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FBCBNA ANNUAL WOMEN’S HEALTH SYMPOSIUM
Dr. Cynthia J. Hickman, Ph.D., RN., MSN/Ed.
Practitioner of Nutrition & Nursing Education
2018
Topic: Obesity, Nutrition, and Nursing Practitioners
DISCLAIMER
This presentation is intended for educational purposes only and does
not replace independent professional judgment.
OBJECTIVE
To enhance knowledge of nutrition in nurse practitioners
and the application of such knowledge to the maintenance
of personal nutritional health and prevention of disease
shared in an atmosphere of professional congeniality.
INTRODUCTION
Nutrition is defined as the science of food and its relationship to
health.
Primarily concerned with nutrients that fuels our body for:
 Growth
 Development
 Maintenance
Good nutrition means “maintaining a nutritional balance that
enables us to enjoy good health.
YOU ARE WHAT YOU EAT...TRUE OR FALSE?
I don’t have rights to this video
DO WE VALUE NUTRITION?
In the past few decades, there has been increasing
recognition of the value of prevention using nutrition as the
catalyst.
Public interest in nutrition is on the rise d/t soaring
healthcare costs(mostly associated with chronic diseases).
Solution: healthy lifestyle behaviors
Phiri, .P., Draper, C., E., Lamber, E. V., Kolbe-Alexander, T., L. (2014). Nurses' lifestyle behaviors, health priorities and barriers to living a healthy lifestyle: A qualitative
descriptive study. BMC Nursing, 13 (1), 38
It showed that nursing students and RNs have an average BMI of 27.6(overweight range)
Participants responses:
 28% of the participants responded that healthy food choices were not available during
work hours
 31% said their workplace did not offer nutrition and weight management classes and
counseling
 38% felt that healthy food prices were not comparable to other food prices at work
America Nurses Association(ANA) Health
Risk Survey
ANA(2016). http://nursingworld.org/HRA-Executive-Summary
HUMAN BEHAVIOR
Human behavior is believed to be influenced by these 2 systems:
Organisms with complex nervous systems have greater capacity to learn and adjust
behavior.
Gregory, A (2015). Book of Alan: A Universal Order. ISBN 978-1-5144-2053-9.
Tortora, G.J., & Derrickson, B. (2016). Principles of Anatomy and Physiology (15th edition). J. Wiley
Endocrine
System
Nervous
System
OLD PROVERBIAL PHASES
We eat to live, not live to eat
or
Actions speak louder than words
Benham, W. Gurney (1926). Putnam's Complete Book of Quotations, Proverbs, and Household Words. New York: G.P. Putnam's Sons.
BARRIERS TO NURSES EATING HEALTHY
 Work schedules (7-3)(3-11) (11-7) (7-7) (8-4)(per diem) (w/ends)
 Individual barriers( lack of rest & sleep) (smoking and alcohol use)
 Aspects of the physical workplace environment(cafeteria closed)
 Social eating practices (bad habits)
Overall, the workplace exerted a negative influence on nurses’ dietary intake.
Nicholls R., Perry L., Duffield C., Gallagher R.& Pierce H. (2017) Barriers and facilitators to healthy eating for nurses in the workplace: an integrative review. Journal of Advanced
Nursing 73(5), 1051–1065. doi: 10.1111/jan.13185
MISSING MEALS LEAD TO OBESITY
 A recent study supported by the federal Agency for Healthcare
Research and Quality showed that nurses routinely miss meals to
care for patients.
 Skipping meals also may lead to cravings and sudden blood glucose
spikes.
U.S. Department of Health and Human Services. Agency for Healthcare Research and Quality. (2009). .Skipping meals or breaks may contribute to nurse burnout and jeopardize nurses’
health. www.ahrq.gov/research/mar05/0305RA4.htm.
THE STRUGGLE IS REAL!
Nurses struggle with nutrition, just like the rest of the
U.S. population. Nurses face special challenges with
healthy eating due in part, to shiftwork, limited
workplace food options, and unpredictable meal breaks.
So….what do we do about this…
American Nurses Association [ANA] & Insight Consulting Group [ICG]. (2016). Health risk appraisal exploratory data analysis: November 30, 2016
THE ROLE OF NURSES AND THEIR NUTRITION HEALTH
ONE WORD:
Ownership!
TWO AREAS OF FOCUS
WATCH YOUR SUGAR
Reed, D. (2014. Healthy Eating for Healthy Nurses: Nutrition Basics to Promote Health for Nurses and Patients. The Online Journal of Issues in Nursing,19(3), Manuscript 7.
….Did You Know..
