Yordy Beverly Morgan, Roberts Sarah, Taggart Helen M
Author Affiliations: Assistant Professor (Dr Yordy), School of Nursing, Auburn University; and Assistant Professor (Dr Roberts) and Adjunct Faculty (Dr Taggart), Adult Health Nursing Department, College of Nursing, University of South Alabama, Mobile, Alabama.
Clin Nurse Spec. 2017 May/Jun;31(3):149-156. doi: 10.1097/NUR.0000000000000292.
The purpose of the quality improvement project was to (1) enhance awareness, accuracy, and use of the validated nutrition screening tool by the nurse and (2) improve compliance to the nutrition care plan that included increasing patient meal intake percentage.
Nurses were provided with an in-depth educational program focused on the implementation of the nutrition screening tool on patient admission to the clinical site. Second, a unit-level patient protected mealtime program was implemented in an effort to decrease unnecessary mealtime interruptions and promote nurses and nursing assistants to assist with meals during mealtime to improve patient meal intake percentage and, finally, to encourage collaboration between the clinical nurse specialist, unit level nurses, and registered dietitians to improve patient nutritional care.
The results indicate that the quality improvement strategies were successful in promoting the patient protected mealtime program and use of the nutrition screening tool.
The clinical nurse specialist plays a valuable role in program development, implementation, and evaluation to achieve quality healthcare through interdisciplinary collaboration. Adhering to nutrition guidelines for the hospitalized adult patient improves nutrition care plan guidance and meal intake.
质量改进项目的目的是：（1）提高护士对经过验证的营养筛查工具的认识、使用准确性及应用情况；（2）提高对营养护理计划的依从性，包括提高患者进餐摄入量百分比。
为护士提供了一个深入的教育项目，重点是在患者入院到临床场所时实施营养筛查工具。其次，实施了一项科室层面的患者用餐保护计划，以减少不必要的用餐干扰，并促使护士和护理助理在进餐期间协助患者用餐，以提高患者进餐摄入量百分比，最后，鼓励临床护理专家、科室护士和注册营养师之间开展合作，以改善患者的营养护理。
结果表明，质量改进策略成功地促进了患者用餐保护计划和营养筛查工具的使用。
临床护理专家在通过跨学科合作实现优质医疗保健的项目开发、实施和评估中发挥着重要作用。遵守住院成年患者的营养指南可改善营养护理计划指导和进餐摄入量。
