Author & date
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Study Method
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Setting
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Purpose
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Population
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Demographics
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Retrospective
Registry Records
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United Kingdom,
Hospital
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To ascertain the number of reported patient safety events involving people with obesity
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Database search of National Reporting and Learning System
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555 records of 'patient safety' incidents involving people living with obesity were identified
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Broome et al, 2015
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Case study
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Hospital, USA
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To describe the care of a 'super' bariatric patient
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A person with class III obesity
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N=1 Gender: M; Age 56 years old; BMI :73
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Drake et al, 2005
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Qualitative; focus groups, thematic analysis
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USA, Hospital
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To investigate nurses' perceptions of the challenges they face in caring for patients with morbid obesity
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Nurses whose work includes caring for people with morbid obesity
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N=17 Gender: M 3, F 14; Mean age 38.32 years old and mean nursing experience 13 years. 5 participants held a baccalaureate degree, 9 held an associate degree, 2 held a diploma of Nursing.
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Drake et al, 2008
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Descriptive, survey
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USA, Hospital
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To determine what nurses perceive as challenges in caring for people with morbid obesity
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Members of the National Association of Bariatric Nurses
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N=109
Gender: M 9 (8.3%), F 100 (91.7%); Mean age 44.6 years (range 24-63); Race: White 93 (85.3%), Black 13 (11.9%), Other 3 (1.8%)
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Ecklund & Kurlak, 2004
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Case study
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USA, Hospital
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Use a case report to highlight issues involved in caring for a person who is morbidly obese.
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A person with class III obesity
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N=1 Gender: M; Age 39 years old; BMI :91
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Gardner and Gibbs, 2013
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Descriptive, Retrospective; Records
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USA, Hospital
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To ascertain the number of reported patient safety events involving people with class III obesity
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Database search of the Pennsylvania Patient Safety Authority's Patient Safety Reporting System from 2007-2011
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Part 1: 1,774 records of 'patient safety' incidents involving people living with Class III obesity of these there were 180 equipment use event reports (10% of total reports)
Part 2: State-wide survey administered to all hospitals in Pennsylvania of hospital readiness to accommodate Class III obese patients. Response rate 35.3%; N= 85 of 241.
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Gardner and Pagano 2013a
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Descriptive, Retrospective; Records
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USA, Hospital
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To ascertain the reported number of serious skin integrity events involving people with class III obesity
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Database search of the Pennsylvania Patient Safety Authority's Patient Safety Reporting System from 2007-2011
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Part 1: 1,774 Event reports of people living with Class III obesity, and 33.1% (n=588) were skin integrity reports.
Part 2: 2012 Hospital state-wide survey that included questions about class III obese patient skin care protocols (35.3% response rate, n = 59)
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Gardner and Pagano, 2013b
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Descriptive, Retrospective; Records
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USA, Hospital
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To ascertain the reported number of falls event reports involving people with class III obesity
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Database search of the Pennsylvania Patient Safety Authority's Patient Safety Reporting System from 2007-2011
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Part 1: 1,774 event reports involving people living with class III obesity, and 20% of these (357 of 1,774 were falls event reports)
Part 2: 2012 Hospital state-wide survey that included questions about hospital preparedness to care for Class III obese patients. Response rate was 35.3% ( n= 85 of 241 )
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Hignett & Griffiths, 2007
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Descriptive. Mixed methods (focus groups and questionnaire)
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United Kingdom, Special Interest Groups
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To identify and explore manual handling risks and process planning pathways for patients with morbid obesity
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Members of the National Back Exchange (NBE) Special Interests Group on Bariatrics and The National Ambulance Risk and Safety Forum (NARSF). 25 participants (5 from the Ambulance Service and 20 were from the NBE) attended four focus groups; data from the focus groups was used to develop a questionnaire that was sent to all members of the NBE (n= 1289)
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Surveys were sent to members of the NBE (n =1289) and the NARSF (n=71). There were 224 responses from the NBE
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Holland et al, 2001
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Case study
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USA, Hospital
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To use a case report to illustrate care and discharge planning for a patient with morbid obesity
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A person living with class III obesity
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N=1 Gender M; Age 49 BMI 72.6 kg/m2
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Palmer, 2009
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Case study
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United Kingdom, Hospital
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To illustrate that even when specialist equipment is available, it may not be suitable
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A person living with class III obesity
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N=1Gender F; Age not reported, BMI not reported
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Rose et al, 2007
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Cross-sectional, naturalistic observation
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USA, Hospital
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To compare resource requirements in caring for non-obese and morbidly obese patients
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Nursing staff observed carrying out identified nursing tasks on obese and non-obese patients
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Group 1 : N=30 non-obese patients Group 2 N=30 morbidly obese patients
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Rose et al, 2010
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Descriptive, Qualitative, semi-structured interview
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USA, Professional Association members
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To examine nurses' perception of safety concerns when caring for patients with morbid obesity
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Nurses who are members of the National Association of Bariatric Nurses (NABN)
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N= 23, 4 eliminated because had no contact with patients. Interviewed 19 nurses describing adverse events they had experienced. Events were categorised as Adverse events, Near misses and out-of-control situations
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