Obesity in Woodbury Iowa

Obesity in Woodbury Iowa
Obesity in Woodbury Iowa

Want help to write your Essay or Assignments? Click here

Obesity in Woodbury Iowa

Obesity in Woodbury Iowa is a significant public health concern. The prevalence of obesity in in Woodbury County Iowa is 38.3 % among the females. In Iowa State, the prevalence of obesity among the females is 35.9% while the prevalence of obesity among the females at the federal level is 36.1%.

Therefore, the prevalence of obesity among the females in Woodbury County exceeds the Iowa state and the national statistics. 37.5 % of the men in Woodbury County, Iowa, are obese. At the state and the national levels, 36.3% and 33.8% of men are obese respectively (Centre for Disease Pprevention and Control, 2015). Similarly, the prevalence of obesity among the men in Woodbury County, Iowa, supersedes both the state and the national prevalence rates.

Obesity in Woodbury Iowa

Contributing Factors

Obesity is affected by both the race and age. In Iowa, the prevalence of obesity is highest among the Hispanics and Non-Hispanic blacks and lowest among the Non-Hispanic whites. Obesity increases with age and is mostly affects adults aged 60 years and above and is lowest among the adults aged 20 to 39 years of age. The level of education impacts on obesity as well (Office Of Disease Prevention and Promotion , 2018 ).

Obesity reduces with the increase in the level of education. Education increases the level of awareness on the factors associated with obesity as the preventive measures. Obese patients who have a diploma or a degree have shown increased life expectancy.  The positive impact of education on obesity is uniform across all age groups. 

Want help to write your Essay or Assignments? Click here

The level of income impacts obesity as well. Higher levels of income are associated with reduction in the prevalence, the severity and the effects of obesity. Higher levels income impact on the access to healthcare services. Families that can afford insurance policies or out of pocket payments access healthcare services for managing obesity. Therefore, the prevalence of obesity among such individuals is reduced, as compared to individuals in lower socio-economic class.

Individuals with low income cannot afford the foods that are nutrient intensive. Generally, the foods that are sugar and fat intensive are cheap in the United States markets. Sugar and fats are predisposing factors to obesity.   Culture affects obesity. Culture dictates the type of foods that the members of the particular culture dependent on as food. Culture also affects health seeking behavior (ODPP, 2018).

Culture impacts on the perception of the specific cultural group on the engagement in physical activities that significantly affect obesity. Healthcare policies determine the impact of obesity to any community.  Healthcare policies determine the access by the respective members of the community to healthcare services regarding the management of obesity.

Healthcare politicizes on financing healthcare determine the access to care for obese to the individuals who cannot afford the care. Healthcare policies also affect the availability of resources and facilities for managing obesity. The county’s and the national policies in managing healthcare community services such facilities for physical exercises and educational resources and personnel are key to implement obesity management strategies (Galloway-Gilliam, 2013).  

Want help to write your Essay or Assignments? Click here

Obesity in Woodbury Iowa


One of the programs that have been undertaken in my state to prevent obesity is early childhood care. Statistics indicate that on average, children spend most of their time per week under non-parental care.

The State of Iowa in partnerships with the Center for Disease Control and Prevention (CDC)  have drawn up programs on adequate diet, performance of  physical activities and reduction in care time. The state government supports the programs in schools and children care centers through funding, provisions of evidence based recommendation for early child care to prevent obesity (Benson at al., 2013).

The programs support the breastfeeding mothers and the availability of nutrient rich diet to the children that prevents obesity.  The hospitals within my community have initiated hospital strategies aimed at reducing obesity. The initiative targets the hospital employees and the patient under the care. The initiatives encourage healthy food and beverage choices, physical activities within the hospitals environment and support for lactating mothers.  

The hospitals also partner with the community to increase healthy living behaviors for the community members. The hospitals provide education on obesity prevention and management using the locally available resources.

Obesity in Woodbury Iowa

Scope and Role of Nursing and Public Health Nursing on Obesity in Woodbury Iowa

Nurses have a role in encouraging patients to maintain healthy diet. Nurses possess the knowledge on the foods that contribute towards obesity and that prevent the occurrence of obesity. Nurses spend a significant amount of time with admitted patients. Additionally, nurses interact with patient at the community level in offering primary healthcare services.  Nurses educate patients on physical activities as part of the measures to prevent obesity as a public health issue.

