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Malnutrition and nutritional care practices in hospital wards for older people

Katrien Vanderwee UGent, Els Clays UGent, ILSE BOCQUAERT UGent, Sofie Verhaeghe UGent, Miguel Lardennois, Micheline Gobert and Tom Defloor UGent (2011) JOURNAL OF ADVANCED NURSING. 67(4). p.736-746
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 quality.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
NURSES, HOMES, ASSESSMENT MNA, PATIENT MORTALITY, NURSING-CARE, older people, nutritional care, nursing, hospital malnutrition, geriatric hospital wards, healthcare professionals, IMPLEMENTATION, STRATEGIES, KNOWLEDGE, ATTITUDES, DOCTORS
journal title
JOURNAL OF ADVANCED NURSING
J. Adv. Nurs.
volume
67
issue
4
pages
736 - 746
Web of Science type
Article
Web of Science id
000288502800006
JCR category
NURSING
JCR impact factor
1.477 (2011)
JCR rank
11/94 (2011)
JCR quartile
1 (2011)
ISSN
0309-2402
DOI
10.1111/j.1365-2648.2010.05531.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1234931
handle
http://hdl.handle.net/1854/LU-1234931
date created
2011-05-24 20:43:52
date last changed
2015-06-17 09:36:03
@article{1234931,
  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 quality.},
  author       = {Vanderwee, Katrien and Clays, Els and BOCQUAERT, ILSE and Verhaeghe, Sofie and Lardennois, Miguel and Gobert, Micheline and Defloor, Tom},
  issn         = {0309-2402},
  journal      = {JOURNAL OF ADVANCED NURSING},
  keyword      = {NURSES,HOMES,ASSESSMENT MNA,PATIENT MORTALITY,NURSING-CARE,older people,nutritional care,nursing,hospital malnutrition,geriatric hospital wards,healthcare professionals,IMPLEMENTATION,STRATEGIES,KNOWLEDGE,ATTITUDES,DOCTORS},
  language     = {eng},
  number       = {4},
  pages        = {736--746},
  title        = {Malnutrition and nutritional care practices in hospital wards for older people},
  url          = {http://dx.doi.org/10.1111/j.1365-2648.2010.05531.x},
  volume       = {67},
  year         = {2011},
}

Chicago
Vanderwee, Katrien, Els Clays, ILSE BOCQUAERT, Sofie Verhaeghe, Miguel Lardennois, Micheline Gobert, and Tom Defloor. 2011. “Malnutrition and Nutritional Care Practices in Hospital Wards for Older People.” Journal of Advanced Nursing 67 (4): 736–746.
APA
Vanderwee, K., Clays, E., BOCQUAERT, I., Verhaeghe, S., Lardennois, M., Gobert, M., & Defloor, T. (2011). Malnutrition and nutritional care practices in hospital wards for older people. JOURNAL OF ADVANCED NURSING, 67(4), 736–746.
Vancouver
1.
Vanderwee K, Clays E, BOCQUAERT I, Verhaeghe S, Lardennois M, Gobert M, et al. Malnutrition and nutritional care practices in hospital wards for older people. JOURNAL OF ADVANCED NURSING. 2011;67(4):736–46.
MLA
Vanderwee, Katrien, Els Clays, ILSE BOCQUAERT, et al. “Malnutrition and Nutritional Care Practices in Hospital Wards for Older People.” JOURNAL OF ADVANCED NURSING 67.4 (2011): 736–746. Print.