Description
Please pay attention to the professor’s comments and recommendations. I need someone who is familiar with Clinical Practice Patient Education Guideline (CPPEG) . It has been a battle trying to get this paper APPROVED for months.
DNP Prospectus
Clinical Practice Guideline to Combat Childhood Obesity
Prospectus: Clinical Practice Guideline to Combat Childhood Obesity
Problem Statement
Currently, obesity affects millions worldwide, posing significant health risks. Lack of patient and community education on childhood obesity interventions has been profoundly associated with the consistently increasing prevalence rates for the condition (Sahoo et al., 2015). According to Guserman et al. (2019), childhood obesity continues to be a public health concern in the United States, following that approximately 18.5% of children are overweight. Diseases like diabetes and cardiovascular disease, which are profoundly related to poor lifestyle habits, are seen earlier in children who are obese. Sahoo et al. (2015) has highlighted lifestyle choices, environment, culture, genetics, and parental influence as causes of childhood obesity even though the actual etiology is unknown. The promotion of education programs among patients and the public concerning childhood obesity can effectively help remedy the situation as well as disorders that are extensively linked to obesity, like diabetes and respiratory infections.
According to Moore et al. (2017), there is a pressing need to mitigate childhood obesity through the incorporation of noteworthy strategies like changing parents’ frequent selection of unhealthy food choices and children’s attitudes toward eating which can only be achieved through the provision of education programs to the parents and the public. Common obstacles include parental control and nurses’ inability to provide proper dietary education[SH1] [SH2] [SH3] , resulting from knowledge deficits, parental inattentiveness, and mothers’ busy work schedules making them less available for their children. According to Moore et al. (2017), parental influence is a crucial factor, significantly affecting the child’s understanding and behavior; as a result, for education to be effective, parents need to be included in the education process
According to Pandita et al. (2016), obesity and overweight are among the leading universal risk factors for mortality. Obesity is initially diagnosed during childhood, and therefore, children form a significant portion of the population that battles this chronic problem (Mayers, 2020). It is thereby essential to implement population-based culturally appropriate childhood obesity prevention programs that are effective. As early prevention is the primary way to eliminate or reduce weight problems if in progress or genetically predisposed, it is crucial to start early to educate children on how to prevent obesity. With management at an initial phase, early prevention is more effective than attempting to curb during adulthood. Emphasis must be placed on childhood obesity so effective interventions can be implemented. According to Umer et al. (2017), the European Association of the Study of Obesity Childhood Obesity Task Force (EASO COTF) supports categorizing obesity as a chronic disease among children and adolescents as critical for advancing individual and societal awareness and improving early diagnosis and intervention.
Practice-Focused Question(s)
There has been noted that there is a lack of education for pediatric patients who are obese or overweight due to limited knowledge among healthcare providers (Sharifi et al., 2017). The lack of available standardized education tools related to obesity, its causes, and complications in children has been identified as a significant gap in the practice. The proposed development of a clinical practice patient education guideline (CPPEG) will provide standardized education related to childhood obesity enabling healthcare providers to gain substantial knowledge to educate parents and the public during their interactions at the clinic and childhood obesity awareness programs (Sharifi et al., 2017). Studies have identified that healthcare providers rarely provide education on nutrition, exercise, or how to measure calorie intake, besides weight status and its effects on children (Davidson et al., 2019).
Due to the lack of adequate education scholars have argued that children continue to consume unhealthy diets high in calories and fat, which leads to increased weight gain resulting in overweight or obesity (Umer et al., 2017). The newly developed CPPEG will provide an on-the-spot teaching tool to guide the nurse in providing both the parent and the child essential strategies [SH4] necessary for the management of childhood obesity (Sharifi et al., 2017). Some of these interventions may include lifestyle changes like dietary and engagement in physical exercises to ensure that the children consume adequate but not excess [SH5] energies to prevent storage of fats.
