Does Documentation in Nursing Records of Nutritional Screening on Admission to Hospital Reflect the Use of Evidence-Based Practice Guidelines for Malnutrition?

被引：8

作者：

Geurden, Bart ^{[1
]}

Wouters, Conny ^{[2
]}

Franck, Erik ^{[1
]}

Weyler, Joost ^{[1
]}

Ysebaert, Dirk ^{[1
,3
]}

机构：

[1] Univ Antwerp, Fac Med & Hlth Sci, B-2020 Antwerp, Belgium

[2] Univ Antwerp Hosp, Nutr Team, Antwerp, Belgium

[3] Univ Antwerp, Dept Hepatobiliary Transplant & Endocrine Surg, B-2020 Antwerp, Belgium

来源：

INTERNATIONAL JOURNAL OF NURSING KNOWLEDGE | 2014年 / 25卷 / 01期

关键词：

Evidence-based practice; malnutrition; nursing record; INCREASED LENGTH; PREVALENCE; NURSES; STAY; RISK; CARE; TOOL; PERCEPTIONS; OUTPATIENTS; IMPACT;

D O I：

10.1111/2047-3095.12011

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

PURPOSE: To describe the documentation of nutrition-related data and wards referral to dieticians in a Belgian university hospital. METHOD: Retrospective analysis of 506 nursing records. FINDINGS: Body weight and height are documented in 22%. "Feeding assistance" and "usual food intake pattern" are documented in 68% of all cases, and in 71% it is marked whether the patient is on a diet. Eight percent of the patients are referred to a dietician, but the indications for these referrals are not clear. CONCLUSION: Given the poor documentation, most likely these patients are not adequately screened for malnutrition as recommended. IMPLICATIONS FOR NURSING PRACTICE: Nurses' documentation of nutrition-related data should be improved to facilitate treatment of malnutrition with tailored multidisciplinary interventions.

引用

页码：43 / 48

页数：6

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