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Villelixe Soto
Nursing Research

Obesity rates among children remain high and continue to affect children and adolescents at an alarming rate. Florida has one of the highest rates of childhood obesity along with the most inconsistent policies to address the issue (Trudnak, Melton, Baldwin & Simpson, 2012). For example, in 2011, the report published by the Robert Wood Johnson Foundation, F as in Fat: How Obesity Policies Are Failing in America, noted that Florida ranked at a rate of 28% on the top 10 of 50 states for childhood obesity (Trudnak, Melton, Baldwin & Simpson, 2012). 
           A recent federal initiative to combat childhood obesity was spearheaded in Florida’s public schools to help reinforce nutrition programs and reinforce childhood obesity efforts. The Recommended Community Strategies and Measurements to Prevent Obesity received funding through the CDC to implement nutrition programs in public schools throughout Florida for the years 2012 – 2019, but has fallen short in the procedural and regulatory process to comply with guideline and standards set by the funding agency (Schaffer & Broussard, 2017). 
           The Florida State Senator for District 26 is Anitere Flores has recently worked with the Miami-Dade School District to reestablish the Recommended Community Strategies and Measurements to Prevent Obesity and expand its reach to Florida charter schools. The program’s goals are to implement a 5-step program to identify, locate, and enforce nutritional foods into Florida schools to decrease the incidence of childhood obesity (Schaffer & Broussard, 2017). 
           Healthcare remains an important component of human life. Obesity is one of the problems that society has to handle. Although the weight concern affects various groups of the society, children form part of the groups that are adversely affected. Against this backdrop, it is expected that nurses should play a key role towards ensuring that people receive adequate care. Besides the extension of direct care, it is anticipated that nurses need to participate in policy development through evidence-based practice or environment-based knowledge that is gathered through both research and practice. The problem needs urgent measures given that the evidence gathered in the paper shows that the incidence of obesity has been on the rise since the 1990s.
References

Center for Disease Control and Prevention. (2017). Childhood obesity facts. Center for
Disease Control and Prevention.
https://www.cdc.gov/obesity/data/childhood.html.

Schaffer, K., & Broussard, K. (2017). Enhancing Access to Healthy, Affordable Food in ECE Settings. Exchange Journal, 39(235), 20-24.

Trudnak, T., Melton, S. T., Baldwin, J., & Simpson, L. (2012). The Childhood Obesity Response in Florida: Where Do We Stand? Childhood Obesity, 8(3), 237-242.
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Ana Barreras Lopez

8/2/21, 8:50 PM
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      Bedsores or pressure ulcers are one of the most common problems in any health care settings. It can be developed over hours or days hence the importance of applying prevention measures on a daily basis. Active monitoring of compliance with these standards will help to reduce the incidence of these events. Scheduled and frequent head to toes skin assessment are essential to address the problem and implant interventions to fix it. The primary contributing factors are: pressure, friction, and shear. Among the risk factors we found: immobility, incontinence, sensory diminished, nutrition, hydration, and circulation.
            Taking into account the above, it is imperative to create internal mechanisms that promote the prevention of this type of event. The creation of a set of daily tasks, common to all those at risk would be advantageous. Frequent reposition, nutrition, hydration, correct selection of bed and cushions, adjust the elevation of the head bed to prevent shearing, adequate skin care, cleansing routine, and programmed skin monitor. Starting with scheduled head to toes skin assessment, the implementation of the proper skin protection sets would be beneficial. It could be a good subject for research and the conclusion can contribute to improve the level of care.         

           Of course, human factor can not be ignored. Nurses in general must be training in this topic. Nurse’s Aide have to be encouraged to report any findings they saw when providing care. this can be done verbally, filling a form, noted on a special binder, or any other way that best fit the characteristics of each setting. Advances in science have allowed new treatments and prevention measures that could be implemented. I think that a review of the current policies and procedures is required to adapt them to modern times. Evidence-based quality improvement leads to the launch of initiatives such as: practice adoption, education, model and theory development, and scientific engagement.
References:
Bedsores (pressure ulcers) – Symptoms and causes. (2020, February 29). Mayo Clinic.
https://www.mayoclinic.org/diseases-conditions/bed-sores/symptoms-causes/syc-20355893

Tappen, R. M. (2015). Advanced Nursing Research: From Theory to Practice (2nd ed.). Jones & Bartlett Learning.
 
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Adelisa Bencomo

8/2/21, 2:37 PM
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A prevalent problem in almost all hospitals nowadays is the shorter the staff. Not only of nurses but in almost all areas there is a lack of personnel. If we wanted to look for a culprit, we would think about the Covid. Still, in my experience, that lack of personnel is not for a shortage of nurses; that is what the hospitals’ administrations do make-believe with bells and recognitions of the heroes who work to we think that they make a great effort to improve that situation. But in my opinion, it is nothing more than commercials and advertisements to keep staff working, when in reality, society is full of graduate nurses willing to work.
Then we should think; If we know so many nurses, why are hospitals short? Hospital administrations over the years have created a hostile, toxic, and unsafe environment in their facilities. If I could do a researcher, it would be based on achieving a healthy, official and harmonious environment within hospitals, where I could analyze and publicize strategies to break the taboo of the lack of personnel within hospital facilities.
If we analyze it well, hospitals should change several policies regarding how they handle the condition and overwork of their employees forced to work often in situations that are not healthy or safe at all. In the end, their only gratification is a word of encouragement to cover that they are not doing anything to solve the internal problems that are the real responsible for the lack of employees. They do not want to show them.
In conclusion, it is not a lack of nurses, but rather that many nurses do not want to work in such hostile conditions. Where the nurse’s work is not valued, they want to hide it with posters and heroes propaganda when in reality, we are exploited by the large millionaire companies that profit from overwork health personnel is subjected daily.

References
Tappen, R. M. (2016). Advanced nursing research: From theory and practice (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
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