In an effort to address the childhood obesity problem, the following practice-focused questions will guide the DNP project: What evidence from the literature supports the need for patient education related to childhood obesity? and hat evidence from the literature is available for the development of the CPPEG related to obesity in children[SH6] ?[SH7]
Social Change
The promotion of patient and family awareness programs is a significant intervention in driving social change. It involves various elements that define how society should live to ensure healthy living standards (Umer et al., 2017). Childhood obesity is a health issue of public concern, making it a problem that requires collective interventions in addressing the challenge (Sharifi et al., 2017). To address the significant need for education related to the obesity problem, the family and patient education [SH8] will make patients and families more aware of weight issues and how to best manage them (Alexander et al., 2015). Childhood obesity is an issue that runs through families and communities, thus, the development of a standardized education tool [SH9] will enhance the achievement of the anticipated outcomes, including reducing the prevalence of childhood obesity.
Research has evidenced that there are high probabilities for children with obesity to continue with the condition through adulthood, increasing the likelihood of developing related comorbidities like diabetes and cardiovascular diseases (Umer et al., 2017). Comorbidities related to obesity are similarly a public challenge, and therefore, to mitigate their prevalence and deaths caused by them is to prevention and treatment of obesity at early stages is needed (Gaffney et al., 2018). This childhood obesity CPPEG project supports the mission of Walden University to promote positive social change. Its [SH10] principal ideals are to avert and minimize a challenge that has been affecting society with little to no positive outcomes from the interventions implemented in the past (Gaffney et al., 2018). The proposed project outlines a lifelong discourse to mitigate obesity and related comorbidities for society, and therefore its significance could be widely felt.
The Context for the Doctoral Project
This DNP project will be implemented in a pediatric health clinic in the eastern United States. The clinic has a population of approximately 3000 pediatric patients with approximately 60 of these having weight issues. The clinic has no teaching resources to provide appropriate education to these children. The clinic administration has verbally agreed to the CPPEG project and voiced excitement. She has offered assistance with resources and sharing her expertise. The setting is feasible for the project to be completed as evidenced by her excitement and support and the shared goal of addressing childhood obesity
Sources of Evidence
Evidence addressing the need to address childhood obesity will be gathered from various databases including Walden library[SH11] , Google Scholar and EBSCO. Some of the key terms to guide my search will include childhood obesity, prevention interventions, weight status, perception, family-based interventions, and awareness programs. Alexander et al. (2015) reported that most parents participating in a variety of studies judge weight status by their child’s appearance. “As portrayed by most of the reviewed studies, a considerable portion of the population has incorrect perceptions towards childhood obesity following that most of the parents who participated in the studies reported that they use the child’s appearance as the methodology to assess the weight status[SH12] ”; [SH13] very few individuals use standardized criteria to check weight and evaluating children’s weight status. Most of the reviewed studies support education programs as appropriate ways to combat childhood obesity (Alexander et al., 2015). Family-centered interventions in obesity prevention have been shown to be significant strategies in the mitigation of childhood obesity following that the family is the most influential determinant of the weight accumulation among children (Mayers, 2020). Parents have a critical role in promoting the sustenance of healthy weight among children and adolescents through the promotion of healthy diets and regular physical exercises .
health education addressing childhood obesity through standardized education has been shown to be an essential strategy that is cost-effective and has long-term implications leading to the achievement of the desired objectives (Sharifi et al., 2017). Childhood obesity has been depicted as a health issue of public concern that has significant impact on the nursing profession following that it creates a vivid description of the broader scope of the problem and the unrelenting need to [SH14] solve it (Zoellner et al.,2017). Research has confirmed that childhood obesity puts individuals at a higher risk of chronic diseases to include diabetes and cardiovascular diseases (Umer et al., 2017). Therefore, childhood obesity is an issue that should be addressed to prevent long term harm to the individual and a significant challenge for healthcare organizations.
