Date of Conferral

2021

Degree

Ph.D.

School

Nursing

Advisor

Kelly Fisher

Abstract

Obesity has become an epidemic in the United States (U.S.) population. Obesity is a risk factor for many health problems that ultimately lead to death or disability. Nurses in the U.S have a higher-than-average rate of overweight and obesity. The purpose of this exploratory, qualitative case study was to identify and recommend areas for change in the hospital environment to assist bedside nurses in the U.S to have a healthier lifestyle. Social media was used to conduct a purposeful sampling technique and recruit 10 registered nurses working full time at the bedside in the U.S who struggle with obesity. Semi structured telephone interviews with the participants were recorded and transcribed verbatim for data collection. Deci and Ryan’s self-determination theory was the conceptual framework for this study. Concepts from this theory were used to help code and analyze the data to explore the barriers and facilitators for weight loss. Pattern matching of the themes with international studies added validity. The six common, emergent themes regarding barriers were stress, exhaustion, opportunity, schedule, availability, and compassion. This study has implications for positive social change through recommending that administrators improve staffing, food options, stress management, and incentives. These interventions can improve the health of the nurses, preventing early retirement and/or disability.

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