{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:58:29Z","timestamp":1763499509065,"version":"3.45.0"},"reference-count":26,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":2061,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Childhood obesity is a major health concern in New Zealand. Primary care nurses have been charged with body mass index (BMI) screening and initiating education or referral of 4-year-old children during the Before School Check (B4SC). Asking nurses about their BMI screening experiences when reporting is mandated by the Ministry of Health reveals valuable knowledge to inform the work of health professionals in this area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIM<\/jats:title>\n                    <jats:p>To explore the experience of nurses performing the B4SC since the inclusion of the Raising Healthy Kids targets into the wellchild check.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Five focus group discussions across New Zealand were conducted using the Nominal Group Technique. Nurses individually recorded their answers to the research question, \u2018What is your perception of performing the B4SC since the inclusion of the Raising Healthy Kids target in July 2016?\u2019. Group discussion and establishing priorities followed. Researchers collated and analysed data. Results were obtained by adding up scores across groups to provide the final overall themes of: (i) communication; (ii) BMI as a measurement; (iii) cultural norms and socioeconomic situations; (iv) parenting and family structure; and (v) education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Communication was the common theme across groups, but other priorities were more specific to the sociodemographic and cultural profile of the areas of practice. Mandatory reporting appears to have had the positive outcome of encouraging nurses to use positive and holistic discussion on health to families rather than concentrating on BMI. Nurses reported using tools to educate parents without implying judgement of their parenting and lifestyle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Nurses worked hard to maintain relationships with families as they recognised the long-term value of keeping families engaged with health professionals. Where tools were useful, such as the BMI calculator, nurses used these to assist with positive communication. The mandatory nature of the BMI referral had enhanced their skills with difficult conversations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc19022","type":"journal-article","created":{"date-parts":[[2019,9,29]],"date-time":"2019-09-29T23:58:04Z","timestamp":1569801484000},"page":"275-282","source":"Crossref","is-referenced-by-count":6,"title":["Experience of nurses measuring preschool body mass index for the Health target: Raising Healthy Kids"],"prefix":"10.1071","volume":"11","author":[{"given":"Chris","family":"Moir","sequence":"first","affiliation":[{"name":"AUniversity of Otago, Christchurch, Centre for Postgraduate Nursing Studies, New Zealand"},{"name":"BCorresponding author. Email: chris.moir@otago.ac.nz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginia","family":"Jones","sequence":"additional","affiliation":[{"name":"AUniversity of Otago, Christchurch, Centre for Postgraduate Nursing Studies, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2019,9,30]]},"reference":[{"key":"2025111813471935500_R1"},{"key":"2025111813471935500_R2","unstructured":"New Zealand Ministry of Health. Childhood Obesity Plan. Wellington: NZ Ministry of Health. [cited 2019 January 31]. Available from: http:\/\/www.health.govt.nz\/our-work\/diseases-and-conditions\/obesity\/childhood-obesity-plan"},{"key":"2025111813471935500_R3","unstructured":"New Zealand Ministry of Health. Health Targets: Raising healthy kids. [updated August 2018; cited 2019 June 6]. Available from: https:\/\/www.health.govt.nz\/new-zealand-health-system\/health-targets\/about-health-targets\/health-targets-raising-healthy-kids"},{"key":"2025111813471935500_R4","unstructured":"New Zealand Ministry of Health. B4 School Check. 2015. [cited 2019 July 2017]. Available from: https:\/\/www.health.govt.nz\/our-work\/life-stages\/child-health\/b4-school-check."},{"key":"2025111813471935500_R5"},{"issue":"3","key":"2025111813471935500_R6","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1093\/pubmed\/fdv058","article-title":"Changes in objectively measured BMI in children aged 4\u201311 years: data from the National Child Measurement Programme.","volume":"38","author":"Pearce","year":"2016","journal-title":"J Public Health."},{"key":"2025111813471935500_R7"},{"key":"2025111813471935500_R8","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1111\/jpc.12716","article-title":"BMI in New Zealand preschool children.","volume":"51","author":"Rajput","year":"2015","journal-title":"J Paediatr Child Health."},{"issue":"2","key":"2025111813471935500_R9","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1111\/1753-6405.12881","article-title":"Child obesity prevalence across communities in New Zealand: 2010\u20132016.","volume":"43","author":"Gibb","year":"2019","journal-title":"Aust N Z J Public Health."},{"key":"2025111813471935500_R10","unstructured":"Williams SJ. An exploration of the experience of nurses performing the Before School check. [Masters thesis]. Albany, New Zealand: Massey University; 2013."