The Approach or Procedural Steps
I will follow the steps of The Walden University Clinical Practice Guideline Manual
In the first step, I identified the problem, lack of education for families of pediatric patients who are at risk for obesity. From the problem, I developed practice focused questions and found literature to support the development of a CPPEG. After an exhaustive search of the literature, I will develop a literature matrix, grading the evidence using Fineout-Overhold et al’s., (2010) criteria. Using the selected evidence from the current, peer-reviewed literature, I will develop the CPPEG. I will select a panel of 3 to 5 individuals who are experts in pediatrics, obesity, or childcare to evaluate the newly developed CPPEG, using the AGREE II tool (Brouwers et al., 2016). Revisions will be made as needed until a consensus is reached. I will next identify a group of end-users (providers to include practitioners and nurses) to discuss content and usability. After approval from that group, I will present the CPPEG to administration for final approval, write a final report, and present the final product to administration for implementation.
Ethical
I will obtain approval from Walden University Institutional Review Board (IRB) and the clinicial site. A preapproved Disclosure Expert Panelist form will be provided to each expert panelist with an attached introductory letter. I will ensure that all the reviewers remain anonymous with all paperwork, whereby they will be identified with numbers rather than names. The site’s identity will be masked to ensure that the ethical principle of anonymity is promoted. The project will be guided by the essential moral principles, including do no harm, confidentiality, anonymity, voluntary participation, and only assess relevant features.
Alignment
The prospectus is aligned correctly, starting from the problem statement, which is depicted as the increased prevalence of childhood obesity and the misinformed population concerning the scope of the problem, including strategies of checking the weight status. The practice-focused questions are aligned to the problem statement following that it seeks to establish solutions to fill the gaps identified in the problem statement. The synthesized evidence profoundly supports the problem, and the practice-focused questions are leading to the development of a CPPEG. The procedural steps provided are a significant depiction of the alignment following that it shows how the practice-focused questions were derived from the problem statement and how they helped in selecting evidence via the literature review matrix criterion. Finally, ethical considerations for the DNP project have been substantially provided to ensure that it does not invoke any standards or codes of conduct.
[SH15]
References
Alexander, D. S., Alfonso, M. L., & Hansen, A. R. (2015). Childhood obesity perceptions among African American caregivers in a rural Georgia community: A mixed-methods approach. Journal of Community Health, 40(2), 367-378. https://link.springer.com/content/pdf/10.1007/s10900-014-9945-4.pdf
Brouwers MC, Kerkvliet K, Spithoff K,[SH16] AGREE Next Steps Consortium[SH17] . The AGREE Reporting Checklist: A[SH18] tool to improve reporting of clinical practice guidelines. BMJ[SH19] [SH20] . 2016 Mar [SH21] 8[SH22] ;352[SH23] :i1152. doi: 10.1136/bmj.i1152
Davidson, K., Vidgen, H., Denney-Wilson, E., & Daniels, L. (2019). Who is responsible for assessing children’s weight status? –A qualitative study of health professionals in regional Australia. BMC public health[SH24] , 19(1), 1196.
