title: Emergency department equipment for obese patients: perceptions of adequacy.
abstract: OBJECTIVE
  This study reports an investigation to assess patients' and nurses' perceptions of equipment adequacy for obese patients presenting at an emergency department and to assess nurses' knowledge of equipment weight limits in the emergency department.
  
  
  BACKGROUND
  The increasing weight of populations in many societies is a challenge to healthcare providers and facilities. Emergency department equipment, specifically, may be inadequate for patient care.
  
  
  METHODS
  Two questionnaires were developed. One was administered to 134 emergency department patients with suspected cardiac ischaemia; the other was administered to their respective nurses. Patient and nurse equipment adequacy scores were computed. Patients' self-reported height and weight were used to calculate body mass index. Waist circumference was measured. The data were collected in Canada in 2005.
  
  
  RESULTS
  Patient equipment adequacy scores correlated inversely with both body mass index (r = -0.55, 95% CI = -0.70 to -0.41, P < 0.01) and waist circumference (r = -0.62, 95% CI = -0.75 to -0.48, P < 0.01). Nurse equipment adequacy scores were also inversely related to patient body mass index (r = -0.34, 95% CI = -0.50 to -0.18, P < 0.01) and waist circumference (r = -0.40, 95% CI = -0.56 to -0.24, P < 0.01). There was a weak correlation between nurse and patient equipment adequacy scores (r = 0.27, 95% CI = -0.44 to -0.10, P < 0.01). Small minorities of nurses reported accurate knowledge of weight limits for beds, commodes and toilets.
  
  
  CONCLUSIONS
  Specialized equipment and staff education are needed for adequate management of obese patients in the emergency department.
authors.affiliation: Honours Program/Cardiovascular Obesity Research and Management, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. navneet.singh@utoronto.ca
authors.forename: Navneet
authors.initials: N
authors.lastname: Singh
authors.forename: Heather M
authors.initials: HM
authors.lastname: Arthur
authors.forename: Andrew
authors.initials: A
authors.lastname: Worster
authors.forename: Gianluca
authors.initials: G
authors.lastname: Iacobellis
authors.forename: Arya M
authors.initials: AM
authors.lastname: Sharma
mesh_terms: D001291:Attitude of Health Personnel; D015992:Body Mass Index; D019719:Diagnostic Equipment / Q000592:standards*; D016529:Emergency Nursing / Q000592:standards*; D004636:Emergency Service, Hospital / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009741:Nursing Staff, Hospital / Q000592:standards*; D009765:Obesity / Q000175:diagnosis / Q000628:therapy*