Quality Improvement in Clinical Nutrition

Yordy, Morgan; Roberts, Sarah; Taggart, Helen M.

doi:10.1097/nur.0000000000000292

Cited by 6 publications

(4 citation statements)

References 13 publications

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“…Although nutrition screening within 24 h of admission is no longer a requirement by the Joint Commission on Accreditation of Healthcare Organizations, it remains the best method for early identification and appropriate intervention. Two recently published QI studies emphasized the importance of a validated nutrition screen related to adherence to meal intake ( 20 ) and better nutritional care and lower prevalence of malnutrition ( 19 ). Nutrition screening, assessment, and intervention during a patient's stay and planning for the patient's nutrition care after discharge are important components of the nutrition care process.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Nutrition Care Process in US Hospitals Using a Web-Based Tool Demonstrates the Need for Quality Improvement in Malnutrition Diagnosis and Discharge Care

Sherry¹,

Sauer²,

Thrush³

2017

Current Developments in Nutrition

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Background: Malnutrition in hospitalized patients is a pervasive problem in the United States. To our knowledge, although malnutrition has been acknowledged as a concern for >40 y, it has not yet been well addressed with a systematic, process improvement approach. Objectives: We aimed to characterize the current nutrition care process in US hospitals to establish a baseline for improvements. We also aimed to demonstrate the application of a web-based quality improvement tool as a simple approach to address malnutrition in hospitalized patients. Methods: We established a web-based tool to measure and assess nutrition care practices from hospital electronic medical records. Individual institutions self-selected to participate and were assigned a unique identifier to input data. Aggregated patient data from registered institutions were assessed. Data from all institutions were combined and are presented as the totals for each variable. Results: Of 243 registered users, 97 provided data and 150 reports were included in the analysis, resulting in a total of 107,106 patients. Almost all patients (89.98%) were screened for malnutrition risk within 24 h of admission, and ∼30% were at risk for malnutrition. Of those at risk, ∼65% received a registered dietitian nutritionist consultation or an order for an oral nutrition supplement. The rate of malnutrition diagnosis for those at risk was ∼14%, and <10% of patients received a recommendation or prescription for an oral nutrition supplement at discharge. Conclusions: Malnutrition remains an issue for hospitalized patients, particularly the gap between those screened as at risk and those diagnosed with malnutrition. Moreover, discharge recommendations for patients who are screened as at risk for malnutrition are also lacking. These data demonstrate that a web-based quality improvement tool could be used to capture the nutrition care practice at an institution level to provide directed approaches for addressing hospital malnutrition and improving care of patients at risk for malnutrition.

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Section: Discussionmentioning

confidence: 99%

Assessment of the Nutrition Care Process in US Hospitals Using a Web-Based Tool Demonstrates the Need for Quality Improvement in Malnutrition Diagnosis and Discharge Care

Sherry¹,

Sauer²,

Thrush³

2017

Current Developments in Nutrition

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“…Once a tool is chosen, nurse training and education is necessary prior to implementation. Communication of the new tool should begin well before implementation to allow time for proper training and questions 21 . A variety of education methods should be utilized, including online trainings, posters, handouts, and in‐person education.…”

Section: Implementing a Screening Toolmentioning

confidence: 99%

Malnutrition screening and diagnosis tools: Implications for practice

House

Gwaltney

2021

Nut in Clin Prac

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Despite the prevalence of protein‐calorie malnutrition (PCM) in acute‐care hospitals and long‐term care centers, a national and global consensus on nutrition screening and malnutrition diagnosis is lacking. PCM is associated with various acute and chronic complications, such as impaired wound healing, increased risk for infection, debility, and increased risk for rehospitalization. The consequences of PCM are also incredibly costly to both the patient and the healthcare facility. The purpose of this paper is to identify nutrition screening tools and malnutrition diagnosis tools currently being utilized in acute‐care healthcare centers across the United States.

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“…The NNS may coordinate patient education on self-management of enteral or parenteral nutrition and provide training and educational programmes for other healthcare professionals [42]. Yordy et al [44] report outcomes of a NNS-led quality improvement project. The project included a program of nutritional education for ward nurses with an audit of practice before and after education.…”

Section: Nursing and Nutritional Carementioning

confidence: 99%

Challenges and Perspectives in Nutritional Counselling and Nursing: A Narrative Review

Vasiloglou

Fletcher

Poulia

2019

JCM

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Nutritional counselling has been recognised as the first line approach in the management of numerous chronic diseases. Though usually carried out by dietitians, nutritional counselling may be used by nurses, or other healthcare professionals to improve nutritional status and meet healthcare goals. Healthcare professionals require training and education to facilitate a patient centred approach to effective counselling. Advances in digital technology have the potential to improve access to nutritional counselling for some patients such as those in primary care. However, caution is required to ensure that valuable interpersonal relationships are not lost, as these form the cornerstone of effective nutritional counselling. The aim of this narrative review is to explore aspects of effective nutritional counselling, including advances in e-counselling and areas where nursing input in nutritional counselling might enhance overall nutritional care.

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Quality Improvement in Clinical Nutrition

Cited by 6 publications

References 13 publications

Assessment of the Nutrition Care Process in US Hospitals Using a Web-Based Tool Demonstrates the Need for Quality Improvement in Malnutrition Diagnosis and Discharge Care

Assessment of the Nutrition Care Process in US Hospitals Using a Web-Based Tool Demonstrates the Need for Quality Improvement in Malnutrition Diagnosis and Discharge Care

Malnutrition screening and diagnosis tools: Implications for practice

Challenges and Perspectives in Nutritional Counselling and Nursing: A Narrative Review

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