Résumés
Résumé
Introduction : Les préjugés, les biais, la stigmatisation et la discrimination à l’égard des personnes vivant dans un corps gros (PCG) sont observés et documentés dans diverses sphères de la société, y compris dans la profession infirmière. Toutefois, les perceptions des infirmières et des étudiantes infirmières à l’égard des PCG, n’ont pas été étudiées au Québec (Canada). Objectifs : Cette étude vise à explorer les perceptions des infirmières et des étudiantes infirmières québécoises à l’égard des PCG ainsi que les facteurs qui les influencent, afin de contribuer à une réflexion critique et théorique sur les biais liés au poids dans le domaine des soins infirmiers. Méthodes : Une étude d’ethnographie focalisée auprès de deux groupes appartenant à ce domaine : 15 infirmières travaillant dans diverses unités de soins d’un hôpital de la ville de Québec et 15 étudiantes infirmières universitaires. La collecte de données sera réalisée par le biais d’une recherche documentaire et d’entrevues semi-structurées incluant une activité de photo-élicitation. Le cadre théorique, constitué de l’articulation de deux théories, soit la théorie infirmière de la compassion émancipatrice et la théorie de l’attribution, soutiendra l’analyse des données. Discussion et retombées anticipées : Les résultats pourraient nourrir la formation infirmière, les pratiques cliniques et la supervision de stages, et sensibiliser d’autres professions en santé, la santé publique et le grand public aux impacts des biais à l’égard du poids dans les soins.
Mots-clés :
- biais,
- poids,
- infirmières,
- ethnographie,
- grossophobie
Abstract
Introduction: Weight bias, negative attitudes, stigma, and discrimination against individuals living in larger bodies have been observed and documented in various spheres of society, including the nursing profession. However, the perceptions of nurses and nursing students regarding individuals living in larger bodies have not been studied in Quebec (Canada). Objectives: This study aims to explore the perceptions of Quebec nurses and nursing students regarding individuals living in larger bodies, as well as the factors shaping them to foster a critical and theoretical perspective on weight bias in nursing. Methods: A focused ethnography study with two groups in nursing: 15 nurses working in various care units in a hospital in Québec City, and 15 university nursing students. Data will be gathered through documentary research and semi-structured interviews, including a photo-elicitation activity. The articulation of the emancipatory compassion nursing theory with the attribution theory will support data analysis from a theoretical perspective. Discussion and Research Spin-offs: The results could inform nursing education, clinical practice, and internship supervision, and raise awareness among other health professions, public health stakeholders, and the public about the impacts of weight bias in health care.
Keywords:
- bias,
- weight,
- nurses,
- ethnography,
- fatphobia
Parties annexes
Bibliographie
- Alberga, A. S., Nutter, S., MacInnis, C., Ellard, J. H. et Russell-Mayhew, S. (2019). Examining Weight Bias among Practicing Canadian Family Physicians. Obesity facts, 12(6), 632–638. https://doi.org/10.1159/000503751
- Alberga, A. S., Russell-Mayhew, S., von Ranson, K. M., McLaren, L., Ramos Salas, X. et Sharma, A. M. (2016). Future research in weight bias: What next? Obesity (Silver Spring, Md.), 24(6), 1207–1209. https://doi.org/10.1002/oby.21480
- Association pour la santé publique du Québec et le Collectif Vital. Manifeste québécois pour des communications saines sur les problématiques reliées au poids, s. d. https://cqpp.qc.ca/files/P2-Enjeux_poids/Manifeste-communications-saines.pdf
- Barrea, L., Framondi, L., DI Matteo, R., Verde, L., Vetrani, C., Graziadio, C., Pugliese, G., Laudisio, D., Vitale, G., Iannicelli, A. M., Savastano, S., Colao, A. et Muscogiuri, G. (2021). The role of the nurse in the Obesity Clinic: a practical guideline. Panminerva medica, 63(4), 539–546. https://doi.org/10.23736/S0031-0808.21.04540-7
- Bélanger, K., Carbonneau, N., Cassista, A. et Gagnon-Girouard, M.P. (2023, 8-12 mai). Étude d’adaptation et de validation de la version française du questionnaire UMB-FAT [communication orale]. 90e congrès de l’ACFAS, Montréal, Québec, Canada. https://www.acfas.ca/evenements/congres/programme/90/600/635/c
- Bélanger, E., Gagnon-Girouard, M.-P., Marquis, E. et Brisson, B. (2022). Feminist identification, social dominance orientation, and weight bias in men. Journal of Community Psychology, 50(2), 1111–1122. https://doi.org/https://doi.org/10.1002/jcop.22706
- Bowen, G. A. (2009). Document Analysis as a Qualitative Research Method. Qualitative Research Journal, 9(2), 27–40.
