A nutritional education program for the nursing staff may improve hospitalized patients’ nutritional assessment and management

Pradignac, A.; Petitdemange, Anne Marie; Serý, V; Hubsch, Agnès; Ayed, Cathy Ben; Schlienger, Jean-Louis

doi:10.1016/j.eclnm.2011.01.006

Cited by 8 publications

(9 citation statements)

References 19 publications

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“…Factors such as care setting, quality of educational input, training duration, and learner receptivity were not formally analyzed in this review (and rarely reported in the included studies) despite evidence suggesting they may affect training efficacy (18,51). In the present review, the duration of training sessions varied widely from ,1 h (46) to 4 full-day sessions (41) and frequency ranged from a one-off session (26,33,36,38,40) to 18 mo of weekly training (46). Furthermore, patient outcomes were assessed at different time points ranging from 1 wk (37) to #4 y (38, 39) after staff training.…”

Section: Discussionmentioning

confidence: 99%

“…Results of studies using a combination of training strategies were more inconsistent. Three of the 4 studies using CB training strategies reported a significant improvement in the nutritional care provided by nursing home assistants (39) and nutritionrelated documentation by nurses in hospital (29,38). Four of the 6 studies using CP strategies reported significant beneficial effects on a range of outcomes related to nutrition practice in nursing home nurses (42,43), GPs (31), and hospital physicians (30).…”

Section: Tablementioning

confidence: 99%

“…Sample sizes ranged from 21 to 5571 patients or residents, and from 11 to 592 health care staff. Nine studies included older people (.64 y old) (25,27,29,35,37,39,43,45,48), and nurses or nursing assistants were the most commonly targeted staff group for nutrition training (n = 14 studies) (26,29,33,34,(38)(39)(40)(41)(42)(43)(44)(45)(46)(47).…”

Section: Health Care Setting and Populationmentioning

confidence: 99%

“…Eighteen studies reported data on the nutritional practice of health care staff after training, with 9 (50%) reporting statistically significant benefits in favor of training (29-31, 38, 39, 42, 43, 45, 47). A variety of methods was used to measure this outcome: unvalidated staff questionnaires (28,29,32,36,44,47); observation (26,30,38,45); …”

Section: Learner-based Outcomesmentioning

confidence: 99%

See 3 more Smart Citations

The effect of nutrition training for health care staff on learner and patient outcomes in adults: a systematic review and meta-analysis

Marples

Baldwin

Weekes

2017

The American Journal of Clinical Nutrition

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Background: Nutrition training for health care staff has been prioritized internationally as a key means of tackling malnutrition; however, there is a lack of clear evidence to support its implementation. Systematic reviews in other fields of training for health care staff indicate that training strategies may have a beneficial impact on learner and patient outcomes. Objectives: We assessed whether nutrition training for health care staff caring for nutritionally vulnerable adults resulted in improved learner and patient outcomes and evaluated the effectiveness of different training strategies. Design: A systematic review of trials of nutrition training for health care staff was conducted. Six databases were searched with key terms relating to malnutrition and nutrition training. Studies were categorized according to cognitive (didactic teaching), behavioral (practical implementation of skills), and psychological (individualized or group feedback and reflection) training strategies. Where sufficient data were available, meta-analysis was performed according to study design and training strategy. All study designs were eligible. The risk of bias was evaluated in accordance with Cochrane guidance. Results: Twenty-four studies met the eligibility criteria: 1 randomized controlled trial, 4 nonrandomized controlled trials, 3 quasiexperimental trials, 13 longitudinal pre-post trials, 2 qualitative studies, and 1 cross-sectional survey. Results from a number of low-quality studies suggest that nutrition training for health care staff may have a beneficial effect on staff nutrition knowledge, practice, and attitude as well as patient nutritional intake. There were insufficient data to determine whether any particular training strategy was more effective than the others. Conclusions: In the absence of high-quality evidence, low-quality studies suggest that nutrition training for health care staff has some positive effects. However, further randomized controlled trials are required to confirm overall efficacy and to explore the impact of training strategies on learner and patient outcomes.Am J Clin Nutr 2017;106:284-310.

