Factors associated with the practice of nursing staff sharing information about patients’ nutritional status with their colleagues in hospitals

Abstract

Knowledge and attitude were independently associated with the practice of sharing patients' nutrition information with colleagues, regardless of their priority to provide nutritional care. An effective approach should be taken to improve the practice of providing nutritional care practice.

Optimizing Nutrition Care for Pressure Injuries in Hospitalized Patients

“…4,25,26 Unfortunately, barriers such as inadequate knowledge by health care providers and dysfunctional health system processes relating to nutrition care and PI prevention have been identified in the literature which can adversely impact their ability to identify and care for at-risk patients. 8,[24][25][26][27][28][29][30][31] See Table 2 for Barriers and Strategies for Optimal Nutrition Care to Reduce Pressure Injuries. Some solutions have been identified in the literature, including education programs and multidisciplinary focused care teams.…”

“…28 In fact, in a recent study of nurses, knowledge and attitude were independently associated with the practice of sharing patients' nutrition information with colleagues. 30 To facilitate education for health care providers, health systems should sponsor robust continuing education offerings for staff regarding evidence for use of standardized clinical protocols and pathways, nutritional screening and assessment, PI risk, and PI prevention and treatment methods, including early nutritional intervention for at-risk patients. 4 Regular communication and collaboration among the multidisciplinary clinical team, including the Registered Dietitian, pharmacist, 3,6,7,23 Use of NCP, early identification/intervention, continued monitoring and evaluation, and reassessment of hospitalized patients.…”

“…Interdisciplinary team meetings should include clinical team and hospital administrators to evaluate length of stay, readmission rate, mortality data, and cost analysis. 4,27 Education 23,27,28,30 Teach the individual and family about risk for PI. Engage individual and family in risk reduction interventions.…”

“…28 Mandatory staff education on prevention and management techniques. 8,27,28,30 Length of hospital stay 3,9 Reassess nutritional screening for hospitalized patients who have length of stay greater than expected. Evidence is unclear on the precise recommendation, but evidence suggests that rescreening may be warranted for patients with length of hospital stay greater than 3-5 days.…”

“…4 Adequate energy sources (carbohydrates and fats), protein sources (e.g., animal or vegetable proteins), amino acids (leucine), hydration (water, fluids, and food within fluids), and vitamins and minerals are important for skin integrity and enhancing wound healing. 4,20,30,[40][41][42] Optimal nutrition, including sufficient energy, carbohydrate, protein, amino acid, and fat and micronutrient intake in patients, has been found to facilitate prompt and effective skin integrity maintenance and wound healing. 3,4,24,42,43 When designing any individualized nutrition care plan for a patient with malnutrition and/or PI, health care providers should provide a variety of foods to ensure that carbohydrates, fats, and proteins, as well as micronutrients and adequate hydration, are sufficient to meet estimated requirements.…”