title: Women's stories of their experiences as overweight patients.
abstract: OBJECTIVE
  This paper is a report of a study to illuminate the meaning of women's experiences as overweight patients in their encounters with healthcare services and healthcare providers.
  
  
  BACKGROUND
  Overweight and obesity are increasingly important issues for women's health internationally. Overweight or obese women may delay or avoid health care if care providers have previously reacted negatively to them based on weight. However, studies focusing on the meaning of women's experiences as overweight patients and as recipients of healthcare services are lacking.
  
  
  METHODS
  A hermeneutic phenomenological approach was used. Face-to-face interviews were conducted in the United States of America in 2007 with eight women volunteers who self-identified as being overweight patients. The framework of van Manen's lifeworld existentials of lived space, lived body, lived time and lived relation-guided reflection for data analysis.
  
  
  RESULTS
  The essence of women's experiences was a battle to fit into the world of healthcare services. Four major themes were identified. 'Struggling to fit in' consisted of trying to fit into limited physical space (examination rooms, equipment), limited time, and limited satisfaction and support in relationships with healthcare providers. 'Being dismissed' consisted of demeaning and embarrassing interactions with providers. 'Feeling not quite human' involved the stigma of being different because of body size. 'Refusing to give up' consisted of persistence in seeking support and advice from professionals despite negative past experiences.
  
  
  CONCLUSIONS
  Awareness of these findings could reform understanding of women's experiences as overweight patients and raise the consciousness of nurses worldwide to develop sensitive communication strategies and healthcare environments that support holistic care.
authors.affiliation: Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA. emily.merrill@ttuhsc.edu
authors.forename: Emily
authors.initials: E
authors.lastname: Merrill
authors.forename: Jane
authors.initials: J
authors.lastname: Grassley