Nursing staff have an important role in patients’ nutritional care. The aim of this study was to demonstrate how the practice of sharing a patient’s nutritional status with colleagues was affected by the nursing staff’s attitude, knowledge and their priority to provide nutritional care.
The participants were 492 nursing staff. We obtained participants’ demographic data, the practice of sharing patients’ nutritional information and information about participants’ knowledge, attitude and priority of providing nutritional care by the questionnaire. We performed partial correlation analyses and linear regression analyses to describe the relationship between the total scores of the practice of sharing patients’ nutritional information based on their knowledge, attitude and priority to provide nutritional care.
Among the 492 participants, 396 nursing staff (80.5%) completed the questionnaire and were included in analyses. Mean±s.d. of total score of the 396 participants was 8.4±3.1. Nursing staff shared information when they had a high nutritional knowledge (r=0.36, P<0.01) and attitude (r=0.13, P<0.05); however, their correlation coefficients were low. In the linear regression analyses, job categories (β=−0.28, P<0.01), knowledge (β=0.33, P<0.01) and attitude (β=0.10, P<0.05) were independently associated with the practice of sharing information. Nursing staff’s priority to provide nutritional care practice was not significantly associated with the practice of sharing information.
Knowledge and attitude were independently associated with the practice of sharing patients’ nutrition information with colleagues, regardless of their priority to provide nutritional care. An effective approach should be taken to improve the practice of providing nutritional care practice.
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Cederholm T, Bosaeus I, Barazzoni R, Bauer J, Van Gossum A, Klek S et al. Diagnostic criteria for malnutrition - An ESPEN Consensus Statement. Clin Nutr 2015; 34: 335–340.
Tangvik RJ, Tell GS, Eisman JA, Guttormsen AB, Henriksen A, Nilsen RM et al. The nutritional strategy: four questions predict morbidity, mortality and health care costs. Clin Nutr 2014; 33: 634–641.
Söderström L, Rosenblad A, Adolfsson ET, Saletti A, Bergkvist L . Nutritional status predicts preterm death in older people: a prospective cohort study. Clin Nutr 2014; 33: 354–359.
Lim SL, Ong KC, Chan YH, Loke WC, Ferguson M, Daniels L . Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr 2012; 31: 345–350.
Kondrup J, Allison SP, Elia M, Vellas B, Plauth M,, Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003; 22: 415–421.
Ross LJ, Mudge AM, Young AM, Banks M . Everyone's problem but nobody's job: staff perceptions and explanations for poor nutritional intake in older medical patients. Nutr Diet 2011; 68: 41–46.
Crogan NL, Shultz JA . Nursing assistants' perceptions of barriers to nutrition care for residents in long-term care facilities. J Nurses Staff Dev 2000; 16: 216–221.
Mowe M, Bosaeus I, Rasmussen HH, Kondrup J, Unosson M, Irtun Ø . Nutritional routines and attitudes among doctors and nurses in Scandinavia: a questionnaire based survey. Clin Nutr 2006; 25: 524–532.
Mowe M, Bosaeus I, Rasmussen HH, Kondrup J, Unosson M, Rothenberg E et al. Insufficient nutritional knowledge among health care workers? Clin Nutr 2008; 27: 196–202.
Boaz M, Rychani L, Barami K, Houri Z, Yosef R, Siag A et al. Nurses and nutrition: a survey of knowledge and attitudes regarding nutrition assessment and care of hospitalized elderly patients. J Contin Educ Nurs 44: 357–364.
Moriyama A, Abe N, Yamagishi Y . Development of a Self-evaluation Scale for Nurses in Nutritional Management. J Jpn Soc Par Ent Nutr 2014; 29: 1201–1210.
Christensson L, Bachrach-Lindström M . Adapting ‘the Staff Attitudes to Nutritional Nursing Care scale’ to geriatric nursing care. J Nutr Health Aging 2009; 13: 102–107.
Kim H, Choue R . Nurse's positive attitudes to nutritional management but limited knowledge of nutritional assessment in Korea. Int Nurs Rev 2009; 56: 333–339.
Eide HD, Halvorsen K, Almendingen K . Barriers to nutritional care for the undernourished hospitalised elderly: perspectives of nurses. J Clin Nurs 2015; 24: 696–706.
Chapman C, Barker M, Lawrence W . Improving nutritional care: innovation and good practice. J Adv Nurs 2015; 71: 881–894.
Holst M, Staun M, Kondrup J, Bach-Dahld C, Rasmussene HH . Good nutritional practice in hospitals during an 8-year period: The impact of accreditation. e-SPEN J 2014; 9: e155–e160.
Bauer S, Halfens RJ, Lohrmann C . Knowledge and attitudes of nursing staff towards malnutrition care in nursing homes: a multicentre cross-sectional study. J Nutr Health Aging 2015; 19: 734–740.
Bjerrum M, Tewes M, Pedersen P . Nurses' self-reported knowledge about and attitude to nutrition—before and after a training programme. Scand J Caring Sci 2011; 26: 81–89.
Pedersen PU, Tewes M, Bjerrum M . Implementing nutritional guidelines — the effect of systematic training for nurse nutrition practitioners. Scand J Caring Sci 2012; 26: 178–185.
Bachrach-Lindström M, Jensen S, Lundin R, Christensson L . Attitudes of nursing staff working with older people towards nutritional nursing care. J Clin Nurs 2007; 16: 2007–2014.
We thank Hiroko Fujita and the clinical staff for participating in this study.
YK, YT, RA, MS and KF devised the project. YK and HF carried out the data collection. YK carried out the data analysis and drafted the manuscript. All authors critically appraised and approved the final manuscript.
The authors declare no conflict of interest.
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Kawasaki, Y., Tamaura, Y., Akamatsu, R. et al. Factors associated with the practice of nursing staff sharing information about patients’ nutritional status with their colleagues in hospitals. Eur J Clin Nutr 72, 112–116 (2018). https://doi.org/10.1038/ejcn.2017.137