Gaffney, K. F., Brito, A. V., Kitsantas, P., Kermer, D. A., Pereddo, G., & Ramos, K. M. (2018). Institute of Medicine early infant feeding recommendations for childhood obesity prevention: Implementation by immigrant mothers from Central America. Journal of Pediatric Nursing, 40, 27-33. https://www.sciencedirect.com/science/article/pii/S0882596317305730
Guseman, E. H., Beverly, E. A., Whipps, J., & Mort, S. (2019). Foundational knowledge regarding childhood obesity: A cross-sectional study of medical students. BMC Public Health, 19(1), 1251. https://doi-org.ezp.waldenulibrary.org/10.1186/s12889-019-7499-1
Mayers, M. S. N. (2020). Combating pediatric obesity with a community-based, family-centered pediatric obesity prevention program. Himmelfarb Health Sciences Library[SH25] https://hsrc.himmelfarb.gwu.edu/son_dnp/62/
McKee, C., Long, L., Southward, L. H., Walker, B., & McCown, J. (2016). The role of parental misperception of a child’s body weight in childhood obesity. Journal of Pediatric Nursing, 31(2), 196-203. https://www.sciencedirect.com/science/article/pii/S0882596315003243
Moore, E. S., Wilkie, W. L., & Desrochers, D. M. (2017). All in the family? Parental roles in the epidemic of childhood obesity. Journal of Consumer Research, 43(5), 824-859. https://academic.oup.com/jcr/article-abstract/43/5/824/2450398
Pandita, A., Sharma, D., Pandita, D., Pawar, S., Tariq, M., & Kaul, A. (2016). Childhood obesity: Prevention is better than cure. Diabetes, Metabolic Syndrome, and Obesity: Targets and Therapy, 9, 83. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4801195/
Sahoo, K., Sahoo, B., Choudhury, A. K., Sofi, N. Y., Kumar, R., & Bhadoria, A. S. (2015). Childhood obesity: Causes and consequences. Journal of Family Medicine and Primary Care, 4(2), 187. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4408699/
Sharifi, M., Franz, C., Horan, C. M., Giles, C. M., Long, M. W., Ward, Z. J. … &[SH26] Taveras, E. M. (2017). Cost-effectiveness of a clinical childhood obesity intervention. Pediatrics, 140(5[SH27] ). https://pediatrics.aappublications.org/content/140/5/e20162998.abstract
Umer[SH28] , A., Kelley, G. A., Cottrell, L. E., Giacobbi, P., Innes, K. E., & Lilly, C. L. (2017). Childhood obesity and adult cardiovascular disease risk factors: A systematic review with meta-analysis. BMC Public Health, 17(1), 683. https://link.springer.com/article/10.1186/s12889-017-4691-z
Zoellner, J., Hill, J. L., Brock, D., Barlow, M. L., Alexander, R., Brito, F., Price, B., Jones, C.L[SH29] ., Marshall, R., & Estabrooks, P. A. (2017). One-year mixed-methods case study of a community-academic advisory board addressing childhood obesity. Health Promotion Practice, 18[SH30] (6), 833-853. https://journals.sagepub.com/doi/abs/10.1177/1524839916689550
[SH1]Not sure what you are trying to say here?
[SH2]Parental control and inability to provide proper dietary education is a frequent obstacle – maybe – often caused by parent’s knowledge deficits, inattentiveness, and busy work schedules leading to less parental availability to the children ?????
[SH3]Is this what you are trying to say?
[SH4]Critical strategies? What do you mean by critical?
[SH5]Sentence structure
[SH6]Need a summary statement telling how the question will address the gap
[SH7]Put these in paragraph form, not bullets
[SH8]I thought you were doing a CPPEG? How is this family and patient awareness?
[SH9]What collaboration are you having? Wouldn’t most of this occur after graduation?
[SH10]What is “its’ relating back to?
[SH11]Walden library is not a database. Look at Walden and see the scholarly databases available
[SH12]Direct quotes would require a page number
[SH13]Paraphrase, integrate, and synthesize
[SH14]What are you saying? You need to write with clarity
[SH15]Using the page break will prevent the text from moving down on the page.
[SH16]Space between and period after each initial
[SH17]Date goes after authors
[SH18]Capital after colon in article titles
[SH19]Italics for journal name
[SH20]Write out journal name, not abbreviation
[SH21]Date goes after author, not here
[SH22]Italics for volume number
[SH23]Parentheses around issue name and comma before page numbers
[SH24]Write out journal name and capitalize all major words
[SH25]Volume ad page numbers
[SH26]Write out the first 20 authors
[SH27]Page numbers
[SH28]Keep the whole reference on the same page
[SH29]Space between initials
[SH30]Italics for volume number
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