Malnutrition and nutritional care practices in hospital wards for older people
- 12 December 2010
- journal article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 67 (4), 736-746
- https://doi.org/10.1111/j.1365-2648.2010.05531.x
Abstract
Aims: This paper is a report of a study conducted to gain a better insight into the current nutritional care practices in Belgian hospital wards for older people, and to study the association between these practices and the prevalence of malnutrition. Background: In 1999, the Council of Europe assessed nutritional care practices and support in 12 European countries and showed them to be sparse and inconsistent. At the time of research, no studies had described the association between nutritional care practices and malnutrition prevalence in Belgium. Methods: In 2007, a cross-sectional survey was carried out in a representative sample of Belgian hospital wards for older people. In total, 2094 patients from 140 wards for older people were included. Results: The overall prevalence rate of malnutrition in wards for older people was 31 center dot 9%. Nutritional care practices such as nutritional screening and assessment, use of a standardized screening instrument and a nutritional protocol were suboptimal. Multilevel analysis revealed that ward characteristics explained for 9 center dot 1% whether a patient was malnourished or not. None of the registered nutritional care practices could explain a patient's individual risk. Conclusion: Malnutrition is a frequently occurring problem on hospital wards for older people. Increased consciousness among healthcare professionals and hospital policy makers of the importance of nutritional care will contribute to further improvement in care qualityKeywords
This publication has 33 references indexed in Scilit:
- Nutrition in care homes and home care: How to implement adequate strategies (report of the Brussels Forum (22–23 November 2007))Clinical Nutrition, 2008
- The tailored implementation of the nursing programme ‘Coping with itch’Journal of Clinical Nursing, 2008
- The two‐step Mini Nutritional Assessment procedure in community resident homesJournal of Clinical Nursing, 2008
- Outcomes of variation in hospital nurse staffing in English hospitals: Cross-sectional analysis of survey data and discharge recordsInternational Journal of Nursing Studies, 2007
- Missed Nursing CareJournal of Nursing Care Quality, 2006
- Nutritional screening and assessment tools for older adults: literature reviewJournal of Advanced Nursing, 2006
- ESPEN Guidelines for Nutrition Screening 2002Clinical Nutrition, 2003
- Identifying the elderly at risk for malnutrition: The Mini Nutritional AssessmentClinics in Geriatric Medicine, 2002
- Practices in relation to nutritional care and support—report from the Council of EuropeClinical Nutrition, 2002
- Nutrition: a hard nut to crack. An exploration of the knowledge, attitudes and activities of qualified nurses in relation to nutritional nursing careJournal of Clinical Nursing, 1997