In:
Journal of Evaluation in Clinical Practice, Wiley, Vol. 22, No. 5 ( 2016-10), p. 799-807
Abstract:
This study aimed to explore whether a computer‐based training in eating and nutrition for hospital nursing staff can influence the precision in nutritional treatment and care. Method A pre‐intervention and post‐intervention study was conducted with a cross‐sectional design at each time point. The settings were one intervention (IH) and two control hospitals (CH1 and CH2). Hospital inpatients 〉 18 years old at baseline (2012; n = 409) and follow‐up (2014; n = 456) were included. The computer‐based training was implemented during a period of 3 months in the IH with 297 (84%) participating registered nurses and nurse assistants. Nutritional risk was screened for using the Minimal Eating Observation and Nutrition Form. Nutritional treatment and care was recorded using a standardized protocol Results In the IH, there was an increase in the share of patients at UN risk that received energy‐dense food (+16.7%) and dietician consultations (+17.3%) between baseline and follow‐up, while fewer received feeding assistance (−16.2%). There was an increase in the share of patients at UN risk that received energy‐dense food (+19.5%), a decrease in oral nutritional supplements (‐30.5%) and food‐registrations (−30.6%) in CH1, whereas there were no changes in CH2. ‘Overtreatment’ (providing nutritional treatment to those not at UN risk) was significantly higher in CH2 (52.7%) than in CH1 (14.3%) and in the IH (25.2%) at follow‐up. Conclusion The computer‐based training seemed to increase the probability for patients at UN risk in the IH to receive nutritional treatment without increasing overtreatment.
Type of Medium:
Online Resource
ISSN:
1356-1294
,
1365-2753
DOI:
10.1111/jep.2016.22.issue-5
Language:
English
Publisher:
Wiley
Publication Date:
2016
detail.hit.zdb_id:
2006772-0
