Malnutrition screening tool use in a New Zealand hospital: Reliability and rates of malnutrition screening on admission
AimsThis research aimed to assess the rate and reliability of routine nurse‐completed malnutrition screening and report the prevalence of malnutrition risk on admission to Christchurch Hospital.MethodsStudent dietitians administered the Malnutrition Screening Tool to patients in three speciality war...
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Published in: | Nutrition & dietetics Vol. 80; no. 5; pp. 530 - 537 |
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Abstract | AimsThis research aimed to assess the rate and reliability of routine nurse‐completed malnutrition screening and report the prevalence of malnutrition risk on admission to Christchurch Hospital.MethodsStudent dietitians administered the Malnutrition Screening Tool to patients in three speciality wards within 48 h of admission. Student dietitians' Malnutrition Screening Tool scores were compared against documented nurse‐completed Malnutrition Screening Tool scores. Data were analysed using descriptive statistics, Fisher's exact test, and Cohen's kappa tests (interrater reliability ⱪ). A p‐value <0.05 was considered statistically significant.ResultsStudent dietitians, using the Malnutrition Screening Tool, screened 360 (96%) of 377 eligible patients while nurses screened 332 (88%) patients. Student dietitians and nurses screened 119 patients (33%) and 63 patients (18%) respectively at risk of malnutrition. There was fair agreement (ⱪ = 0.311) in Malnutrition Screening Tool total scores between nurses and student dietitians. There was a significant difference in the proportion of patients screened at risk of malnutrition between nurses and student dietitians (p < 0.0001).ConclusionMalnutrition risk remains high in acute care settings. Nurses were less likely to screen patients as at risk of malnutrition than student dietitians. Regular support and training in using Malnutrition Screening Tool may help improve the rate and reliability of routine malnutrition screening. |
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AbstractList | AimsThis research aimed to assess the rate and reliability of routine nurse‐completed malnutrition screening and report the prevalence of malnutrition risk on admission to Christchurch Hospital.MethodsStudent dietitians administered the Malnutrition Screening Tool to patients in three speciality wards within 48 h of admission. Student dietitians' Malnutrition Screening Tool scores were compared against documented nurse‐completed Malnutrition Screening Tool scores. Data were analysed using descriptive statistics, Fisher's exact test, and Cohen's kappa tests (interrater reliability ⱪ). A p‐value <0.05 was considered statistically significant.ResultsStudent dietitians, using the Malnutrition Screening Tool, screened 360 (96%) of 377 eligible patients while nurses screened 332 (88%) patients. Student dietitians and nurses screened 119 patients (33%) and 63 patients (18%) respectively at risk of malnutrition. There was fair agreement (ⱪ = 0.311) in Malnutrition Screening Tool total scores between nurses and student dietitians. There was a significant difference in the proportion of patients screened at risk of malnutrition between nurses and student dietitians (p < 0.0001).ConclusionMalnutrition risk remains high in acute care settings. Nurses were less likely to screen patients as at risk of malnutrition than student dietitians. Regular support and training in using Malnutrition Screening Tool may help improve the rate and reliability of routine malnutrition screening. |
Author | Wall, Catherine L. Diep‐Pham, Huyen‐Tran Donald, Natasha |
Author_xml | – sequence: 1 givenname: Huyen‐Tran orcidid: 0000-0003-2723-7879 surname: Diep‐Pham fullname: Diep‐Pham, Huyen‐Tran organization: Department of Human Nutrition University of Otago Dunedin New Zealand – sequence: 2 givenname: Natasha surname: Donald fullname: Donald, Natasha organization: Department of Human Nutrition University of Otago Dunedin New Zealand – sequence: 3 givenname: Catherine L. orcidid: 0000-0002-1160-3865 surname: Wall fullname: Wall, Catherine L. organization: Department of Human Nutrition University of Otago Dunedin New Zealand, Department of Medicine University of Otago Christchurch New Zealand |
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SubjectTerms | Dietitians Health risk assessment Malnutrition Medical screening Nurses |
Title | Malnutrition screening tool use in a New Zealand hospital: Reliability and rates of malnutrition screening on admission |
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