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'They're all individuals, none of them are on the same boat': barriers to weight management in general practice from the rural nurse perspective.

Kimberley NormanLisette BurrowsLynne M ChepulisHilde MullinsRoss Lawrenson
Published in: Primary health care research & development (2023)
Three themes were identified: limitations of a nurse role; patient-level barriers; and cultural barriers. Nurses reported experiencing significant barriers to delivering effective weight management in their practice due to factors outside the scope of their practice such as patient-level factors, social determinants of health, rural locality restrictions, and limitations to their role. While this study highlights that practice nurses are versatile with an invaluable skill repertoire, it also demonstrates the near impossibility for rural nurses to meet their rural patient's complex weight management needs, as there are many social determinants of health, sociocultural, and rural locality factors acting as barriers to effective weight management. Nurses experienced a lack of systemic support in the form of time, resources, funding, and effective weight management referral options. Future investigation should look to address the unique rural weight management healthcare needs that experience many barriers.
Keyphrases
  • healthcare
  • primary care
  • south africa
  • body mass index
  • mental health
  • weight loss
  • physical activity
  • weight gain
  • general practice
  • public health
  • health information