Validity and Reliability of Nutrition Screening Administered by Nurses

Lim, Su Lin; Ang, Emily; Foo, Yet Li; Ng, Lian Ye; Tong, Chung Yan; Ferguson, Maree; Daniels, Lynne

doi:10.1177/0884533613502812

Cited by 26 publications

(33 citation statements)

References 31 publications

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“…We trained much shorter than other authors trained established methods for MUAC, weighing or height measuring in Ethiopia, United States or Bolivia. 4,15,16 There is no interpersonal anthropometric difference as with some other nutritional parameters, 17 when the measurement is used as a trend for the villages Only very few of our participants were trained in their mother-tongue. English was a foreign language for almost everybody and our training method was admittingly boring.…”

Section: Discussionmentioning

confidence: 99%

A New Way to Measure Mid-Upper-Arm Circumference in African Villages

et al. 2014

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In 2011 we published a study on how to detect the threshold for malnutrition in children, simply using their own hands and without any technical tool. The fight against malnutrition can only be reached when its measurements involve every single child, almost continuously, in the affected villages. In this paper we try to show that, thanks to our method, it is possible to use mid-upper-arm-circumference as a measurement for malnutrition in children, discriminating between severe and moderate malnutrition and providing the basis for the decision on whether to admit a child to a nutritional rehabilitation unit or not. We trained 63 participants in four groups (Group 1: doctors and clinical officers; Group 2: nurses and students; as Group 3 we defined the 20 best participants and Group 4 consisted of 10 more intensely trained participants) to measure the circumference of 9 different artificial arms (between 9 and 13 cm) using their own fingers and hands. The training was short and consisted of an introduction of 5 min, a first training phase of 10-15 min, a test, the critical discussion of the results, a second training phase of 5 min and a final test. We found that 95.3% of participants in the general group and 97.9% in the intensely trained group have identified the severely malnourished child; 87.3% in the general group and 91.9% in the intensely trained group have additionally identified the moderately malnourished child. Both groups haven’t admitted the well nourished child to a therapeutic feeding program retaining their resources. The third group reached without any additional training the results in the above categories. A subsequent discussion with the participants on the influence of procurement, maintenance and pricing of our tool, found our method much less vulnerable than others. We conclude that this method should be considered as a future training in the villages to detect the trend towards malnutrition early enough.

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Section: Discussionmentioning

confidence: 99%

A New Way to Measure Mid-Upper-Arm Circumference in African Villages

et al. 2014

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“…Lim discussed the development and validation of such a screening tool, referred to as the 3‐Minute Nutrition Screening (3‐MinNS), specific for the Singapore population with its multiethnic population. The 3‐MinNS was found to be both sensitive (86–89%) and specific (83–88%) in identifying patients at risk of malnutrition and showed good inter‐rater reliability among nurses (agreement = 78.3%, k = 0.58, P < 0.001) …”

Section: Malnutrition Data and Insights From Around The Worldmentioning

confidence: 94%

Clinical and economic outcomes of nutrition interventions across the continuum of care

Schueren

Elia

Gramlich

et al. 2014

Annals of the New York Academy of Sciences

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Optimal nutrition across the continuum of care plays a key role in the short-and long-term clinical and economic outcomes of patients. Worldwide, an estimated one-quarter to one-half of patients admitted to hospitals each year are malnourished. Malnutrition can increase healthcare costs by delaying patient recovery and rehabilitation and increasing the risk of medical complications. Nutrition interventions have the potential to provide cost-effective preventive care and treatment measures. However, limited data exist on the economics and impact evaluations of these interventions. In this report, nutrition and health system researchers, clinicians, economists, and policymakers discuss emerging global research on nutrition health economics, the role of nutrition interventions across the continuum of care, and how nutrition can affect healthcare costs in the context of hospital malnutrition.

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“…Nutrition screening is defined as “a process to identify an individual who is malnourished or who is at risk for malnutrition to determine if a detailed nutrition assessment is indicated.” Patients who are nutritionally‐at‐risk shall be identified by a validated screening process and by periodic rescreening per institutional policy or standard . This process should be created, approved, and regularly reviewed by a group with organizational authority, preferably a designated nutrition committee.…”

Section: Chapter Ii: Nutrition Carementioning

confidence: 99%

“…All patients identified as nutritionally‐at‐risk based on the nutrition screening shall undergo a nutrition assessment . This nutrition assessment shall be documented and made available to all patient care providers.…”

Section: Chapter Ii: Nutrition Carementioning

confidence: 99%

Standards for Nutrition Support: Adult Hospitalized Patients

et al. 2018

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The American Society for Parenteral and Enteral Nutrition defines standards as benchmarks representing a range of performance of competent care that should be provided to assure safe and efficacious nutrition care in most circumstances. Standards are documents that define the structure needed to provide competent care. These Standards for Nutrition Support for Adult Hospitalized Patients are an update of the 2010 Standards. These practice-based standards are intended for use by healthcare professionals charged with the care of adult hospitalized patients receiving nutrition support therapy in any hospital with or without a formal nutrition support service or team. These Standards address professional responsibilities as they relate to patient assessment,

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Validity and Reliability of Nutrition Screening Administered by Nurses

Abstract: The 3-MinNS is a valid and reliable tool for nurses to identify patients at risk of malnutrition.

Cited by 26 publications

References 31 publications

A New Way to Measure Mid-Upper-Arm Circumference in African Villages

A New Way to Measure Mid-Upper-Arm Circumference in African Villages

Clinical and economic outcomes of nutrition interventions across the continuum of care

Standards for Nutrition Support: Adult Hospitalized Patients

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