Evidence mapPaperPMID 39638862Full record

ArticleInternational journal of obesity (2005)2025

Exploring dietitians' experiences caring for patients living with obesity in acute care: a qualitative study.

Andrea Elliott, Judy Bauer, Cassie McDonald, Simone Gibson

Abstract readMulticenter Study
In one paragraph

Article in International journal of obesity (2005), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Addressing Malnutrition in Australian Hospitals: A Scoping Review to Inform Systems Thinking.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Article
  3. Review
  4. Understanding Primary Care Dietitians' Experiences and Perspectives on Weight Management Practice Using the COM-B Model.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Andrea ElliottDepartment of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash University, Notting Hill, VIC, Australia.ORCID 0000-0002-4002-2867
Judy BauerDepartment of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash University, Notting Hill, VIC, Australia.
Cassie McDonaldAllied Health, Alfred Health, Prahran, VIC, Australia.ORCID 0000-0001-9518-5869
Simone GibsonDepartment of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash University, Notting Hill, VIC, Australia. simone.gibson@monash.edu.ORCID 0000-0002-0008-9020

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a modifiable risk factor associated with hospital-associated complications. Recent studies show there is a high prevalence of patients with obesity presenting to hospital and evidence indicates that people living with obesity should receive diet advice from a dietitian; however, patients often do not receive this care in acute settings.

aimThe primary aim of this study was to explore the experiences of dietitians caring for patients living with obesity in acute hospital settings.

methodsA multi-site qualitative study was conducted from October 2021 to November 2023 in Melbourne, Australia. Constructivist grounded theory methodology informed sampling and data collection. Semi-structured interviews were undertaken with dietitians working in acute care. Data were analysed using open coding and constant comparison underpinned by Charmaz's framework.

resultsInterviews were conducted with 25 dietitians working across four hospitals. The theory developed from the data describes an enculturated decision-making process whereby acute clinical dietitians are limiting acute nutrition care for people living with obesity in hospital. The theory includes five interdependent categories that influence clinical decision-making and practice: (1) culture of professional practice, (2) science and evidence, (3) acknowledgement of weight bias and stigma, (4) dietitian-led care and (5) hospital systems and environment.

conclusionThe findings from this study provide new insights as to why dietitians may not be providing acute nutrition care for people living with obesity. Strategic leadership from clinical leaders and education providers together with the lived experience perspectives of people with obesity is needed to shift the culture of dietetic professional practice to consider all nutrition care needs of patients living with obesity who are accessing acute hospitals for health care.

Indexed as

NutritionistsObesityAdultAttitude of Health PersonnelAustraliaFemaleGrounded TheoryHumansMaleMiddle AgedQualitative Research

Identifiers

PMID39638862
PMCPMC11999867

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.