56 Different Names for Sugar
WATCH YOUR FATS
NUTRITIONAL FOOD LABEL
FAT
GOOD FATS
&
BAD FATS
A BALANCED EATING FOUNDATION
Balanced eating has a foundation based in three core areas:
 Physical: what you eat nourishes your body
 Emotional: what you eat brings pleasure and joy
 Spiritual: what you choose to eat comes from listening to your body
beyond the rule or compulsion
REMEMBER
American Nurses Association.(2016). http://nursingworld.org/HRA-Executive-Summary
Benham, W. Gurney (1926). Putnam's Complete Book of Quotations, Proverbs, and Household Words. New York: G.P. Putnam's Sons.
Darch, J., Baillie, L., Gillison, F. (2017).Nurses as role models in health promotion: a concept analysis, British Journal of Nursing, 2017, 26, 17, 982
Gregory, A (2015). Book of Alan: A Universal Order. ISBN 978-1-5144-2053-9.
Hickman, C. (2016) Dissertation (Influences of Nutritional Food Label Understanding in African American with Obesity.
https://search.proquest.com/openview/1c459e82ade69b53e1de95f3ba248769/1?pq-origsite=gscholar&cbl=18750&diss=y
National Health Advisory. (2016). Good fats and bad fats. Retrieved from https://health.gov/dietaryguidelines/2015/guidelines/
Nicholls R., Perry L., Duffield C., Gallagher R.& Pierce H. (2017) Barriers and facilitators to healthy eating for nurses in the workplace: an integrative
review. Journal of Advanced Nursing 73(5), 1051–1065. doi: 10.1111/jan.13185
Phiri, .P., Draper, C., E., Lamber, E. V., Kolbe-Alexander, T., L. (2014). Nurses' lifestyle behaviors, health priorities and barriers to living a healthy
lifestyle: A qualitative descriptive study. BMC Nursing, 13 (1), 38.
Tortora, G.J., & Derrickson, B. (2016). Principles of Anatomy and Physiology (15th edition). J. Wiley
U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th Edition.
December 2015. Available at http://health.gov/dietaryguidelines/2015/guidelines/.
REFERENCES
THANK YOU
Contact Information:
Dr. Cynthia J. Hickman(Dr.CynthiaSpeaks)
https://cynthiajhickman.info/
https://www.linkedin.com/in/dr-cynthia-j-hickman-8377871b/
https://www.facebook.com/DrCynthiaSpeaks/
https://twitter.com/Shuggga
cjhbeh@msn.com

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Obesity, Nutrition and Nursing Practitioners by Dr. Cynthia J. Hickman

  • 1. FBCBNA ANNUAL WOMEN’S HEALTH SYMPOSIUM Dr. Cynthia J. Hickman, Ph.D., RN., MSN/Ed. Practitioner of Nutrition & Nursing Education 2018 Topic: Obesity, Nutrition, and Nursing Practitioners
  • 2. DISCLAIMER This presentation is intended for educational purposes only and does not replace independent professional judgment.
  • 3. OBJECTIVE To enhance knowledge of nutrition in nurse practitioners and the application of such knowledge to the maintenance of personal nutritional health and prevention of disease shared in an atmosphere of professional congeniality.
  • 4. INTRODUCTION Nutrition is defined as the science of food and its relationship to health. Primarily concerned with nutrients that fuels our body for:  Growth  Development  Maintenance Good nutrition means “maintaining a nutritional balance that enables us to enjoy good health.
  • 5. YOU ARE WHAT YOU EAT...TRUE OR FALSE? I don’t have rights to this video
  • 6. DO WE VALUE NUTRITION? In the past few decades, there has been increasing recognition of the value of prevention using nutrition as the catalyst. Public interest in nutrition is on the rise d/t soaring healthcare costs(mostly associated with chronic diseases). Solution: healthy lifestyle behaviors Phiri, .P., Draper, C., E., Lamber, E. V., Kolbe-Alexander, T., L. (2014). Nurses' lifestyle behaviors, health priorities and barriers to living a healthy lifestyle: A qualitative descriptive study. BMC Nursing, 13 (1), 38
  • 7. It showed that nursing students and RNs have an average BMI of 27.6(overweight range) Participants responses:  28% of the participants responded that healthy food choices were not available during work hours  31% said their workplace did not offer nutrition and weight management classes and counseling  38% felt that healthy food prices were not comparable to other food prices at work America Nurses Association(ANA) Health Risk Survey ANA(2016). http://nursingworld.org/HRA-Executive-Summary
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  • 9. HUMAN BEHAVIOR Human behavior is believed to be influenced by these 2 systems: Organisms with complex nervous systems have greater capacity to learn and adjust behavior. Gregory, A (2015). Book of Alan: A Universal Order. ISBN 978-1-5144-2053-9. Tortora, G.J., & Derrickson, B. (2016). Principles of Anatomy and Physiology (15th edition). J. Wiley Endocrine System Nervous System
  • 10. OLD PROVERBIAL PHASES We eat to live, not live to eat or Actions speak louder than words Benham, W. Gurney (1926). Putnam's Complete Book of Quotations, Proverbs, and Household Words. New York: G.P. Putnam's Sons.
