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. 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.
    6. Zoë C. Meleo-Erwin, 2020. "Bariatric Biosociality: Pushed Together, Pulled Apart," SAGE Open, , vol. 10(1), pages 21582440198, January.
    7. 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.
    8. Zahra Mojtahedi & Shirin Farjadian, 2022. "Awareness of Obesity-Related Cancers: A Complex Issue," IJERPH, MDPI, vol. 19(11), pages 1-3, May.
    9. Giovana Santarosa Cassiano & Joana Pereira Carvalho-Ferreira & Nicola J. Buckland & Diogo Thimoteo da Cunha, 2021. "Do Registered Dietitians, Nutrition Students, and Laypeople Perceive Individuals with Obesity Differently?," IJERPH, MDPI, vol. 18(17), pages 1-14, August.
    10. Lily O’Hara & Jane Taylor, 2018. "What’s Wrong With the ‘War on Obesity?’ A Narrative Review of the Weight-Centered Health Paradigm and Development of the 3C Framework to Build Critical Competency for a Paradigm Shift," SAGE Open, , vol. 8(2), pages 21582440187, May.
    11. William R. Tebar & Gerson Ferrari & Jorge Mota & Ewerton P. Antunes & Beatriz A. S. Aguilar & Javier Brazo-Sayavera & Diego G. D. Christofaro, 2022. "Association of Cardiovascular Risk Factors between Adolescents and Their Parents Is Mitigated by Parental Physical Activity—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(21), pages 1-10, October.
    12. Christy Brady, 2016. "Decreasing Obesity and Obesity Stigma: Socio-Demographic Differences in Beliefs about Causes of and Responsibility for Obesity," Social Sciences, MDPI, vol. 5(1), pages 1-10, March.
    13. James, Adrian & Mendolia, Silvia & Paloyo, Alfredo R., 2021. "Income-based inequality of adolescent obesity in Australia," Economics Letters, Elsevier, vol. 198(C).
    14. 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).
    15. Natalia Mazurkiewicz & Mariusz Lipowski & Jarosław Krefta & Małgorzata Lipowska, 2021. "“Better If They Laugh with Me than at Me”: The Role of Humor in Coping with Obesity-Related Stigma in Women," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
    16. Aneel Karnani & Brent McFerran & Anirban Mukhopadhyay, 2016. "The Obesity Crisis as Market Failure: An Analysis of Systemic Causes and Corrective Mechanisms," Journal of the Association for Consumer Research, University of Chicago Press, vol. 1(3), pages 445-470.
    17. Aránzazu Hernández-Yumar & Maria Wemrell & Ignacio Abásolo-Alessón & Beatriz González López-Valcárcel & Juan Merlo, 2023. "Impact of the Economic Crisis on Body Mass Index in Spain: An Intersectional Multilevel Analysis Using a Socioeconomic and Regional Perspective," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-31, August.
    18. Wu, Hania Fei, 2021. "Social determination, health selection or indirect selection? Examining the causal directions between socioeconomic status and obesity in the Chinese adult population," Social Science & Medicine, Elsevier, vol. 269(C).
    19. Tae Jun Kim & Anna Christin Makowski & Olaf von dem Knesebeck, 2019. "Obesity stigma in Germany and the United States – Results of population surveys," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-12, August.
    20. Jan-Hinrich Meyer & Ko Ruyter & Dhruv Grewal & Kathleen Cleeren & Debbie Isobel Keeling & Scott Motyka, 2020. "Categorical versus dimensional thinking: improving anti-stigma campaigns by matching health message frames and implicit worldviews," Journal of the Academy of Marketing Science, Springer, vol. 48(2), pages 222-245, March.

    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.