Identification and management of malnutrition in hospitalised patients: A survey of staff knowledge and attitudes
Summary: Background & aims: Malnutrition is associated with functional decline and poorer clinical outcomes for hospitalised patients. This study aimed to survey the knowledge of clinical staff concerning identification/diagnosis and management of inpatient malnutrition and to assess attitu...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-06-01
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| Series: | Clinical Nutrition Experimental |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352939320300087 |
| _version_ | 1818133340488728576 |
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| author | Indi Swan Ibolya Nyulasi Kathryn Collins Janet Weir-Phyland Danielle Bolster Rebecca Burgell Daniel Fineberg William Johnson Susannah King Ronald Leong Gary McLachlan Lisa Murnane Lisa Somerville Robyn Wright Rowan Walker |
| author_facet | Indi Swan Ibolya Nyulasi Kathryn Collins Janet Weir-Phyland Danielle Bolster Rebecca Burgell Daniel Fineberg William Johnson Susannah King Ronald Leong Gary McLachlan Lisa Murnane Lisa Somerville Robyn Wright Rowan Walker |
| author_sort | Indi Swan |
| collection | DOAJ |
| description | Summary: Background & aims: Malnutrition is associated with functional decline and poorer clinical outcomes for hospitalised patients. This study aimed to survey the knowledge of clinical staff concerning identification/diagnosis and management of inpatient malnutrition and to assess attitudes and knowledge of malnutrition as a shared inter-disciplinary responsibility. Methods: A survey designed to investigate the aims was distributed to clinical staff (medical, nursing, dietitians and allied health) across three hospital campuses including acute, sub-acute and rehabilitation sites. Results: Survey responses were received from 14% (n = 302) of eligible clinical staff (116 nursing, 68 medical, 20 dietitians and 98 other allied health staff). With the exception of dietitians, responses to questions regarding skills and knowledge in the areas of malnutrition identification, diagnosis, treatment and management indicated sub-optimal knowledge. Only 60% of medical/surgical staff and 42% of nursing staff self-reported the ability to diagnose malnutrition. Responses to questions regarding responsibility for malnutrition were highly variable and suggested no significant ‘shared ownership’ of malnutrition as clinical responsibility. Conclusion: Apart from dietitians, malnutrition management skills were modest and knowledge gaps of clinical staff were marked. Confusion also existed as to the responsibility for malnutrition care for inpatients. To improve inpatient nutrition further multidisciplinary engagement and improved education may be required. |
| first_indexed | 2024-12-11T08:51:10Z |
| format | Article |
| id | doaj.art-105230532c3e4a75851ec219d2a6f274 |
| institution | Directory Open Access Journal |
| issn | 2352-9393 |
| language | English |
| last_indexed | 2024-12-11T08:51:10Z |
| publishDate | 2020-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Nutrition Experimental |
| spelling | doaj.art-105230532c3e4a75851ec219d2a6f2742022-12-22T01:14:01ZengElsevierClinical Nutrition Experimental2352-93932020-06-0131818Identification and management of malnutrition in hospitalised patients: A survey of staff knowledge and attitudesIndi Swan0Ibolya Nyulasi1Kathryn Collins2Janet Weir-Phyland3Danielle Bolster4Rebecca Burgell5Daniel Fineberg6William Johnson7Susannah King8Ronald Leong9Gary McLachlan10Lisa Murnane11Lisa Somerville12Robyn Wright13Rowan Walker14Alfred Health, Commercial Road, Melbourne, VIC 3004, Australia; Corresponding author. Alfred Health, Nutrition Department, Commercial Road, Melbourne, VIC 3004, Australia.Alfred Health, Commercial Road, Melbourne, VIC 3004, Australia; Department of Dietetics, Nutrition and Sport, LaTrobe University, Melbourne, VIC, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, Australia; Department of Dietetics, Nutrition and Sport, LaTrobe University, Melbourne, VIC, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaAlfred Health, Commercial Road, Melbourne, VIC 3004, AustraliaSummary: Background & aims: Malnutrition is associated with functional decline and poorer clinical outcomes for hospitalised patients. This study aimed to survey the knowledge of clinical staff concerning identification/diagnosis and management of inpatient malnutrition and to assess attitudes and knowledge of malnutrition as a shared inter-disciplinary responsibility. Methods: A survey designed to investigate the aims was distributed to clinical staff (medical, nursing, dietitians and allied health) across three hospital campuses including acute, sub-acute and rehabilitation sites. Results: Survey responses were received from 14% (n = 302) of eligible clinical staff (116 nursing, 68 medical, 20 dietitians and 98 other allied health staff). With the exception of dietitians, responses to questions regarding skills and knowledge in the areas of malnutrition identification, diagnosis, treatment and management indicated sub-optimal knowledge. Only 60% of medical/surgical staff and 42% of nursing staff self-reported the ability to diagnose malnutrition. Responses to questions regarding responsibility for malnutrition were highly variable and suggested no significant ‘shared ownership’ of malnutrition as clinical responsibility. Conclusion: Apart from dietitians, malnutrition management skills were modest and knowledge gaps of clinical staff were marked. Confusion also existed as to the responsibility for malnutrition care for inpatients. To improve inpatient nutrition further multidisciplinary engagement and improved education may be required.http://www.sciencedirect.com/science/article/pii/S2352939320300087MalnutritionInterdisciplinary teamKnowledgeAttitudesRiskHospitalised patients (inpatients) |
| spellingShingle | Indi Swan Ibolya Nyulasi Kathryn Collins Janet Weir-Phyland Danielle Bolster Rebecca Burgell Daniel Fineberg William Johnson Susannah King Ronald Leong Gary McLachlan Lisa Murnane Lisa Somerville Robyn Wright Rowan Walker Identification and management of malnutrition in hospitalised patients: A survey of staff knowledge and attitudes Clinical Nutrition Experimental Malnutrition Interdisciplinary team Knowledge Attitudes Risk Hospitalised patients (inpatients) |
| title | Identification and management of malnutrition in hospitalised patients: A survey of staff knowledge and attitudes |
| title_full | Identification and management of malnutrition in hospitalised patients: A survey of staff knowledge and attitudes |
| title_fullStr | Identification and management of malnutrition in hospitalised patients: A survey of staff knowledge and attitudes |
| title_full_unstemmed | Identification and management of malnutrition in hospitalised patients: A survey of staff knowledge and attitudes |
| title_short | Identification and management of malnutrition in hospitalised patients: A survey of staff knowledge and attitudes |
| title_sort | identification and management of malnutrition in hospitalised patients a survey of staff knowledge and attitudes |
| topic | Malnutrition Interdisciplinary team Knowledge Attitudes Risk Hospitalised patients (inpatients) |
| url | http://www.sciencedirect.com/science/article/pii/S2352939320300087 |
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