Details: 

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500-word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background

2. Problem statement

3. Purpose of the change proposal

4. PICOT

5. Literature search strategy employed

6. Evaluation of the literature

7. Applicable change or nursing theory utilized

8. Proposed implementation plan with outcome measures

9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, you are required to retrieve and assess a minimum of 8 peer-reviewed

Running Head: CHILDHOOD OBESITY 2

 

 

 

 

 

Topic: Childhood Obesity – PICOT Statement

 

 

 

 

 

 

 

 

P-I-C-O-T Statement

P- Obese children under the age of 12 with a BMI index of 30 or more.

I-Educational Nutrition programs involving Proper diet and engaging in physical activity

C- Children who will be involved in the educational program versus those who will not be engaged.

O- Reduction in obesity among children below the age of 12 by increasing knowledge on nutrition education

T- A period not less than 1 year

Introduction

It is evident that obesity and overweight in general have become worldwide epidemics as illustrated by the widespread concerns. Moreover, this menace has been associated with other life-threatening complications such diabetes, cancers, cardiovascular complications and a wide range of health problems, making it an even complicated case that needs to be attended to (Reilly, & Kelly, 2011). For children below the age of 12, obesity has not only resulted to the mentioned health problems, but also forms a basis for ridicule and overall loss of the self-esteem that is vital in development into adulthood. Due to this continued prevalence, there is need for the involved stakeholders such as the government and other policy makers in the healthcare system to have in place research-based interventions that will ensure a drop-in number of children affected. It is further crucial to understand the implications of obesity go beyond affecting the individual directly and affect both the individual and the nation through the high cost of treatment. All these can be addressed in a nutrition education program that is suggested by this paper. The following is a PICOT statement intends to find lasting solutions to this problem; Comment by Melissa Reedy: You actually want to include your PICOT statement here as well

Population

Despite recording some decline in the prevalence of obesity among children below the age of 12, the numbers are still too high, and something must be quickly done before we completely lose control of this problem. Statistics indicate that, 12.7 million children and adolescents are affected by obesity (Ogden, Carroll, Kit, & Flegal, 2012). The target population for this research is children below the age of 12.

Intervention

All intended intervention procedures should be based on research evidence and they should primarily focus on preventing children from being overweight and treating those that are already affected. The intervention suggested here is having a nutritional education program that highlights dieting and exercising. Dieting as an intervention requires changing the general food environment and making available healthy choices. Intense physical activities on the other hand are meant to eradicate sedentary lifestyles and creating policies that seek to change the overall socioeconomic environment could impact positively on the health of the population (O’Reilly, Cook, Spruijt‐Metz, & Black, 2014).

Comparison

Through research-based evidence, the caregiver is mandated to educate the entire community on the entire subject matter. This means conducting civil education and ensuring information is readily available in the community (Summerbell, 2011). For this to work, the evidence provided must be compared to the practice being opposed. In this case, the practitioner suggests comparing results from obese children involved in an education nutritional program vs those not involved in one.

Outcome

The general outcome is to ensure research and evidence is used to guarantee a society that is working towards healthy living and is characterized by continued care for the affected and prevention measures (Puhl, & Heuer, 2010). At the end of the intervention process, there should be little risk of obesity in the United States and an overhaul of the entire system that has for a long time not dealt with the issue. One of the leading causes of previous interventions because modifications is targeted at the micro levels. Whereby targeting children individually, families, or schools make it harder to achieve positive outcomes or impacts on other influences on weight status that affect the general environment at the macro levels. Therefore, successful obesity control efforts must require a more macro-environmental strategy in addition to the micro level behavioral adjustments.

 

Time

Since obesity is a problem that has affected the community for years, the intervention process can only last for at least a year before meaningful conclusions can be drawn. The time it takes to completely have an impact on the problem will also depend on the number of disciplines that work together to find a lasting solution. Since research evidence is based on multidisciplinary collaboration, coming up with a fool proof solution to obesity in children will take a considerable amount of time (Han, Lawlor, & Kimm, 2010).

References

Bonomi, A. G., & Westerterp, K. R. (2012). Advances in physical activity monitoring and lifestyle interventions in obesity: a review. International journal of obesity, 36(2), 167.

Han, J. C., Lawlor, D. A., & Kimm, S. Y. (2010). Childhood obesity. The Lancet, 375(9727), 1737-1748.

Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2012). Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. Jama, 307(5), 483-490.

O’Reilly, G. A., Cook, L., Spruijt‐Metz, D., & Black, D. S. (2014). Mindfulness‐based interventions for obesity‐related eating behaviours: a literature review. Obesity reviews, 15(6), 453-461.

Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: important considerations for public health. American journal of public health, 100(6), 1019-1028.

Reilly, J. J., & Kelly, J. (2011). Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. International journal of obesity, 35(7), 891.

Wang, Y., Wu, Y., Wilson, R. F., Bleich, S., Cheskin, L., Weston, C., … & Segal, J. (2013). Childhood obesity prevention programs: comparative effectiveness review and meta-analysis.

Waters, E., de Silva‐Sanigorski, A., Burford, B. J., Brown, T., Campbell, K. J., Gao, Y., … & Summerbell, C. D. (2011). Interventions for preventing obesity in children. The Cochrane Library.

1.  Review the Debate Issue on page 295. Describe the pros and cons of each stance described. Your answers should be a total of two to three paragraphs for each stance. Each paragraph should contain three to five complex sentences.
2. Write your answers to the following questions about Case 18, “Managing the Risks of Bribery in Business,” beginning on page 583. Your answers should total one to two paragraphs for each question. Each paragraph should contain three to five complex sentences.

1. What led to Pfizer’s, Siemens’, and Ralph Lauren’s violations of the Foreign Corrupt Practices Act?
2. What are the differences between the provisions of the United States Foreign Corrupt Practices Act and the United Kingdom Bribery Act?
3. Check for more recent situations where companies have been accused of violating the Foreign Corrupt Practices Act. Why do you think these companies chose to engage in bribery?
4. Why is it so difficult to determine when a minor gift, an entertainment, or an incentive constitutes a bribe?
5. What lessons can be learned from the companies described in this case study?