Unspoken: Decreasing Attitudes of Stigma Towards Obese Women By Healthcare Providers

2.50
Hdl Handle:
http://hdl.handle.net/10755/621510
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Unspoken: Decreasing Attitudes of Stigma Towards Obese Women By Healthcare Providers
Author(s):
Burke, Mary Ellen A.
Lead Author STTI Affiliation:
Beta Zeta-at-Large
Author Details:
Mary Ellen A. Burke, MSN, RN, CNM, Professional Experience: I have been a Certified Nurse-Midwife since 1999 and a nurse educator since 2004. I am currently a DNP post-Master's student at the University of Massachusetts, Amherst. My capstone project will look at bias towards obese women in an OB/GYN practice and use an educational strategy to increase empathy, decrease bias and improve the quality of care for obese women. Author Summary: Mary Ellen Burke is a nurse-midwife and nurse educator with an interest in women's health, health promotion and obesity. She is currently completing her doctorate of nursing practice at the University of Massachusetts, Amherst. Her capstone project looks to improve healthcare and decrease bias towards obese women receiving OB/GYN care. She is also the University of Massachusetts student counselor and delegate for the beta zeta at-large chapter of Sigma Theta Tau.
Abstract:

There is evidence of significant implicit and explicit bias towards obese individuals by health care providers (Sabin, Marini, & Nosek,2012). Goffman’s theory of stigma states that when a person is perceived different from others in a negative way, they become discounted as a full person. Stigma is a relationship between an attribute and a stereotype (Goffman, 1963). Adult obese women may delay or avoid gynecological care due to stigma secondary to implicit or explicit bias of health care providers, exacerbated by societal stigma, resulting in decreased empathy caused by lack of knowledge and training about the care of obese women (Mold & Forbes, 2013).

This will be a quality improvement project with a pre and post test of explicit and implicit bias of health care providers in an OB/GYN practice. The post-test will be conducted after an intervention that includes provider education on improving the environment of care for obese women as well as viewing a video of obese women’s experience of stigma and bias in the health care setting. Data about explicit and implicit bias will be collected from providers. Demographic data about providers will be collected including professional role, age, gender, years of practice, race, ethnicity, and BMI. The Implicit Association Test for obesity and the Anti-fat Attitudes Test for explicit bias will be administered pre and post intervention. The Implicit Association test has been validated by a multitrait, multimethod validation that has found the instrument to be a credible measure of implicit attitudes (Nosek and Smyth, 2007). The Antifat Attiudes Test of explicit bias has 47 items in 3 major categories found to have r values>.60 validating the acceptable quality of this instrument (Lewis, Cash, Jacobi, & Bubb-Lewis,1995). Data will be collected and the educational intervention will be facilitated over approximately 1 month at a chosen OB/GYN practice.

 The goal of this project is to improve the quality of care and empathy towards obese women by health care providers in an OB/GYN practice through provider education about experience of obese women who receive healthcare and provision of resources to improve comfort and quality of care to obese women in an OB/GYN practice.

Keywords:
Obesity; Stigma; Women
Repository Posting Date:
16-Jun-2017
Date of Publication:
16-Jun-2017
Other Identifiers:
INRC17PST305
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleUnspoken: Decreasing Attitudes of Stigma Towards Obese Women By Healthcare Providersen_US
dc.contributor.authorBurke, Mary Ellen A.en
dc.contributor.departmentBeta Zeta-at-Largeen
dc.author.detailsMary Ellen A. Burke, MSN, RN, CNM, Professional Experience: I have been a Certified Nurse-Midwife since 1999 and a nurse educator since 2004. I am currently a DNP post-Master's student at the University of Massachusetts, Amherst. My capstone project will look at bias towards obese women in an OB/GYN practice and use an educational strategy to increase empathy, decrease bias and improve the quality of care for obese women. Author Summary: Mary Ellen Burke is a nurse-midwife and nurse educator with an interest in women's health, health promotion and obesity. She is currently completing her doctorate of nursing practice at the University of Massachusetts, Amherst. Her capstone project looks to improve healthcare and decrease bias towards obese women receiving OB/GYN care. She is also the University of Massachusetts student counselor and delegate for the beta zeta at-large chapter of Sigma Theta Tau.en
dc.identifier.urihttp://hdl.handle.net/10755/621510-
dc.description.abstract<p><span>There is evidence of significant implicit and explicit bias towards obese individuals by health care providers (Sabin, Marini, & Nosek,2012). Goffman’s theory of stigma states that when a person is perceived different from others in a negative way, they become discounted as a full person. Stigma is a relationship between an attribute and a stereotype (Goffman, 1963). Adult obese women may delay or avoid gynecological care due to stigma secondary to implicit or explicit bias of health care providers, exacerbated by societal stigma, resulting in decreased empathy caused by lack of knowledge and training about the care of obese women (Mold & Forbes, 2013).</span></p> <p>This will be a quality improvement project with a pre and post test of explicit and implicit bias of health care providers in an OB/GYN practice. The post-test will be conducted after an intervention that includes provider education on improving the environment of care for obese women as well as viewing a video of obese women’s experience of stigma and bias in the health care setting. Data about explicit and implicit bias will be collected from providers. Demographic data about providers will be collected including professional role, age, gender, years of practice, race, ethnicity, and BMI. The Implicit Association Test for obesity and the Anti-fat Attitudes Test for explicit bias will be administered pre and post intervention. The Implicit Association test has been validated by a multitrait, multimethod validation that has found the instrument to be a credible measure of implicit attitudes (Nosek and Smyth, 2007). The Antifat Attiudes Test of explicit bias has 47 items in 3 major categories found to have r values>.60 validating the acceptable quality of this instrument (Lewis, Cash, Jacobi, & Bubb-Lewis,1995). Data will be collected and the educational intervention will be facilitated over approximately 1 month at a chosen OB/GYN practice.</p> <p> The goal of this project is to improve the quality of care and empathy towards obese women by health care providers in an OB/GYN practice through provider education about experience of obese women who receive healthcare and provision of resources to improve comfort and quality of care to obese women in an OB/GYN practice.</p>en
dc.subjectObesityen
dc.subjectStigmaen
dc.subjectWomenen
dc.date.available2017-06-16T20:08:45Z-
dc.date.issued2017-06-16-
dc.date.accessioned2017-06-16T20:08:45Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.