Marianjoy Library

Online Nursing Journal Club

July, 2015

Welcome to the online Nursing Journal Club! The articles for this month will count for 1.5 continuing education credits. Attached are the articles in PDF format. These articles will be available through August 31. Discussion Via Google Docs/Drive

Reading Assignment:

Article # 1

Evaluation of nurse's attitudes toward adult patients of size.
Gujral H1, Tea C, Sheridan M.

Surg Obes Relat Dis. 2011 Jul-Aug;7(4):536-40. doi: 10.1016/j.soard.2011.03.008. Epub 2011 Mar 28.

Available Full-Text only from the Marianjoy network or from library staff


Obesity is a growing epidemic in the United States, with waistlines expanding (overweight) for almost 66% of the population (National Health and Nutrition Examination Survey 1999-2004). The attitude of society, which includes healthcare providers, toward people of size has traditionally been negative, regardless of their own gender, age, experience, and occupation. The purpose of the present study was to determine whether bariatric sensitivity training could improve nursing attitudes and beliefs toward adult obese patients and whether nurses' own body mass index (BMI) affected their attitude and belief scores.

An on-line survey was conducted of nursing attitudes and beliefs regarding adult obese patients. The responses were compared between 1 hospital that offered bariatric sensitivity training and 1 that did not. The primary study measures were 2 scales that have been validated to assess weight bias: Attitudes Toward Obese Persons (ATOP) and Beliefs Against Obese Persons (BAOP). The primary outcome measures were the scores derived from the ATOP and BAOP scales.
Data were obtained from 332 on-line surveys, to which 266 nurses responded with complete data, 145 from hospital 1 (intervention) and 121 from hospital 2 (control). The mean ATOP scores for hospital 1 were modestly greater than those for hospital 2 (18.0 versus 16.1, P = .03). However, no differences were found between the 2 hospitals for the mean BAOP scores (67.1 versus 67.1, P = .86). No statistically significant differences were found between the 2 hospitals among the BMI groups for either ATOP or BAOP. Within each hospital, no statistically significant trend was found among the BMI groups for either ATOP or BAOP. The association of BMI with the overall ATOP (r = .13, P = .04) and BOAP (r = .12, P = .05) scores was very weak, although marginally significant. The association of the overall ATOP score with the BAOP score was weak, although significant (r = .26, P < .001).
Annual bariatric sensitivity training might improve nursing attitudes toward obese patients, but it does not improve nursing beliefs, regardless of the respondent's BMI.

Article # 2

Providing holistic care to bariatric patients.

Twedell D1, Lansing R, McGuire J, Palmersheim P, Baird G.

J Contin Educ Nurs. 2009 Oct;40(10):438-9. doi: 10.3928/00220124-20090923-09.

Available Full-Text only from the Marianjoy network


Bariatric patients often encounter challenging physical environments and sometimes encounter negative attitudes from health professionals when seeking care. Most facilities have the basic equipment needed to care for these patients. Using ceiling lifts or limb slings to facilitate repositioning or transfer has benefits for patients and staff. Environment, equipment, education, and resources are important to providing sensitive, respectful, safe, and high-quality patient care. This column describes strategies to promote holistic care for the bariatric population.

The purpose of the online Nursing Journal Club is to facilitate the use of evidence-based practice in providing excellent nursing care.


  • Identify at least two factors that may influence the healthcare received by obese patients
  • Identify at least two environmental adaptations that may be required to holistically care for obese patients

Contact Person: Cindy Bright, E-mail   Phone: 630.909.8027                 
Provide your e-mail address

  • you may use either your personal or Marianjoy e-mail address
  • Article will be e-mailed to you
  • Google Docs/Drive will be used for discussion

For further information or any questions, please contact Cindy Bright

Sign Up: SIGN-UP by March 31 to receive articles on April 1.

Available Credits: 2.0 Contact Hours

Instructions for receiving the credits:

There are 3 parts to earning CE credit for these articles. All components must be completed between August 1 and August 31, 2015:

  1. After reading the articles, there is a short post-test on the Learning Link. To find the Learning Link module, open and login to Learning Link, click View course catalog, enter PRCH4035 in the Search For box, leave the default category as All courses and then click the Search button to find the August 2015 journal club module. You must complete the post-test on or before August 31 and score at least 80% correct to earn CE credit.
  2. An evaluation of this learning opportunity is required to obtain CE credit. A link to the Survey Monkey evaluation will be found at the end of the post-test in Learning Link. It should take you about two hours to read the articles, take the quiz, complete the evaluation and participate in the discussion.
  3. 3. As part of the requirements to earn CE credit, you must participate in a discussion about the articles. This discussion will take place via Google Docs/Drive. A Nursing Journal Club designee will generate the discussion. You must participate in the discussion at least 1 time by August 31 to earn CE credit. The discussion is intended to clarify or provide fellow participants with further information on this topic. Suggested discussion focus:
    • Your experience caring for bariatric patients
    • How you plan to use the information provided in these articles in your practice
    • Respond to another participant’s comments

Raffle opportunity

To add some extra excitement to our Journal Club, we will be offering a $25 gift card in a raffle drawing every quarter for members that earn CE credit. The current raffle covers the months of July, August, and September and the raffle will take place at the end of September. Be sure to participate so your name will be included in the drawing. As an additional perk, if a participant encourages another Journal Club member to join in the discussion (and the referred member states the referring member’s name in their discussion), we will add the referring member’s name an additional time in the drawing. Remember that both members must earn their CE credit for the month for the referring member to be entered an additional time in the drawing.

The winner will be notified via e-mail and the gift card will be sent to them within 2 weeks after the close of the month.

Instructions to access the Google Docs/Drive Web page for Discussion and to post comments:

  • If you have not already done so, place a Help Desk call to have Google Chrome added to your desktop. Then proceed as follows:
  • If Google Chrome is your default web browser, click on the following Link/URL:
  • If Google Chrome is not your default web browser, open Google Chrome, copy the URL link above and paste into the address bar in Google Chrome
  • Click on the Comments button (top Right hand) to add your comment
  • Please sign your full name and location after each comment
  • After typing your comments, click on Comments one more time; you will be able to see your comments
  • For a reply to a specific comment, you may use the Reply button; the comment will appear next to that specific comment, or you may generate your own comment

It should take you approximately 1.5 hours to read the articles, take the quiz and complete the evaluation. 


As a member of the Nursing Journal Club, you will automatically receive subsequent articles on the first of each month. If you would like to cancel your membership at any time, please contact Cindy Bright via e-mail or contact her at 630.909.8027. We will send out a flyer announcing the next article approximately 2 weeks prior to sending it out.


If you are having trouble accessing the article or should you have any other questions, please contact Cindy Bright: or 630.909.8027.  We are excited that you are interested in this opportunity.   We welcome any comments or suggestions you may have.    For further information, visit us at Online Nursing Journal Club.

This program will award 1.5 hours of CE credit. Marianjoy Rehabilitation Hospital- Professional Practice Committee, (OH-387, 9/28/2013) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

As required by the American Nurses Credentialing Center’s Accreditation Program, we would like to make you aware of all potential conflicts of interest(s). This educational activity’s planners and the presenter(s) have indicated they have no bias or conflict of interest. There has been no commercial support for this program.

The Marianjoy Online Nursing Journal Club is a joint effort between the Nursing Department, the Medical Library, and the Research Department








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