{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T01:56:21Z","timestamp":1790560581734,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute care systems serve patients across a wide range of body sizes. For some larger\u2010bodied patients, nursing care may become more physically demanding when body size and mobility needs interact with limitations in equipment, staffing, space, and workflows. These conditions may also challenge dignity preservation and contribute to weight stigma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To synthesize qualitative evidence on nurses' experiences of caring for larger\u2010bodied adults described in the source literature using obesity\u2010related classifications in acute care settings, and to examine how physical labour, dignity preservation, and weight stigma intersect in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, Web of Science, Ovid, and the Cochrane Library were searched from inception to 15 April 2026. Eligible qualitative studies were appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Data were synthesized using Thomas and Harden's three\u2010stage thematic synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven reports representing 10 independent studies were included. Four analytical themes and 12 subthemes were generated: amplified physical labour; the non\u2010standard body within standardized systems; fragile dignity preservation; and the clinicalisation of weight stigma. Care became more physically intensive, safety\u2010sensitive, and team\u2010dependent when body size and mobility needs exceeded the capacity of standard equipment, staffing arrangements, space, and workflows. These system\u2010level mismatches could also increase exposure, constrain dignity\u2010preserving care, and contribute to blame, othering, and implicit weight stigma. Nurses also described efforts to resist stigma through respectful communication, collaboration, perspective taking, and adaptive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Physical labour, dignity preservation, and weight stigma are interrelated dimensions of acute nursing care for larger\u2010bodied patients. Safer and more equitable care requires size\u2010inclusive systems, appropriate equipment, adequate staffing, flexible workflows, and respectful body\u2010size\u2010sensitive communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>No Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study is a meta\u2010synthesis and does not require relevant contributions from patients or the public.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70564","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T01:39:51Z","timestamp":1790559591000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Physical Labour, Dignity Preservation, and Weight Stigma in Nurses' Care for Larger\u2010Bodied Patients in Acute Care Settings: A Qualitative Evidence Synthesis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5818-5173","authenticated-orcid":false,"given":"Deping","family":"Zhang","sequence":"first","affiliation":[{"name":"Binzhou Polytechnic University  Binzhou Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuying","family":"Wang","sequence":"additional","affiliation":[{"name":"Binzhou Polytechnic University  Binzhou Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihong","family":"Liu","sequence":"additional","affiliation":[{"name":"Binzhou Polytechnic University  Binzhou Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8054-1233","authenticated-orcid":false,"given":"Xia","family":"Zhong","sequence":"additional","affiliation":[{"name":"Qilu Hospital of Shandong University  Jinan Shandong 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