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Short-term effects of a computer-based nutritional nursing 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.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.
The County Council of Skåne.
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2016 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 22, no 5, 799-807 p.Article in journal (Refereed) Published
Abstract [en]

RATIONALE: This study aimed to explore whether a computer-based training in eating and nutrition for hospital nursing staff can influence the precision in nutritional treatment and care.

METHOD: A pre-intervention and post-intervention study was conducted with a cross-sectional design at each time point. The settings were one intervention (IH) and two control hospitals (CH1 and CH2). Hospital inpatients >18 years old at baseline (2012; n = 409) and follow-up (2014; n = 456) were included. The computer-based training was implemented during a period of 3 months in the IH with 297 (84%) participating registered nurses and nurse assistants. Nutritional risk was screened for using the Minimal Eating Observation and Nutrition Form. Nutritional treatment and care was recorded using a standardized protocol RESULTS: In the IH, there was an increase in the share of patients at UN risk that received energy-dense food (+16.7%) and dietician consultations (+17.3%) between baseline and follow-up, while fewer received feeding assistance (-16.2%). There was an increase in the share of patients at UN risk that received energy-dense food (+19.5%), a decrease in oral nutritional supplements (-30.5%) and food-registrations (-30.6%) in CH1, whereas there were no changes in CH2. 'Overtreatment' (providing nutritional treatment to those not at UN risk) was significantly higher in CH2 (52.7%) than in CH1 (14.3%) and in the IH (25.2%) at follow-up.

CONCLUSION: The computer-based training seemed to increase the probability for patients at UN risk in the IH to receive nutritional treatment without increasing overtreatment.

Place, publisher, year, edition, pages
2016. Vol. 22, no 5, 799-807 p.
Keyword [en]
MEONF-II, education, health informatics, intervention, nursing, nutritional treatment
National Category
Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-15469DOI: 10.1111/jep.12545ISI: 000383581000023PubMedID: 27133949OAI: oai:DiVA.org:hkr-15469DiVA: diva2:931874
Funder
Vårdal Foundation, 034
Available from: 2016-05-30 Created: 2016-05-30 Last updated: 2017-08-18Bibliographically 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 SjuksköterskeutbildningarnaAvdelningen för Design och datavetenskap
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CiteExportLink to record
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