Physical exercises reduce the amount of fats that accumulate in the body. Nurses educate on the type, the duration and the intensity of the physical exercises that are appropriate for each of the patients presenting with or at risk of obesity. Nurses conduct assessments of patients who present with obesity. Nurses provide care to a patient in clinical setting. Assessment is the initial step of the nursing process (Schofield et al., 2011).

Assessment, as part of the nursing process, involves collection of data about the patient thorough history taking, physical examination, and clinical tests. Nurses take history of patients on their diet, performance of physical activities, and the impact of obesity on every individual patient during the clinical visits. The nurse also conduct laboratory tests including lipid profile tests in order to assess the risks of development of cardiovascular disease as a complication of obesity.  Part of the nurses’ assessment focuses on vital signs such as blood pressure measurements.

Want help to write your Essay or Assignments? Click here

Expansion of the Scope of Obesity in Woodbury Iowa

One of the ways to increase the scope of community health nursing interventions in addressing obesity is through partnerships.  Community partnerships involve creation of community based networks. The collaboration with the population level partners allows the nurses and public health professionals to gauge the factors that contribute to obesity the community level.

The aim of the partnerships should be to do community specific assessments on the prevalence, causes, and impacts of obesity on the local community (Betancourt, Green, Carrillo, & Firempong, 2016). Further, the aims of the local community partnerships should be to recommend, initiate and implement strategies that are suitable for the local community , based on the population specific needs identified during the assessment.

Policy development is another way of increasing the scope of the nurses’ and public health professionals’ roles in combating obesity.  Nurses and public health professionals are key stakeholders in managing obesity, as a public health issue. The professional input is critical in developing policies that are specific to the local community population.

The professionals collaborate with the department of health, which is responsible for drafting policies for public healthcare such as obesity ((Betancourt et al., 2016). The public health issues should be alignments with the national statistics on obesity, ways of preventing obesity and the federal government’s regulation in combating public health problems.

Want help to write your Essay or Assignments? Click here


Benson, G. A., Sidebottom, A., VanWormer, J. J., Boucher, J. L., Stephens, C., & Krikava, J. (2013). HeartBeat connections: A rural community of solution for cardiovascular health. Journal of the American Board of Family Medicine, 26(3), 299–310.

Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports.

CDC. www.cdc.gov. (19 August 2015). 13 December 2018 https://www.cdc.gov/ dnpao/division-information/policy/obesity.htm>.

Galloway-Gilliam, L. (2013). Racial and ethnic approaches to community health. National Civic Review, 102(4), 46–48.Course Library Guide.

Office of Disease Prevention and Health. (12 December 2018 ). 12 Decembe 2018 <https://www.healthypeople.gov/>.

Schofield, R., Ganann, R., Brooks, S., McGugan, J., Bona, K. D., Betker, C., Dilworth, K., … Watson, C. (2011). Community health nursing vision for 2020: Shaping the future. Western Journal of Nursing Research, 33(8),1047–1068.

Want help to write your Essay or Assignments? Click here

Nurse to Patient Ratios Essay Paper

Nurse to Patient Ratios
Nurse to Patient Ratios

Want help to write your Essay or Assignments? Click here

Nurse to Patient Ratios

One of the major difficulties in the healthcare sector is the unbalanced nurse to patient ratios. (Cornwall, 2018)recently performed a study to better understand the changing environment and growing problems of the nursing profession. Respondents from around the country offered their thoughts on topics such as workload, the national nurse shortage, the nursing profession in general, and workplace respect.

The results showed that the growing national nursing shortage exacerbates all of the challenges confronting today’s nurses. According to the Bureau of Labor Statistics, there will be 1.2 million registered nursing openings between 2014 and 2022, with the consequences of this growing gap becoming severe. Respondents to a poll supported this perspective, with 91 percent believing their hospital was understaffed (Cornwall, 2018).

Burnout Syndrome has been a serious concern in the workplace, contributed by the nurse to patient ratios with its prevalence increasing by 60% – 70% over the last few decades (Gutsan, Patton, Willis, & Coustasse, 2018). One of the most frequent definitions of Nurse Burnout is a persistent response to work-related stress that includes three components or dimensions: emotional fatigue, depersonalization, and personal achievement. 

Burnout Syndrome has been more commonly observed in nurses due to the emotional aspect of their occupation, particularly in hospitals and psychiatric wards where common exposure to stress, inflexible policies, improper work assignments, poor training, inadequate remuneration, employee conflict, and complex or unknown patient needs occur (Gutsan, Patton, Willis, & Coustasse, 2018).