- Budd, G. M., Mariotti, M., Graff, D. et Falkenstein, K. (2011). Health care professionals’ attitudes about obesity: an integrative review. Applied nursing research : ANR, 24(3), 127–137. https://doi.org/10.1016/j.apnr.2009.05.001
- Caballero B. (2019). Humans against Obesity: Who Will Win?. Advances in nutrition (Bethesda, Md.), 10(suppl_1), S4–S9. https://doi.org/10.1093/advances/nmy055
- Church, S. et Quilter, J. (2021). Consideration of methodological issues when using photo-elicitation in qualitative research. Nurse Researcher, 29(2), 25–32. https://doi.org/10.7748/nr.2021.e1729
- Clark, O., Lee, M. M., Jingree, M. L., O’Dwyer, E., Yue, Y., Marrero, A., Tamez, M., Bhupathiraju, S. N. et Mattei, J. (2021). Weight Stigma and Social Media: Evidence and Public Health Solutions. Frontiers in nutrition, 8, 739056. https://doi.org/10.3389/fnut.2021.739056
- Constantinides, S. M. et Georges, J. M. (2022). To a Centrality of Compassion: Operationalizing the Emancipatory Theory of Compassion. ANS. Advances in nursing science, 45(2), 114–126. https://doi.org/10.1097/ans.0000000000000411
- Crandall, C. S. et Reser, A. H. (2005). Attributions and Weight-Based Prejudice. Dans K. D. Brownell, R. M. Puhl, M. B. Schwartz et L. Rudd (dir.), Weight bias: Nature, consequences, and remedies (p. 83–96). Guilford Publications.
- Creswell, J. W. et Poth, C. N. (2018). Qualitative Inquiry & Research Design: Choosing Among Five Approaches (4e éd.). SAGE.
- Cruz, E. V. et Higginbottom, G. (2013). The use of focused ethnography in nursing research. Nurse Researcher, 20(4), 36–43. https://doi.org/10.7748/nr2013.03.20.4.36.e305
- Dohet, F., Loap, S., Menzel, A., Iddir, M., Dadoun, F., Bohn, T. et Samouda, H. (2022). Obesity considerations during the COVID-19 outbreak. International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition, 92(1), 67–79. https://doi.org/10.1024/0300-9831/a000695
- Duval, K., Couturier, É., Laferrière, M.-C., Gagnon, M.-P. et Gallani, M. C. (2023). Nurses’ and Nursing Students’ Perceptions Toward People Living with Obesity: A Scoping Review Protocol. Science of Nursing and Health Practices / Science infirmière et pratiques en santé, 6(2), 77–90. https://doi.org/https://doi.org/10.7202/1108910ar
- ÉquiLibre. (2025). La grossophobie, ça suffit ! https://equilibre.ca/campagne/la-grossophobie-ca-suffit/
- Fruh, S. M., Graves, R. J., Hauff, C., Williams, S. G. et Hall, H. R. (2021). Weight Bias and Stigma: Impact on Health. The Nursing Clinics of North America, 56(4), 479–493. https://doi.org/10.1016/j.cnur.2021.07.001
- Georges, J. M. (2013). An emancipatory theory of compassion for nursing. ANS. Advances in nursing science, 36(1), 2–9. https://doi.org/10.1097/ANS.0b013e31828077d2
- Goad, E., Gleeson, K. et Jackson, S. (2018). Personal factors associated with the attitudes of nurses towards patients with obesity: a literature review. Clinical Obesity, 8(6), 444–451. https://doi.org/10.1111/cob.12275
- Grannell, A., Fallon, F., Al-Najim, W. et le Roux, C. (2021). Obesity and responsibility: Is it time to rethink agency?. Obesity reviews : an official journal of the International Association for the Study of Obesity, 22(8), e13270. https://doi.org/10.1111/obr.13270 Heider, F. (2020).
- Heider, F. (2020). The Psychology of Interpersonal Relations. Barakaldo Books.
- Higginbottom, G. M., Pillay, J. J. et Boadu, N. Y. (2013). Guidance on Performing Focused Ethnographies with an Emphasis on Healthcare Research. The Qualitative Report, 18(9), 1–6.
