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Long-term effects of a computer-based nutritional training program for inpatient hospital care
Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.ORCID iD: 0000-0003-4820-6203
Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
Central Hospital Kristianstad.
County Council Skane.
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2017 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 23, no 4, 797-802 p.Article in journal (Refereed) Published
Abstract [en]

Rationale

A previous short-term study showed that a computer-based training in eating and nutrition increased the probability for hospital inpatients at undernutrition (UN) risk to receive nutritional treatment and care without increasing overtreatment (providing nutritional treatment to those not at UN risk).

The aim of this study was to investigate if a computer-based training in eating and nutrition influences the precision in nutritional treatment and care in a longer-term perspective.

Method

A preintervention and postintervention study was conducted with a cross-sectional design at each time points (baseline and 7 months postintervention). Hospital inpatients > 18 years old at baseline (2013; n = 201) and follow-up (2014; n = 209) were included. A computer-based training was implemented during a period of 3 months with 297 (84%) participating registered nurses and nurse assistants. Undernutrition risk was screened for using the minimal eating observation and nutrition form-version II. Nutritional treatment and care was recorded using a standardized protocol.

Results

The share of patients at UN risk that received energy-dense food (+ 25.2%) and dietician consultations (+ 22.3%) increased between baseline and follow-up, while fewer received oral nutritional supplements (-18.9%). "Overtreatment" (providing nutritional treatment to those not at UN risk) did not change between baseline and follow-up.

Conclusion

The computer-based training increased the provision of energy-dense food and dietician consultations to patients at UN risk without increasing overtreatment of patients without UN risk.

Place, publisher, year, edition, pages
2017. Vol. 23, no 4, 797-802 p.
Keyword [en]
Education, health informatics, intervention, MEONF-II, nutritional treatment
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-17109DOI: 10.1111/jep.12719ISI: 000406299200016OAI: oai:DiVA.org:hkr-17109DiVA: diva2:1134712
Available from: 2017-08-21 Created: 2017-08-21 Last updated: 2017-08-21Bibliographically approved

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Westergren, AlbertEdfors, EllinorHedin, GitaWetterstrand, MartinHagell, Peter
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Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and EducationAvdelningen för SjuksköterskeutbildningarnaResearch Platform for Collaboration for HealthAvdelningen för Oral hälsa och folkhälsovetenskapAvdelningen för Design och datavetenskap
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