Research Group Chronic Diseases, Utrecht University of Applied Sciences, Utrecht, the Netherlands.
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands.
J Clin Nurs. 2021 Jul;30(13-14):2079-2092. doi: 10.1111/jocn.15764. Epub 2021 Apr 7.
To gain insight into the experiences and perceptions of hospital and home care nurses regarding nutritional care for older adults to prevent and treat malnutrition.
In-depth knowledge about hospital and home care nurses' experiences and perceptions can contribute to optimise nutritional care for older adults across the care continuum between hospital and home to prevent and treat malnutrition.
Multicentre cross-sectional descriptive study.
A validated questionnaire addressing malnutrition was used. A total of 1,135 questionnaires were sent to hospital and home care nurses. The STROBE statement was followed for reporting.
The response rate was 49% (n = 556). Of all the nurses, 37% perceived the prevalence of malnutrition among their care recipients between 10% and 25%. Almost 22% of the nurses neither agreed nor disagreed or disagreed with the statement that prevention of malnutrition is possible. More than 28% of the nurses reported that malnutrition is a small or no problem. Over 95% of the hospital nurses and 52.5% of the home care nurses stated they screened routinely for malnutrition. The nurses considered several interventions for treating malnutrition important. Over 81% of the nurses indicated they wanted to follow further training.
Most hospital and home care nurses perceived that nutritional care for older adults to prevent and treat malnutrition was important. A fair group of nurses, however, had the opposite perception.
Raising the awareness of all hospital and home care nurses about the importance of nutritional care for older adults is pivotal to increase the chance of successfully providing nursing nutritional care. Nurses should follow training for consolidation of nutritional care. Nurses are well-positioned to take a leadership role to improve continuity and quality of nutritional care across the care continuum between hospital and home.
深入了解医院和家庭护理护士在老年患者营养护理方面的经验和看法，以预防和治疗营养不良。
深入了解医院和家庭护理护士的经验和看法有助于优化医院和家庭之间护理连续体上的老年患者营养护理，以预防和治疗营养不良。
多中心横断面描述性研究。
使用经过验证的针对营养不良的问卷。共向医院和家庭护理护士发送了 1135 份问卷。报告遵循 STROBE 声明。
回复率为 49%（n=556）。所有护士中，37%认为其护理对象的营养不良患病率在 10%-25%之间。近 22%的护士既不同意也不反对或不同意预防营养不良是可能的说法。超过 28%的护士报告说，营养不良是一个小问题或不是问题。超过 95%的医院护士和 52.5%的家庭护理护士表示他们常规筛查营养不良。护士认为几种治疗营养不良的干预措施很重要。超过 81%的护士表示他们希望参加进一步的培训。
大多数医院和家庭护理护士认为预防和治疗老年患者营养不良的营养护理很重要。然而，相当一部分护士则持相反的看法。
提高所有医院和家庭护理护士对老年患者营养护理重要性的认识，对于增加成功提供护理营养护理的机会至关重要。护士应参加培训以巩固营养护理。护士处于有利地位，可以发挥领导作用，改善医院和家庭之间护理连续体上的营养护理的连续性和质量。