The minimum nurse-to-patient ratio in hospitals and ambulatory units has been recommended as 1:6 in medical-surgical units and behavioral units, 1:4 in step-down, telemetry, or intermediate care units and non-critical emergency rooms, 1:2 for Intensive Care Unit or trauma patients and post-anesthesia units, and 1:1 for every patient under anesthesia (Gutsan, Patton, Willis, & Coustasse, 2018).A high nurse-patient ratio has dangerous effects, including increased stress levels and mental weariness among nurses, as well as an increase in errors and accidents, which has resulted in a rise in malpractice cases.

Want help to write your Essay or Assignments? Click here

Most nurses don’t have a lot of spare time. According to the research, 40% of nurses said they had less free time (Cornwall, 2018). Eighty percent of respondents feel there is a nurse shortage at their facility, and 76 percent say the shortfall has directly harmed them. Because there are fewer nurses in the business, 88% of nurses’ workloads have increased (Cornwall, 2018).

Nurses believe they don’t have enough time to give enough comfort and emotional support to their patients and their family members, and 86% say they can’t devote as much time to patient education as they would want (Heath, 2018). Mandatory nurse staffing ratios would have a detrimental financial impact on hospitals while restricting patient access to treatment.

Poor resource allocation leads to more disparity in care delivery, less local access to healthcare, and fewer patient options. Furthermore, hospitals may be obliged to recruit less experienced and trained RNs, which would certainly cancel out any quality or safety improvements (Heath, 2018).

Want help to write your Essay or Assignments? Click here

According to study (Michaud, 2020), people in long-term care institutions with lower nurse staffing levels, worse quality scores, and larger percentages of disadvantaged individuals have higher rates of confirmed COVID-19 infections and fatalities. Data analysis revealed that long-term care facilities with a larger number of disadvantaged people, such as Medicaid recipients and racial and ethnic minorities, and lower nurse staffing levels had higher rates of confirmed COVID-19 cases and fatalities.

Higher nurse staffing ratios in the nurse to patient ratios, in particular, were substantially linked to fewer cases and fatalities (Michaud, 2020). Greater staffing numbers are consistently associated with higher levels of care quality, (Harrington & Edelman, 2018). Increased registered nurse and certified nursing assistant employment has been linked to better quality indicators such as physical restraints, catheter usage, pain management, and pressure sores.

Larger employment numbers and professional staff mix, as well as reduced turnover and usage of agency employees, were found to be linked with improved quality. Higher staffing levels have been found to have the strongest association with fewer defects (violations of rules) issued by state surveyors (Harrington & Edelman, 2018).

Want help to write your Essay or Assignments? Click here

Regardless of such a nurse to patient ratios situation, all nurses are expected to maintain professionalism when interacting with their patients. (Curtin, 2016) used the Gricean Maxims to elaborate on the ethics that all nurses should have with the first Gricean Conversation Supermaxim which is to attempt to make your contribution truthful, which naturally means that you do not say anything you think to be untrue or anything for which you lack proof. 

According to the following Gricean Supermaxim, everything you say must be well articulated and readily comprehended. This necessitates that all parties avoid ambiguity, confusion, and excessive verbosity, and deliver their contributions in an impassionate and organized manner (Curtin, 2016). The first rule in healthcare ethics is to do no damage. People usually take precedence over objects in ethics.

Making money, saving money, or even losing money is not an ethical justification for harming others. By virtue of who they are and what they do, health professionals and those who earn a living by employing, organizing, and facilitating their practice bear extra responsibilities (Curtin, 2016). Nurses are responsible for examining patients and choosing how to effectively share the priceless resource that is themselves or themselves.

Want help to write your Essay or Assignments? Click here

In terms of relationship quality, it appears to be a component that affects the professional to support patient-centered care. This relationship quality has a direct impact on the quality of care delivered and is critical for the efficacy of nursing practice (Molina & Estrada, 2020). The health-care system has devised initiatives aimed at humanizing care and enhancing care quality. A positive nurse-patient connection shortens hospital stays and enhances the quality and happiness of both parties.

In contrast, while the patient’s involvement in choices is higher, the positive relationship is conditioned by the patient’s subservient role (Molina & Estrada, 2020). A poor or negative nurse-patient relationship reduces the quality of treatment and the patient’s autonomy. A poor patient is one who demands a lot of information, who wants to make his or her own decisions, often against those suggested by specialists, and who does not maintain a good connection with professionals (Molina & Estrada, 2020).