},{"issue":"3","key":"2025111813471935500_R11","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1111\/bjhp.12312","article-title":"Barriers and facilitators to health care professionals discussing child weight with parents: a meta-synthesis of qualitative studies.","volume":"23","author":"Bradbury","year":"2018","journal-title":"Br J Health Psychol."},{"issue":"1","key":"2025111813471935500_R12","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s40163-014-0016-z","article-title":"Not just another focus group: making the case for the nominal group technique in criminology.","volume":"4","author":"Vander Laenen","year":"2015","journal-title":"Crime Sci."},{"issue":"5","key":"2025111813471935500_R13","doi-asserted-by":"publisher","first-page":"1024","DOI":"10.1046\/j.1365-2648.1996.09623.x","article-title":"The use of the nominal group technique in research with community nurses.","volume":"23","author":"Carney","year":"1996","journal-title":"J Adv Nurs."},{"key":"2025111813471935500_R14"},{"issue":"4","key":"2025111813471935500_R15","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1016\/j.ijnurstu.2005.06.005","article-title":"What is important to measure in the last months and weeks of life?: A modified nominal group study.","volume":"43","author":"Aspinal","year":"2006","journal-title":"Int J Nurs Stud."},{"key":"2025111813471935500_R16","unstructured":"New Zealand Ministry of Health. Healthy weight BMI calculator. Wellington: NZ Ministry of Health; 2019. [cited 2019 July 17]. Available from: https:\/\/www.health.govt.nz\/your-health\/healthy-living\/food-activity-and-sleep\/healthy-weight\/healthy-weight-bmi-calculator."},{"issue":"11","key":"2025111813471935500_R17","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1111\/ijpo.12195","article-title":"Parental reactions to weight screening in young children: a randomized controlled trial.","volume":"13","author":"Dawson","year":"2018","journal-title":"Pediatr Obes."},{"issue":"7","key":"2025111813471935500_R18","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1001\/archpedi.156.7.662","article-title":"The challenge of preventing and treating obesity in low-income, preschool children: perceptions of WIC health care professionals.","volume":"156","author":"Chamberlin","year":"2002","journal-title":"Arch Pediatr Adolesc Med."},{"issue":"1","key":"2025111813471935500_R19","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/1472-6955-12-27","article-title":"Barriers to and facilitators of nurse-parent interaction intended to promote healthy weight gain and prevent childhood obesity at Swedish child health centers.","volume":"12","author":"Regber","year":"2013","journal-title":"BMC Nurs."},{"issue":"1","key":"2025111813471935500_R20","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1111\/josh.12222","article-title":"Comprehensive review of school-based body mass index screening programs and their implications for school health: do the controversies accurately reflect the research?","volume":"85","author":"Ruggieri","year":"2015","journal-title":"J Sch Health."},{"key":"2025111813471935500_R21","unstructured":"Statistics New Zealand. 2013 Census QuickStats about a place. Wellington: Statistics New Zealand; 2013. Available from: http:\/\/archive.stats.govt.nz\/Census\/2013-census\/profile-and-summary-reports\/quickstats-about-a-place.aspx"},{"key":"2025111813471935500_R22","article-title":"Decomposing ethnic differences in body mass index and obesity rates among New Zealand pre-schoolers.","volume":"1","author":"Shackleton","year":"2019","journal-title":"Int J Obes."},{"issue":"4","key":"2025111813471935500_R23","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1038\/ijo.2017.230","article-title":"Widespread prevalence of a CREBRF variant amongst M\u0101ori and Pacific children is associated with weight and height in early childhood.","volume":"42","author":"Berry","year":"2018","journal-title":"Int J Obes."},{"issue":"3","key":"2025111813471935500_R24","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1542\/peds.2014-0012","article-title":"Generational shift in parental perceptions of overweight among school-aged children.","volume":"134","author":"Hansen","year":"2014","journal-title":"Pediatrics."},{"issue":"5","key":"2025111813471935500_R25","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-3957","article-title":"Parental perception of weight status and weight gain across childhood.","volume":"137","author":"Robinson","year":"2016","journal-title":"Pediatrics."},{"key":"2025111813471935500_R26"}],"container-title":["The Journal of Primary Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/11\/3\/275\/222841\/hc19022.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/11\/3\/275\/222841\/hc19022.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T18:47:25Z","timestamp":1763491645000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/hc\/article\/11\/3\/275\/34941\/Experience-of-nurses-measuring-preschool-body-mass"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,30]]},"references-count":26,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,9,30]]},"published-print":{"date-parts":[[2019,9,30]]}},"URL":"https:\/\/doi.org\/10.1071\/hc19022","relation":{},"ISSN":["1172-6156"],"issn-type":[{"type":"electronic","value":"1172-6156"}],"subject":[],"published":{"date-parts":[[2019,9,30]]}}}