- Latner, J. D., O’Brien, K. S., Durso, L. E., Brinkman, L. A. et MacDonald, T. (2008). Weighing obesity stigma: the relative strength of different forms of bias. International journal of obesity (2005), 32(7), 1145–1152. https://doi.org/10.1038/ijo.2008.53
- Lawrence, B. J., Kerr, D., Pollard, C. M., Theophilus, M., Alexander, E., Haywood, D. et O’Connor, M. (2021). Weight bias among health care professionals: A systematic review and meta-analysis. Obesity (Silver Spring, Md.), 29(11), 1802–1812. https://doi.org/10.1002/oby.23266
- Le Bodo, Y., Blouin, C., Dumas, N., De Wals, P. et Laguë, J. (2017). The Quebec experience in promoting healthy lifestyles and preventing obesity: how can we do better?. Obesity reviews : an official journal of the International Association for the Study of Obesity, 18(9), 967–986. https://doi.org/10.1111/obr.12559
- Mason, M. (2010). Sample Size and Saturation in PhD Studies Using Qualitative Interviews. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 11(3). https://doi.org/10.17169/fqs-11.3.1428
- Morse, J. M. (2007). Ethics in action: ethical principles for doing qualitative health research. Qualitative health research, 17(8), 1003–1005. https://doi.org/10.1177/1049732307308197
- Obesity Canada. (2022). Weight Bias, Stigma & Discrimination. https://obesitycanada.ca/weight-bias/
- Oliver, T. L., Qi, B. B., Diewald, L. K., Shenkman, R. et Kaufmann, P. G. (2021). Development of a weight bias reduction intervention for third-year nursing students. Clinical obesity, 12(2), e12498. https://doi.org/10.1111/cob.12498
- Oliver, T. L., Qi, B. B., Shenkman, R., Diewald, L. et Smeltzer, S. C. (2020). Weight Sensitivity Training Among Undergraduate Nursing Students. The Journal of nursing education, 59(8), 453–456. https://doi.org/10.3928/01484834-20200723-06
- Pausé, C., Parker, G. et Gray, L. (2021). Resisting the problematisation of fatness in COVID-19: In pursuit of health justice. International journal of disaster risk reduction : IJDRR, 54, 102021. https://doi.org/10.1016/j.ijdrr.2020.102021
- Pearl, R. L. et Schulte, E. M. (2021). Weight Bias During the COVID-19 Pandemic. Current obesity reports, 10(2), 181–190. https://doi.org/10.1007/s13679-021-00432-2
- Roper, J. M. et Shapira, J. (2000). Ethnography in Nursing Research. SAGE Publications, Inc.
- Rousseau, A. (2016). L’institutionnalisation des fat studies : l’impensé des « corps gros » comme modes de subjectivation politique et scientifique. Recherches féministes, 29(1), 9–32. https://doi.org/10.7202/1036667ar
- Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., Apovian, C. M., Aronne, L. J., Batterham, R. L., Berthoud, H. R., Boza, C., Busetto, L., Dicker, D., De Groot, M., Eisenberg, D., Flint, S. W., … Dixon, J. B. (2020). Joint international consensus statement for ending stigma of obesity. Nature medicine, 26(4), 485–497. https://doi.org/10.1038/s41591-020-0803-x
- Shelton, S. A. (2016). “As their waistlines recede”: Tracing and challenging the fat quest in young adult literature. Fat Studies, 5(2), 172–190. https://doi.org/10.1080/21604851.2016.1146117
- Tomiyama, A. J., Carr, D., Granberg, E. M., Major, B., Robinson, E., Sutin, A. R. et Brewis, A. (2018). How and why weight stigma drives the obesity 'epidemic' and harms health. BMC Medicine, 16(1), 123. https://doi.org/10.1186/s12916-018-1116-5
- van der Valk, E. S., van den Akker, E. L. T., Savas, M., Kleinendorst, L., Visser, J. A., Van Haelst, M. M., Sharma, A. M. et van Rossum, E. F. C. (2019). A comprehensive diagnostic approach to detect underlying causes of obesity in adults. Obesity reviews : an official journal of the International Association for the Study of Obesity, 20(6), 795–804. https://doi.org/10.1111/obr.12836
- Wu, Y. K. et Berry, D. C. (2018). Impact of weight stigma on physiological and psychological health outcomes for overweight and obese adults: A systematic review. Journal of advanced nursing, 74(5), 1030–1042. https://doi.org/10.1111/jan.13511
10.7202/1108910ar