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Section: Discussionmentioning

confidence: 99%

Section: Tablementioning

confidence: 99%

Section: Health Care Setting and Populationmentioning

confidence: 99%

Section: Learner-based Outcomesmentioning

confidence: 99%

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The effect of nutrition training for health care staff on learner and patient outcomes in adults: a systematic review and meta-analysis

Marples

Baldwin

Weekes

2017

The American Journal of Clinical Nutrition

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“…Unfortunately, nutrition curricula education in nursing schools have not been examined since the early 1990's and that information is now outdated [39][40][41]. Formal evaluations of nutrition education methods in nursing schools are also dated [42].When considering the nutrition continuing education needs of practicing nurses, the literature is equally limited and the papers reflect only international nursing practice [43][44][45]. A survey is warranted to determine the status of nursing nutrition education today, both for students and practitioners, and to fill existing gaps [38].…”

Section: Prioritizing Malnutrition Screening and Intervention Within mentioning

confidence: 99%

Nutrition as a Vital Sign: Progress Since the 1990 Multidisciplinary Nutrition Screening Initiative and Opportunities for Nursing

Farrell¹

2015

J Nurs Care

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Vital signs provide critical information about health and help form the baseline for clinical care. Twenty years ago, the Nutrition Screening Initiative posed nutrition screening as a vital sign for older Americans but this has still not occurred. Nursing is on the frontline for monitoring as well as working to improve nutrition intake in collaboration with dietitians and other healthcare professionals. This article describes the importance of malnutrition screening, key indicators of elder well-being, and how the older American population has changed in the last few decades. The article also chronicles the multidisciplinary Nutrition Screening Initiative, its accomplishments, challenges, and new developments including new screening data collection instruments and the frailty index. Other developments described are the Alliance to Advance Patient Nutrition's intervention framework and documentation of the economic value of nutrition intervention. Opportunities and next steps for nurses to help malnutrition screening become a vital sign are identified. These include the need to make malnutrition screening and intervention part of the core training for nurses. In the hospital setting, the Joint Commission requires that all patients be screened for malnutrition within 24 hours, however malnutrition interventions are often lacking. Thus another opportunity is for malnutrition measurement and documentation to be developed as a summative measure and included as part of the standardized nursing language, with a specific section in the Electronic Health Record. Becoming part of national health goals, such as the Healthy People 2020 objectives, is an additional important step for the evolution of malnutrition screening as a vital sign as is integrating malnutrition screening and intervention into healthcare incentives, including the Patient Protection and Affordable Care Act, transitions of care, and community intervention. Finally, committing funding for malnutrition screening, such as through reauthorization of the Older Americans Act, and gaining key learning from international experiences are important.

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Models of nutrition-focused continuing education programs for nurses: a systematic review of the evidence

Mitchell

Lucas

Charlton

et al. 2018

Aust. J. Prim. Health

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Nurses are well-positioned to provide basic nutrition education and reinforce nutrition messages to patients in hospital and primary care settings. Despite this, nurses may not receive adequate training to provide this service, and there is limited opportunity for nurses to engage in nutrition-focused continuing education (CE). The aim of this review was to determine whether nurse nutrition education results in improved knowledge and practices; and explore which models of CE for nutrition may be most acceptable and effective in practice. Web of Science and Scopus were searched for case-series studies published between 2000 and 2016 that investigated changes in nutrition knowledge of nurses and midwives. Only studies that could transcend to nurses providing patient nutrition education were included. Twelve articles met the eligibility criteria. Articles are explored in terms of mode of delivery, duration of intervention and educational strategies employed. Nutrition CE programs that are delivered face-to-face or by self-directed learning manuals, which utilise active learning strategies, are positively associated with improvements in nutrition knowledge. Web-based CE and self-directed learning may be favourable modes of delivery as they may assist in addressing resource and time contraints.

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A nutritional education program for the nursing staff may improve hospitalized patients’ nutritional assessment and management

Cited by 8 publications

References 19 publications

The effect of nutrition training for health care staff on learner and patient outcomes in adults: a systematic review and meta-analysis

The effect of nutrition training for health care staff on learner and patient outcomes in adults: a systematic review and meta-analysis

Nutrition as a Vital Sign: Progress Since the 1990 Multidisciplinary Nutrition Screening Initiative and Opportunities for Nursing

Models of nutrition-focused continuing education programs for nurses: a systematic review of the evidence

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