Table 2.
Themes generated from the findings
| Themes | Authors | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Superordinate Themes | Subordinate themes | Booth et al., 2011 [41] | Broome et al., 2015 [38] | Dockrell & Hurley, 2021 [52] | Drake et al., 2005 [49] | Drake et al., 2008 [42] | Ecklund & Kurlak, 2004 [39, 54] | Gardner & Gibbs 2013 [44, 45] | Gardner & Pagano, 2013a [43] | Gardner & Pagano,2013b [46] | Hignett et al., 2007 [47] | Holland et al., 2001 [40] | Palmer, 2004 [53] | Rose et al., 2007 [48] | Rose et al., 2010 [50] | Frequency |
| Access, knowledge and training related to equipment | Appropriate equipment available | X | X | X | X | X | X | X | X | X | X | X | 11 | |||
| Appropriate equipment unavailable | X | X | X | X | X | X | X | X | X | X | X | X | 11 | |||
| Equipment failure/malfunction | X | X | X | X | X | 5 | ||||||||||
| Staff knowledge about how to use equipment | X | X | X | X | 3 | |||||||||||
| Weight capacity of equipment identified and known | X | X | X | X | 4 | |||||||||||
| Patient Care | Circulation issues | X | 1 | |||||||||||||
| Elimination (and personal hygiene) needs | X | X | X | 3 | ||||||||||||
| Gait and mobility issues | X | X | X | X | X | X | X | X | X | X | 10 | |||||
| Maintaining patient comfort and dignity | X | X | X | X | X | X | X | X | 8 | |||||||
| Maintaining patient safety | X | X | X | X | X | X | X | X | X | X | 10 | |||||
| Nutritional assessment to insure adequate caloric intake | X | X | 2 | |||||||||||||
| Pain and symptom management | X | X | 2 | |||||||||||||
| Patient care plan (daily routine) | X | X | X | X | X | 5 | ||||||||||
| Patient education about their own self-care | X | X | 2 | |||||||||||||
| Patient’s psychosocial care and needs | X | X | X | X | 4 | |||||||||||
| Respiration issues | X | X | X | X | 4 | |||||||||||
| Skin integrity issues identified | X | X | X | X | 4 | |||||||||||
| Opportunities to improve care | Communication between staff members | X | X | X | X | 4 | ||||||||||
| Nurses’ concerns/attitudes/safety | X | X | X | X | X | X | 6 | |||||||||
| Patient’s acuity and independence levels determined how challenging nursing patients with class III obesity was | X | X | 2 | |||||||||||||
| Protocols available on the care of people living with class III obesity | X | X | X | X | X | X | X | X | X | X | X | 10 | ||||
| Hospital policies and procedures for the care of patients with class III obesity either not in place or not followed | X | X | X | X | X | X | 5 | |||||||||
| Increased resources needed to care for patients with class III obesity | X | X | X | X | X | X | X | X | X | 7 | ||||||
| Infrastructure/facility not retrofitted or lack of space to accommodate necessary equipment (including lifts, floors and doors) | X | X | X | X | X | X | X | X | X | 9 | ||||||
| Multidisciplinary/interdisciplinary approach to the care of patients with class III obesity | X | X | X | X | X | 5 | ||||||||||