Implementation of nutrition risk screening using the Malnutrition Universal Screening Tool across a large metropolitan health service

Cooper, P. L.; Raja, R.; Golder, J; Stewart, Andrew; Shaikh, RB; Apostolides, M.; Savva, June; Sequeira, Jennifer; Silvers, Mary Anne

doi:10.1111/jhn.12370

Cited by 9 publications

(10 citation statements)

References 15 publications

(29 reference statements)

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“…However, these are structural problems and challenges that were revealed during the study, which subsequently led to discussions among healthcare professionals and stakeholders, and these findings are perceived as a positive outcome of the project. These types of organisational challenges have been described in other studies, which reported similar difficulties in clinical practice ( 18 , 19 , 27 , 36 ) . Limited time and limited resources, as well as a lack of support from the organisation and stakeholders, have frequently been mentioned as the most important barriers to adequate malnutrition screening ( 18 ) .…”

Section: Discussionsupporting

confidence: 76%

Use of an electronic malnutrition screening tool in a hospital setting: effects on knowledge, attitudes and perceived practices of healthcare staff

2018

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Malnutrition risk screening is essential for the adequate identification and treatment of malnourished hospitalised patients. The aim of this study was to determine the effect of the use of an electronic malnutrition screening tool on the knowledge, attitudes and perceived practices (KAP) of a pool of nurses, nurses' aides and physicians. A controlled study using a pre-test-post-test design was carried out in two Austrian hospitals. The hospital that was assigned to the intervention group used the Graz malnutrition screening tool. The hospital that was assigned to the control group received no intervention. To collect data, a questionnaire was filled out by the study participants at baseline (T0) and 1 month after the implementation (T1) to assess KAP. All data were analysed using descriptive statistics, χ 2 tests, Wilcoxon signed-rank tests and Student's t tests. A total of 269 nurses, nurses' aides and physicians participated in the study and completed the questionnaires at T0, and 190 people at T1. The sum score for the KAP questionnaire changed significantly after the implementation of the malnutrition screening tool in the intervention group (P<0·001), but not in the control group. The use of a valid and reliable malnutrition screening tool effectively improved the KAP of healthcare staff. The KAP described here are essential for providing successful nutritional care in malnourished patients, and improving these factors may result in improved patient outcomes. To attain these outcomes, stakeholders, as well as members of all professions involved in multidisciplinary nutritional care, must invest significant efforts.

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Section: Discussionsupporting

confidence: 76%

Use of an electronic malnutrition screening tool in a hospital setting: effects on knowledge, attitudes and perceived practices of healthcare staff

2018

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“…17 with respect to use of any Advanced Nutrition Care activity. The success with 341 implementation is consistent with reports based on mandatory screening programs 342 (21) or superior to other screening implementation studies (20,33). 343…”

Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 59%

“…Despite the cost of malnutrition on patient and healthcare outcomes, and 60 international consensus regarding the need for malnutrition screening, there is little 61 literature on the systematic implementation of screening protocols and how this 62 increases screening rates (16,20,21). Research is still needed to demonstrate M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 5 whether screening leads to other best practices such as diagnosis and treatment of 64 malnutrition, and how screening and other best practices can be implemented and 65 sustained (20). The first aim of this manuscript is to describe the change in rates of 66 detection and triaging of care for malnourished patients in 5 hospitals that were 67 implementing an evidence based nutrition care algorithm, and to demonstrate if 68 these improvements can be sustained in the short-term.…”

mentioning

confidence: 99%

Multi-site implementation of nutrition screening and diagnosis in medical care units: Success of the More-2-Eat project

et al. 2019

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“…Organisation of safe patient care should occur during transitions within the hospital and during external transitions to the community or other organisations. Recent implementation work in hospital demonstrates that screening can be put into place to promote quality care and future work should examine the implementation of screening in primary practices, potentially focusing on especially high‐risk populations to promote safe transitions. The fact that patients reported not being under the care of a dietitian does not mean that this was not requested.…”

Section: Discussionmentioning

confidence: 99%

Patient‐reported dietetic care post hospital for free‐living patients: a Canadian Malnutrition Task Force Study

Keller

Payette

Laporte³

et al. 2017

J Human Nutrition Diet

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Background: Transitions out of hospital can influence recovery. Ideally, malnourished patients should be followed by someone with nutrition expertise, specifically a dietitian, post discharge from hospital. Predictors of dietetic care post discharge are currently unknown. The present study aimed to determine the patient factors independently associated with 30-days post hospital discharge dietetic care for free-living patients who transitioned to the community. Methodology: Nine hundred and twenty-two medical or surgical adult patients were recruited in 16 acute care hospitals in eight Canadian provinces on admission. Eligible patients could speak English or French, provide their written consent, were anticipated to have a hospital stay of ≥2 days and were not considered palliative. Telephone interviews were completed with 747 (81%) participants using a standardised questionnaire to determine whether dietetic care occurred post discharge; 544 patients discharged to the community were included in the multivariate analyses, excluding those who were admitted to nursing homes or rehabilitation facilities. Covariates during and post hospitalisation were collected prospectively and used in logistic regression analyses to determine independent patientlevel predictors. Results: Dietetic care post discharge was reported by 61/544 (11%) of participants and was associated with severe malnutrition [Subjective Global Assessment category C: odd's ratio (OR) 2.43 (1.23-4.83)], weight loss post discharge )], comorbidity [(OR 1.09 (1.02-1.17)] and a dietitian consultation on admission . Conclusions: Dietetic care post discharge occurs in few patients, despite the known high prevalence of malnutrition on admission and discharge. Dietetic care in hospital was the most influential predictor of post-hospital care.

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Implementation of nutrition risk screening using the Malnutrition Universal Screening Tool across a large metropolitan health service

Cited by 9 publications

References 15 publications

Use of an electronic malnutrition screening tool in a hospital setting: effects on knowledge, attitudes and perceived practices of healthcare staff

Use of an electronic malnutrition screening tool in a hospital setting: effects on knowledge, attitudes and perceived practices of healthcare staff

Multi-site implementation of nutrition screening and diagnosis in medical care units: Success of the More-2-Eat project

Patient‐reported dietetic care post hospital for free‐living patients: a Canadian Malnutrition Task Force Study

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