of the impact of food granularity and its operationalization mode on consumption," Journal of Business Research, Elsevier, vol. 75(C), pages 210-220.
    3. Kee, Jennifer Y. & Segovia, Michelle S. & Palma, Marco A., 2023. "Slim or Plus-Size Burrito? A natural experiment of consumers’ restaurant choice," Food Policy, Elsevier, vol. 120(C).
    4. Lad, Saloni U. & Sinopoli, Jacob & Khong, Brian & Conroy, Britt & Perzynski, Adam T. & del Rincon, Juan P., 2024. "Clinical and sociodemographic characteristics as predictors for quality of life in transmasculine and transfeminine individuals receiving gender-affirming hormone therapy," Social Science & Medicine, Elsevier, vol. 346(C).
    5. Amin, Vikesh & Flores, Carlos A. & Flores-Lagunes, Alfonso, 2020. "The impact of BMI on mental health: Further evidence from genetic markers," Economics & Human Biology, Elsevier, vol. 38(C).
    6. Frederick, David A. & Saguy, Abigail C. & Gruys, Kjerstin, 2016. "Culture, health, and bigotry: How exposure to cultural accounts of fatness shape attitudes about health risk, health policies, and weight-based prejudice," Social Science & Medicine, Elsevier, vol. 165(C), pages 271-279.
    7. Boyoung Park & Ha Na Cho & Eunji Choi & Da Hea Seo & Sue Kim & Yeong-Ran Park & Kui Son Choi & Yumie Rhee, 2019. "Self-perceptions of body weight status according to age-groups among Korean women: A nationwide population-based survey," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-15, January.
    8. Gerend, Mary A. & Stewart, Cylena & Wetzel, Karen, 2022. "Vulnerability and resilience to the harmful health consequences of weight discrimination in Black, Latina, and sexual minority women," Social Science & Medicine, Elsevier, vol. 315(C).
    9. Katherine Sang & Jen Remnant & Thomas Calvard & Katriona Myhill, 2021. "Blood Work: Managing Menstruation, Menopause and Gynaecological Health Conditions in the Workplace," IJERPH, MDPI, vol. 18(4), pages 1-16, February.
    10. Li, Shaobo (Kevin) & Kokkoris, Michail D. & Savani, Krishna, 2020. "Does everyone have the potential to achieve their ideal body weight? Lay theories about body weight and support for price discrimination policies," Organizational Behavior and Human Decision Processes, Elsevier, vol. 157(C), pages 129-142.
    11. Zoë C. Meleo-Erwin, 2020. "Bariatric Biosociality: Pushed Together, Pulled Apart," SAGE Open, , vol. 10(1), pages 21582440198, January.
    12. Yeeli Mui & Bruce Y. Lee & Atif Adam & Anna Y. Kharmats & Nadine Budd & Claudia Nau & Joel Gittelsohn, 2015. "Healthy versus Unhealthy Suppliers in Food Desert Neighborhoods: A Network Analysis of Corner Stores’ Food Supplier Networks," IJERPH, MDPI, vol. 12(12), pages 1-17, November.
    13. Sarah Louise Killeen & David F. Byrne & Aisling A. Geraghty & Cara A. Yelverton & Douwe van Sinderen & Paul D. Cotter & Eileen F. Murphy & Sharleen L. O’Reilly & Fionnuala M. McAuliffe, 2022. "Recruiting and Engaging Women of Reproductive Age with Obesity: Insights from A Mixed-Methods Study within A Trial," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    14. David Berrigan & Ailing Liu & Britni R. Belcher & Ann Chao & Liwen Fang & Charles E. Matthews & Baohua Wang & Linhong Wang & Ning Wang & Yu Wang & Lichen Yang & Martha S. Linet & Nancy Potischman, 2020. "Physical Activity, Step Counts, and Grip Strength in the Chinese Children and Families Cohort Study," IJERPH, MDPI, vol. 17(17), pages 1-18, August.
    15. Mooney, Stephen J. & El-Sayed, Abdulrahman M., 2016. "Stigma and the etiology of depression among the obese: An agent-based exploration," Social Science & Medicine, Elsevier, vol. 148(C), pages 1-7.
    16. Briony Hill & Alexandra Azzari Wynn-Jones & Kimberley J. Botting & Emma H. Cassinelli & Michael P. Daly & Caitlin Victoria Gardiner & Stephanie J. Hanley & Nicola Heslehurst & Regine Steegers-Theuniss, 2023. "The Challenge of Weight Stigma for Women in the Preconception Period: Workshop Recommendations for Action from the 5th European Conference on Preconception Health and Care," IJERPH, MDPI, vol. 20(22), pages 1-12, November.
    17. Sikorski, Claudia & Luppa, Melanie & Angermeyer, Matthias C. & Schomerus, Georg & Link, Bruce & Riedel-Heller, Steffi G., 2015. "The association of BMI and social distance towards obese individuals is mediated by sympathy and understanding," Social Science & Medicine, Elsevier, vol. 128(C), pages 25-30.
    18. Niamh K Shortt & Esther Rind & Jamie Pearce & Richard Mitchell, 2014. "Integrating Environmental Justice and Socioecological Models of Health to Understand Population-Level Physical Activity," Environment and Planning A, , vol. 46(6), pages 1479-1495, June.
    19. Robinovich, Jossiana & Ossa, Ximena & Baeza, Bernardita & Krumeich, Anja & van der Borne, Bart, 2018. "Embodiment of social roles and thinness as a form of capital: A qualitative approach towards understanding female obesity disparities in Chile," Social Science & Medicine, Elsevier, vol. 201(C), pages 80-86.
    20. Zahra Mojtahedi & Shirin Farjadian, 2022. "Awareness of Obesity-Related Cancers: A Complex Issue," IJERPH, MDPI, vol. 19(11), pages 1-3, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8123-:d:439534. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.