Improving Effective Weight Management in a University Health Center

Published:October 24, 2021DOI:https://doi.org/10.1016/j.nurpra.2021.09.023

      Highlights

      • Applying evidence-based guidelines improves effective weight management.
      • Integrating the 5 As Framework (assess, advise, agree, assist, and arrange) into intervention tools fosters guideline adherence.
      • Collaborative team environments improve quality improvement project outcomes.
      • Implementation of weight management initiatives involves negligible costs.
      • Benefits are increased volume of patients and billable codes.

      Abstract

      The prevalence of obesity has nearly tripled since 1975, making weight management essential yet inadequately addressed in health care. This quality improvement project successfully improved weight management in a university health center with the 5 As (assess, advise, agree, assist, and arrange) Framework and four 2-week plan-do-study-act cycles. Each cycle incorporated data evaluation and tests of change related to project interventions, including a screening trigger tool, shared decision-making tool, case management log, and team engagement plan. Effective care, as measured by a point system based on current evidence-based weight management guidelines, reached a 78% mean score, exceeding the 75% aim of the project.

      Keywords

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      Biography

      Dr. Allison Ensign is with the Department of Nursing, Utah Valley University, Orem, UT. Dr. Kimberly Couch is with the Department of Nursing, Frontier Nursing University, Versailles, KY. Allison Ensign, DNP, FNP-C, is an Assistant Professor and a Family Nurse Practitioner and can be contacted at [email protected] . Kimberly Couch, DNP, CNM, FNP-BC, is a Clinical Faculty Member and a Certified Nurse Midwife.