Papers associated with obesity are very important in identifying gaps in the body of knowledge associated with obesity. In that regard, understanding the symptoms and causes will bring about a full understanding of interventions. Concerning practice, obese patients have little mobility making nursing care very difficult hence specialization is very important. The risk factors associated with obesity include; genetics, lifestyle inactivity, medication, age, pregnancy, and quitting smoking (U.S. Burden of Disease Collaborators, 2018).  Additionally, nursing care and the practice must be associated with many therapies to cut more weight, potentially attributed to circulatory diseases. Policy implementation of various changes associated with obesity is best in reducing obesity. 

According to the CDC survey, exercises are less effective after one has contracted obesity; they would reduce weight and still have the underlying conditions associated with obesity. Other diseases associated with obesity are; type 2 diabetes, other metabolic syndromes, heart conditions, other types of cancer, sleep apnea, infertility, and osteoarthritis (Lachman et al., 2018). These complications make the nursing process very difficult because the nurse balances the severity of these complications and obesity. These may want specialized personnel such as dietarians and physical therapists. 

Impact of the Practice Problem at the National Level on Key Stakeholders, Patients, Families, Nurses, Interprofessional Team Members, and Healthcare Organizations

Obesity has, therefore, diverse impacts on the local, national and international spectrum. Directly, it affects nurses, nursing care, and healthcare organizations. Because obesity has severe illness risk, it demands quality care; therefore, nursing demands an enormous change in managing obese patients. Consequently, obese patients get hospitalized for a long time because of their underlying conditions (Hales et al., 2018). Primary stakeholders include patients, families associated with families, health care providers, and the food industry. Secondary stakeholders include; researchers, society, nurses and nursing educators, physicians, and government bodies dealing with obesity, among other accredited agencies. 

Interventions, therefore, can be associated with Kurt Lewin Organizational Change theory. Lewin posits a three-phase model that results in an ultimate change. The principle regarding change is that change is associated with negative and positive changes fighting each other. The three phases include; unfreezing, changing, and refreezing. "Change initiatives need to destabilize the status quo (unfreezing), implement the alternative (changing), and restabilize the environment (refreezing)” (Nielsen et al., 2010). Using the three models to instill change, evidence is significant in inducing change. 

Distinctively, change can be witnessed if we begin with local stakeholders such as the family and the communities because it is at the lower level that obesity can be mitigated effectively. Therefore, to develop an intervention strategy, policies and programs must be made available at the lower level following the Kurt Lewin Organizational Change theory. The first phase, according to Lewin, is to change the status quo, change the assumptions associated with obesity, make them understand the alternatives, and restabilize the environment again. For example, nurses, educators, and dieticians must be associated with the program to bring about specialization. 

To sum, obesity is fully taking shape as a national concern because of the contemporary lifestyle, especially with the immediate pandemics and other situations which require total inactivity. Local stakeholders are key in ensuring that obese people are contained. The role of DNP practice scholar in influencing obesity is associated with specialization and physical therapies. 


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