Forskning ved Københavns Universitet - Københavns Universitet

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A method for implementation of nutritional therapy in hospitals

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Henrik Højgaard Rasmussen
  • Jens Kondrup
  • Michael Staun
  • Karin Ladefoged
  • Karen Lindorff
  • Lillian Mørch Jørgensen
  • John Jakobsen
  • Hanne Kristensen
  • Anne Wengler
Background & aims: Many barriers make implementation of nutritional therapy difficult in hospitals. In this study we investigated whether, a targeted plan made by the staff in different departments could improve nutritional treatment within selected quality goals based on the ESPEN screening guidelines. Methods: The project was carried out as a continuous quality improvement project. Four different specialities participated in the study with a nutrition team of both doctors, nurses, and a dietician, and included the following methods: (1) Premeasurement: assessment of quality goals prior to study including the use of screening of nutritional risk (NRS-2002), whether a nutrition plan was made, and monitoring was documented in the records. (2) Intervention: multidisciplinary meeting for the ward staff using a PC-based meeting system for detecting barriers in the department concerning nutrition, elaboration of an action plan and implementation of the plan. (3) Re-measurement: as in (1) based on information from records and patient interviews, and an evaluation based on focus group interview with the staff. Patients who gave informed consent to participate in the study (>14 years) were included consecutively. Mann-Whitney and Kruskal-Wallis test was used for ordinal data, and Pearson x2 test for nominative data. P values <0.05 were considered significant. The study was performed in accordance with the Research Ethics Committee.
OriginalsprogEngelsk
TidsskriftClinical Nutrition
Vol/bind25
Udgave nummer3
Sider (fra-til)515-523
Antal sider9
ISSN0261-5614
DOI
StatusUdgivet - 2006

ID: 8033342