{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:29:45Z","timestamp":1785421785343,"version":"3.56.0"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"unspecified","delay-in-days":208,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423626101285_as1\">\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>We sought to explore the knowledge and perceptions of obesity care among general practice nurses in the Republic of Ireland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101285_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Obesity is a complex condition driven by the interplay of social, cultural, environmental, genetic, biological and psychological factors. Despite its recognition as a chronic disease, it is underdiagnosed and undertreated in primary care. General practice nurses (GPNs) play a critical role in the monitoring of risk factors and treatment of chronic diseases, but their role in the management of obesity in primary care is less well described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101285_as3\">\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A cross-sectional cohort study was conducted. An anonymous online survey was disseminated asking a broad range of questions on levels of training, knowledge, perceptions and barriers to obesity care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101285_as4\">\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>Of 240 GPNs who completed the survey, 93% were aware that obesity aetiology is multifactorial. Identified causes which imply \u201cpersonal responsibility\u201d rated highly (73%). Most GPNs are comfortable having discussions about weight (74%). They reported discussing behavioural interventions more frequently than pharmacological treatments or bariatric surgery. Perceived lack of time in appointments (83%), lack of training (71%), shortage of specialist care (72%) and cost of treatments (67%) were the highest rated barriers to providing care. Lack of time in appointments (67%) and fear of causing offence (57%) were the highest rated barriers to initiating a discussion with patients about weight. GPNs felt their own BMI influenced how patients with obesity view their advice. Many GPNs (40%) reported they had no training in obesity care, while 54% had attended at least one obesity-themed webinar or conference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101285_as5\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>GPNs recognise their essential role in obesity care. We have identified the need for dedicated consultation time and further training for GPNs to enable discussion of treatment options and support appropriate care pathways, including access to specialist care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423626101285","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:10:29Z","timestamp":1785226229000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge and perceptions of obesity care among general practice nurses in the Republic of Ireland"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7690-1970","authenticated-orcid":false,"given":"Ciara","family":"Donaghue","sequence":"first","affiliation":[{"name":"Connolly Hospital"},{"id":[{"id":"https:\/\/ror.org\/03bea9k73","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4539-3982","authenticated-orcid":false,"given":"Roisin","family":"Doogue","sequence":"additional","affiliation":[{"name":"University of Limerick"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6095-9779","authenticated-orcid":false,"given":"Suzanne","family":"Seery","sequence":"additional","affiliation":[{"name":"HSE, National Clinical Programme for Obesity"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4779-6037","authenticated-orcid":false,"given":"Joanne","family":"Cecil","sequence":"additional","affiliation":[{"name":"University of St Andrews"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5374-7090","authenticated-orcid":false,"given":"Francis M.","family":"Finucane","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03bea9k73","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Galway"},{"id":[{"id":"https:\/\/ror.org\/03bea9k73","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Galway"},{"name":"Galway University Hospitals"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"S1463423626101285_ref11","volume-title":"Effects of an Eight-Week Supervised, Structured Lifestyle Modification Programme On Anthropometric, Metabolic and Cardiovascular Risk Factors in Severely Obese Adults","author":"Crowe","year":"2018"},{"key":"S1463423626101285_ref6","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-024-03095-3"},{"key":"S1463423626101285_ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-021-01748-0"},{"key":"S1463423626101285_ref15","unstructured":"Gaynor, K , Seery, S and Breen, C (2023) Supporting Healthcare Professionals in Talking about Overweight and Obesity [Online]. 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e80"}}