Benchmark – Part B: Population Health Research and PICOT

 

The prevalence of childhood obesity continues to raise a serious public health concern. The development of the condition is significantly influenced by poor parental practices; parents tend to give their children inappropriate food which eventually puts them at high risk of developing childhood obesity. The prevalence of obesity among the children is higher among the minority ethnic groups including the African Americans and Latin Americans. According to the federal government statistics, the prevalence of childhood obesity among the Latin American children is 25.8% and this is slightly higher than the rate recorded for the African American children (“State of Childhood Obesity”, n.d.). Therefore, exploring effective measures to address and reduce childhood obesity among the Latin Americans is significantly essential.

Nurses remain at the core of effective care provision and a growing profession because of its evolution. The need for advanced education and training, ensures that nurses are well positioned to deliver care in a transforming health industry. Today, professional nursing entails specialization and scopes of practice based on one’s clinical skills, capabilities, and competencies. The use of innovative care models and evidence-based practice implores nurses to advance their education, focus on patient care, and work in teams to enhance quality and delivery of patient care (Graebe & Chappell, 2019). The purpose of this essay is to evaluate contemporary nursing practice and evaluate how it has changed over time and its position today in health care system.

Methodology

The study involves literature review where a total of five articles were reviewed. The selection of the articles was based on their relevance to the research topic. The key search words included ‘pediatric obesity, childhood obesity, Culturally Tailored, Family Centered and Behavioral Intervention.’ A total of 25 articles were retrieved in the initial search; this was filtered to 5 articles based on the clinical research appraisal guidelines.

Literature Review

The study conducted by Falbe, Cadiz, Tantoco, Thompson, & Madsen, (2015) explored the effectiveness of culturally tailored obesity interventions among Latino children. The study involved testing the impact of the family-centered culturally tailored obesity on the body mass index as well as determining the cardiovascular risks among the Latino children. A randomized control trial study design was utilized whereby a population of 55 parent-child dyads was given an active and healthy family or the contemporary care waits for the list-control condition. The selection of the dyads was based on their ability to speak Spanish and provided that they took care of children aged between 5 and 12 years. The active and healthy families’ interventions were given for 10 weeks. The results indicated that children receiving the AHF intervention recorded a significant reduction in the BMI and also exhibited a relative improvement compared to the control in terms of blood pressure, triglycerides level and fasting blood measures. Falbe et al. (2015) concluded that AHF interventions were more effective in the management and prevention of childhood obesity among Latino children. The findings from the study are relevant in exploring the PICOT in the current study. AHF is among the family interventions that have been proposed in the current study that could help reduce body mass index.

Further, Smith, et al., (2018) explored the impact of the family-centered intervention for pediatric obesity in the primary care setting. Pediatric obesity is a major public health concern that is associated with early mortality, cancer, and cardiovascular diseases. Slight changes in the dietary intake, body mass index (BMI) and physical activities can significantly reduce the risks associated with the development of cardiovascular conditions. According to the study, family-based behavioral interventions have been underutilized in the management and prevention of obesity among children. The study employed a randomized control trial where the effectiveness of the Family Check-Up 4 Health programs were evaluated. A total of 350 families with children aged between 6 and 12 years were recruited in the study. The children were identified as overweight. The population characterized by multi-ethnic groups including the Latinos, African Americans, and the American Indians.

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