Malnutrition prevalence and precision in nutritional care differed in relation to hospital volume – a cross-sectional survey

Westergren, Albert; Wann-Hansson, Christine; Börgdal, Elisabet Bergh; Sjölander, Jeanette; Strömblad, Rosmarie; Klevsgård, Rosemarie; Axelsson, Carolina; Lindholm, Christina; Ulander, Kerstin

doi:10.1186/1475-2891-8-20

Cited by 42 publications

(35 citation statements)

References 18 publications

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“…Assessment of nutritional status based on BMI, recent weight loss, and low energy intake has already been made by other studies with hospitalized (9,12), pre-operative and post-operative patients (32). A multicentric study that assessed nutritional status and clinical outcomes found an HEI/ER <75% rate of 32.4% (24).…”

Section: Discussionmentioning

confidence: 99%

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Pp146-Mon Determinants of Malnutrition and Postoperative Complications in Hospitalized Surgical Patients

Leandro‐Merhi¹,

Aquino²

2013

Clinical Nutrition

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Section: Discussionmentioning

confidence: 99%

“…Different parameters are being developed to assess the nutritional status of hospitalized patients and better map this reality (5-9). Nevertheless, malnutrition is still underreported (10), despite its association with increased morbidity, mortality, and hospital costs (10).…”

Section: Introductionmentioning

confidence: 99%

Pp146-Mon Determinants of Malnutrition and Postoperative Complications in Hospitalized Surgical Patients

Leandro‐Merhi¹,

Aquino²

2013

Clinical Nutrition

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“…In a recent study in Sweden, 12 the prevalence of moderate and severe malnutrition varied from 22% to 34% in small, medium, and large hospitals.…”

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confidence: 95%

Nutrition Status and Risk Factors Associated With Length of Hospital Stay for Surgical Patients

Leandro‐Merhi

Aquino

Chagas

2010

J Parenter Enteral Nutr

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“…It has been shown that by having students to participate in the research process their attitudes towards research gets more positive [6] and that their research skills improve [6,7] . We have involved undergraduate nursing students in actual research projects since 2005 [2,[8][9][10] . For example, in a small study were the students (n=42) were research collaborators in a nutrition study, 86% stated that they got improved understanding of research and 38% got increased knowledge about nutrition [11] .…”

Section: Introductionmentioning

confidence: 99%

Improving nursing students research knowledge through participation in a study about nutrition, its associated factors and assessment

Westergren

Edfors

Hedin

et al. 2013

JNEP

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Aims: The aims of this study were threefold: 1) to explore nursing students perceptions of knowledge development after participating in an actual research project; 2) to explore undernutrition and its relationship to other clinical factors; 3) to explore the user-friendliness of the Minimal Eating Observation and Nutrition Form (MEONF-II) in relation to dependency in Activities of Daily Living (ADL). Methods:A pilot study (Study 1, S1) was conducted in October 2010, including 281 patients. After extending the research protocol a second data collection (S2) was conducted in March 2011, including 236 patients (total n=517). First and third year nursing students (n=188) collected the data, during one day of their clinical practice courses by assessing three patients each in hospitals or nursing homes. Students answered questions about their experiences from participating in the study. Patient related assessments included: MEONF-II; ADL dependency (S1 and S2); insomnia; low-spiritedness; and subjective health (S2). In addition, questions about the user-friendliness of MEONF-II were included (S1 and S2).Results: Among the nursing students, 51% experienced that their knowledge about nutrition increased and 67% that their understanding for research increased by participating in the project. Out of the patients, 57% were women, 50% were almost independent, 27% had some dependency, 23% were almost totally dependent in ADL, and 48% were at moderate/ high undernutrition risk. In S2, 32% of patients had insomnia, and 46% experienced low-spiritedness. Dependency in 5-6 and 3-4 ADLs (OR, 2.439 and 2.057, respectively), compared to dependency in 0-2 ADLs, were the strongest predictors for undernutrition risk, followed by insomnia (OR 2.124). Nursing students experienced the MEONF-II as easy to understand (93%), easy to answer (94%) and relevant (94%), and the suggestions for measures to take in case of risk as relevant (95%), independent of the patients' ADL status. Conclusions:By participating in an actual research project nursing students gets an understanding for research and tools for working with quality improvements in their future role as professional nurses. Undernutrition, mental and physical factors constitute coexisting problems in need for further investigation. Nursing students perceive the MEONF-II as user-friendly, independent of patient ADL dependency.

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Malnutrition prevalence and precision in nutritional care differed in relation to hospital volume – a cross-sectional survey

Abstract: Background: To explore the point prevalence of the risk of malnutrition and the targeting of nutritional interventions in relation to undernutrition risk and hospital volume.

Cited by 42 publications

References 18 publications

Pp146-Mon Determinants of Malnutrition and Postoperative Complications in Hospitalized Surgical Patients

Pp146-Mon Determinants of Malnutrition and Postoperative Complications in Hospitalized Surgical Patients

Nutrition Status and Risk Factors Associated With Length of Hospital Stay for Surgical Patients

Improving nursing students research knowledge through participation in a study about nutrition, its associated factors and assessment

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