  • 11. BARRIERS TO NURSES EATING HEALTHY  Work schedules (7-3)(3-11) (11-7) (7-7) (8-4)(per diem) (w/ends)  Individual barriers( lack of rest & sleep) (smoking and alcohol use)  Aspects of the physical workplace environment(cafeteria closed)  Social eating practices (bad habits) Overall, the workplace exerted a negative influence on nurses’ dietary intake. Nicholls R., Perry L., Duffield C., Gallagher R.& Pierce H. (2017) Barriers and facilitators to healthy eating for nurses in the workplace: an integrative review. Journal of Advanced Nursing 73(5), 1051–1065. doi: 10.1111/jan.13185
  • 12. MISSING MEALS LEAD TO OBESITY  A recent study supported by the federal Agency for Healthcare Research and Quality showed that nurses routinely miss meals to care for patients.  Skipping meals also may lead to cravings and sudden blood glucose spikes. U.S. Department of Health and Human Services. Agency for Healthcare Research and Quality. (2009). .Skipping meals or breaks may contribute to nurse burnout and jeopardize nurses’ health. www.ahrq.gov/research/mar05/0305RA4.htm.
  • 13.
  • 14. THE STRUGGLE IS REAL! Nurses struggle with nutrition, just like the rest of the U.S. population. Nurses face special challenges with healthy eating due in part, to shiftwork, limited workplace food options, and unpredictable meal breaks. So….what do we do about this… American Nurses Association [ANA] & Insight Consulting Group [ICG]. (2016). Health risk appraisal exploratory data analysis: November 30, 2016
  • 15. THE ROLE OF NURSES AND THEIR NUTRITION HEALTH ONE WORD: Ownership!
  • 16. TWO AREAS OF FOCUS
  • 17. WATCH YOUR SUGAR Reed, D. (2014. Healthy Eating for Healthy Nurses: Nutrition Basics to Promote Health for Nurses and Patients. The Online Journal of Issues in Nursing,19(3), Manuscript 7. ….Did You Know.. 56 Different Names for Sugar
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  • 24. A BALANCED EATING FOUNDATION Balanced eating has a foundation based in three core areas:  Physical: what you eat nourishes your body  Emotional: what you eat brings pleasure and joy  Spiritual: what you choose to eat comes from listening to your body beyond the rule or compulsion
  • 26. American Nurses Association.(2016). http://nursingworld.org/HRA-Executive-Summary Benham, W. Gurney (1926). Putnam's Complete Book of Quotations, Proverbs, and Household Words. New York: G.P. Putnam's Sons. Darch, J., Baillie, L., Gillison, F. (2017).Nurses as role models in health promotion: a concept analysis, British Journal of Nursing, 2017, 26, 17, 982 Gregory, A (2015). Book of Alan: A Universal Order. ISBN 978-1-5144-2053-9. Hickman, C. (2016) Dissertation (Influences of Nutritional Food Label Understanding in African American with Obesity. https://search.proquest.com/openview/1c459e82ade69b53e1de95f3ba248769/1?pq-origsite=gscholar&cbl=18750&diss=y National Health Advisory. (2016). Good fats and bad fats. Retrieved from https://health.gov/dietaryguidelines/2015/guidelines/ Nicholls R., Perry L., Duffield C., Gallagher R.& Pierce H. (2017) Barriers and facilitators to healthy eating for nurses in the workplace: an integrative review. Journal of Advanced Nursing 73(5), 1051–1065. doi: 10.1111/jan.13185 Phiri, .P., Draper, C., E., Lamber, E. V., Kolbe-Alexander, T., L. (2014). Nurses' lifestyle behaviors, health priorities and barriers to living a healthy lifestyle: A qualitative descriptive study. BMC Nursing, 13 (1), 38. Tortora, G.J., & Derrickson, B. (2016). Principles of Anatomy and Physiology (15th edition). J. Wiley U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th Edition. December 2015. Available at http://health.gov/dietaryguidelines/2015/guidelines/. REFERENCES
  • 27. THANK YOU Contact Information: Dr. Cynthia J. Hickman(Dr.CynthiaSpeaks) https://cynthiajhickman.info/ https://www.linkedin.com/in/dr-cynthia-j-hickman-8377871b/ https://www.facebook.com/DrCynthiaSpeaks/ https://twitter.com/Shuggga cjhbeh@msn.com

Editor's Notes

  1. Proverbial phrase….How many times have we heard we eat to live, not live to eat?
  2. . It is most commonly believed that complexity in the behavior of an organism is correlated to the complexity of its nervous system. Generally,