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"Background: As childhood obesity rates continue to increase, nurse researchers need to explore the dynamic effect of mothers\u2019 awareness of childhood obesity and how they respond to recommendations made by primary healthcare providers. Purpose: The purpose of this study is to explore how mothers come to know their child is obese and the experience they have with primary healthcare providers. The findings may identify areas for future research and recommendations providers may use in caring for mothers of obese children. Methods: Case study methods involving mothers with obese children and pediatric healthcare providers from a single pediatric practice were used to collect data. An embedded organizational design was used. This case study research will use pattern matching and naturalistic generalizations to analyze the data and present the results. Results: Five themes emerged during organizational observation with document review, pediatric healthcare provider interviews, and interviews with mothers of overweight and obese children. Those themes were improving health, engaging, frustrating and hopelessness, knowing, and fear. Theoretical Framework: Data analysis identified Watson\u2019s (2008) revised philosophy and science of caring with the overall theme of caring. Eight out 10 Caritas Processes were linked to the five themes that emerged from the data. Conclusions: Findings reveal mothers come to know their child is obese through experiences outside of the interaction and communication with healthcare providers. These findings have implications for nursing education, practice, and research."
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