Nursing leadership has an influence on the whole health system as well as on the nurses’ direct life (Little, Wagner, & Boal, 2018). A nurse manager is in charge of the day-to-day operations of the workplace. This involves, among other things, personnel recruitment, employment, orientation, staff development and assessment, resource allocation and management, risk management, patient safety, and financial responsibility (Little, Wagner, & Boal, 2018).

Nurse managers are also required to offer nurses and other health care professionals with inspiration, advice, and direction and especially in a situation where the nurse-to-patient ratio is imbalanced. As a result, nurse supervisors have the best chance to establish professional nursing standards in the nursing staff. The connection between nurses and their leaders is important because it contributes to Magnet status, which results in better nurse satisfaction and high-performing work environments with excellent patient outcomes (Little, Wagner, & Boal, 2018). 

Nurse managers are skilled knowledge brokers as well. They transform organizational policy instructions into action at the frontline of health care while also providing information to top management about health care delivery and practice requirements to shape organizational policy. Nurse managers have an important intermediate function in this position (Little, Wagner, & Boal, 2018). The knowledge translation of organizational directions would not be possible without nurse managers.

Want help to write your Essay or Assignments? Click here

In a situation where the nurse-to-patient ratio is imbalanced, nursing leaders should employ autocratic leadership.Concentrating decision-making power at the top of the chain of command can be an effective method for completing simple tasks; rather than becoming bogged down by competing viewpoints, autocratic leaders can ensure that quality care is delivered safely and efficiently, with little time wasted on deliberation (Norwich University, 2017).

Autocratic leaders are effective at making important choices in time-sensitive situations when soliciting employee opinion may only help to confuse issues and hence represent a risk to the patient. As a result, autocratic clinical nurse leaders must be precise, succinct, and direct while organizing staff and ensuring that they follow the established protocols of their particular hospitals (Norwich University, 2017). 

In health-care environments with tight procedures, authoritarian leadership is quite successful. It can also be useful in typical medical institutions with high patient numbers. Because an unbalanced ratio of patients to health care professionals restricts how many resources may be committed, such institutions thrive when an authoritarian leader supplies them with commands broken down into fundamental stages (Norwich University, 2017).

Autocratic leadership in nursing does not foster trust or communication among team members, but rather promotes a culture in which team members’ important thoughts and knowledge go untapped. This type of leader discourages collaborative decision-making and transparency, both of which impede an organization’s journey to high reliability (Cornell, 2020).

Want help to write your Essay or Assignments? Click here


Cornwall, L. (2018, December 12). RNnetwork 2018 Portrait of a Modern Nurse Survey. From RNnetwork : https://rnnetwork.com/blog/rnnetwork-2018-portrait-of-a-modern-nurse-survey/

Heath, S. (2018, August 14). How Nurse Staffing Ratios Impact Patient Safety, Access to Care. From Xtelligent Healthcare Media: https://patientengagementhit.com/news/how-nurse-staffing-ratios-impact-patient-safety-access-to-care

Michaud, M. (2020, June 18). COVID-19 Toll in Nursing Homes Linked to Staffing Levels and Quality. From University of Rochester Medical Center : https://www.urmc.rochester.edu/news/story/covid-19-toll-in-nursing-homes-linked-to-staffing-levels-and-quality

Harrington, C., & Edelman, T. S. (2018, July 20). Failure to Meet Nurse Staffing Standards: A Litigation Case Study of a Large US Nursing Home Chain. From NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055099/#bibr19-0046958018788686

Gutsan, E., Patton, J., Willis, W. K., & Coustasse, A. (2018). Burnout syndrome and nurse-to-patient ratio in the workplace. Chicago: Marshall University.

Curtin, L. (2016, April 7). A conversation about the ethics of staffing. From AMERICAN NURSE: https://www.myamericannurse.com/conversation-ethics-staffing/

Molina, M. J., & Estrada, J. G. (2020). Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making. International Journal of Environmental Research and Public Health, 2-3.

Little, L., Wagner, J., & Boal, A. S. (2018). Responsibility and Authority of Nurse Leaders. From Pressbooks: https://leadershipandinfluencingchangeinnursing.pressbooks.com/chapter/chapter-12-responsibility-and-authority-of-nurse-leaders/

Norwich University. (2017, December 4). 5 Leadership Styles for Clinical Nurse Leaders. From Norwich University: https://online.norwich.edu/academic-programs/resources/5-leadership-styles-for-clinical-nurse-leaders

Cornell, A. (2020, April 13). 5 LEADERSHIP STYLES IN NURSING. From Relias LLC: https://www.relias.com/blog/5-leadership-styles-in-nursing

Want help to write your Essay or Assignments? Click here