Knowledge, attitudes and practices in the provision of nutritional care

Fletcher, Antoinette; Carey, Eileen

doi:10.12968/bjon.2011.20.10.615

Cited by 43 publications

(28 citation statements)

References 21 publications

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“…The authors showed a prevalence of malnutrition as high as 31.9% and stated that little has changed since the publication of research conducted by the European Council in 1999 (Beck et al, 2002). A review by Fletcher and Carey (2011) drew similar conclusions. Assessment of nutritional status, which is the very first strategy for identifying patients either malnourished or at risk (Green & James, 2013), is often not performed (Adams, Bowie, Simmance, Murray, & Crowe, 2008;Bavelaar, Otter, van Bodegraven, Thijs, & van Bokhorst-de van der Schueren, 2008;Kondrup et al, 2002;Lazarus & Hamlyn, 2005;Mowe et al, 2008;Persenius, Hall-Lord, B a ath, & Larsson, 2008;Suominen, Sandelin, Soini, & Pitkala, 2009).…”

Section: Introductionmentioning

confidence: 83%

Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study

Bonetti

Terzoni

Lusignani

et al. 2017

Journal of Clinical Nursing

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Section: Introductionmentioning

confidence: 83%

Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study

Bonetti

Terzoni

Lusignani

et al. 2017

Journal of Clinical Nursing

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“…Such negative attitudes were expressed during group discussion when they were asked to give opinion on nutrition knowledge in their professional training. Different studies have revealed that in-service nutrition training can help to improve health workers' nutrition knowledge [18,19]. This may facilitate positive changes in their attitudes toward nutrition care and thus in their behaviour [19,20].…”

Section: Discussionmentioning

confidence: 99%

Nutrition knowledge, attitudes and practices among healthcare workers in management of chronic kidney diseases in selected hospitals in Dar es Salaam, Tanzania; a cross-sectional study

et al. 2016

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Background: Chronic kidney disease (CKD) is a global public health problem. All health care professionals need to be knowledgeable and competent in nutrition as it applies to health promotion, prevention and treatment of acute and chronic diseases. Nutrition intervention is an important component in optimizing diet among CKD patients. However, there is limited information on the nutrition knowledge on management of CKD among healthcare workers in Dar es Salaam Tanzania. This study assessed nutrition knowledge, attitudes and current practices of healthcare workers in management of patients with CKD in selected hospitals. Methods: This cross sectional study was conducted amongst 133 healthcare workers in renal units in selected hospitals from December 2011 to March 2012. Hospitals were purposively selected based on the availability of renal care services in the facility. Nutrition knowledge and practices were assessed using a standardized questionnaire. Knowledge levels were categorised as > 61 % "adequate"41-60 % "moderate" and 1-40 % "low". Attitudes were measured using a 5 Likert scale. Descriptive statistics were used to summarize data. Chi-square was used to test the relationship between categorical variables. A p -value of < 0.05 was considered statistically significant. Results: The mean nutrition knowledge score among health care workers was 9.8 (SD 3.12). There was a significant difference in the nutrition knowledge among carders (p ≤ 0.001). Medical specialists had a higher mean score (13.75) compared to medical doctors and nurses with mean scores 12.05 and 9.51 respectively. Other cadres had lower mean score of 8.65. Likert scale showed that 94 % had positive attitudes on the role of nutrition in preventing and treating diseases. Most of respondents (92 %) did not use any nutrition guidelines. Nutrition management were discussed occasionally during ward rounds. There were significant relationship between age group (χ 2 = 16.69; p = 0.01), work experience (χ 2 = 18.61; p < 0.01) and nutrition knowledge of participants.

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“…As a result, health workers produced from teaching institutions have lacked adequate nutrition knowledge (3, 6). Such health workers may also lack the competence and skills to provide basic nutrition advice to their clients (2, 11). This incompetence, in turn, may be a factor deterring health workers from providing nutrition advice and management to their clients (12).…”

Section: Introductionmentioning

confidence: 99%

Nutrition Training Improves Health Workers’ Nutrition Knowledge and Competence to Manage Child Undernutrition: A Systematic Review

Sunguya¹,

Poudel²,

Mlunde³

et al. 2013

Front. Public Health

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Background: Medical and nursing education lack adequate practical nutrition training to fit the clinical reality that health workers face in their practices. Such a deficit creates health workers with poor nutrition knowledge and child undernutrition management practices. In-service nutrition training can help to fill this gap. However, no systematic review has examined its collective effectiveness. We thus conducted this study to examine the effectiveness of in-service nutrition training on health workers’ nutrition knowledge, counseling skills, and child undernutrition management practices.Methods: We conducted a literature search on nutrition interventions from PubMed/MEDLINE, CINAHL, EMBASE, ISI Web of Knowledge, and World Health Organization regional databases. The outcome variables were nutrition knowledge, nutrition-counseling skills, and undernutrition management practices of health workers. Due to heterogeneity, we conducted only descriptive analyses.Results: Out of 3910 retrieved articles, 25 were selected as eligible for the final analysis. A total of 18 studies evaluated health workers’ nutrition knowledge and showed improvement after training. A total of 12 studies with nutrition counseling as the outcome variable also showed improvement among the trained health workers. Sixteen studies evaluated health workers’ child undernutrition management practices. In all such studies, child undernutrition management practices and competence of health workers improved after the nutrition training intervention.Conclusion: In-service nutrition training improves quality of health workers by rendering them more knowledge and competence to manage nutrition-related conditions, especially child undernutrition. In-service nutrition training interventions can help to fill the gap created by the lack of adequate nutrition training in the existing medical and nursing education system. In this way, steps can be taken toward improving the overall nutritional status of the child population.

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Knowledge, attitudes and practices in the provision of nutritional care

Cited by 43 publications

References 21 publications

Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study

Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study

Nutrition knowledge, attitudes and practices among healthcare workers in management of chronic kidney diseases in selected hospitals in Dar es Salaam, Tanzania; a cross-sectional study

Nutrition Training Improves Health Workers’ Nutrition Knowledge and Competence to Manage Child Undernutrition: A Systematic Review

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