Identification and management of malnutrition in hospitalised patients: A survey of staff knowledge and attitudes

Indi Swan, Ibolya Nyulasi, Kathryn Collins, Janet Weir-Phyland, Danielle Bolster, Rebecca Burgell, Daniel Fineberg, William Johnson, Susannah King, Ronald Leong, Gary McLachlan, Lisa Murnane, Lisa Somerville, Robyn Wright, Rowan Walker, on behalf of the Nutrition Committee of Alfred Health

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background & aims: Malnutrition is associated with functional decline and poorer clinical outcomes for hospitalised patients. This study aimed to survey the knowledge of clinical staff concerning identification/diagnosis and management of inpatient malnutrition and to assess attitudes and knowledge of malnutrition as a shared inter-disciplinary responsibility. Methods: A survey designed to investigate the aims was distributed to clinical staff (medical, nursing, dietitians and allied health) across three hospital campuses including acute, sub-acute and rehabilitation sites. Results: Survey responses were received from 14% (n = 302) of eligible clinical staff (116 nursing, 68 medical, 20 dietitians and 98 other allied health staff). With the exception of dietitians, responses to questions regarding skills and knowledge in the areas of malnutrition identification, diagnosis, treatment and management indicated sub-optimal knowledge. Only 60% of medical/surgical staff and 42% of nursing staff self-reported the ability to diagnose malnutrition. Responses to questions regarding responsibility for malnutrition were highly variable and suggested no significant ‘shared ownership’ of malnutrition as clinical responsibility. Conclusion: Apart from dietitians, malnutrition management skills were modest and knowledge gaps of clinical staff were marked. Confusion also existed as to the responsibility for malnutrition care for inpatients. To improve inpatient nutrition further multidisciplinary engagement and improved education may be required.

Original languageEnglish
Pages (from-to)8-18
Number of pages11
JournalClinical Nutrition Experimental
Volume31
DOIs
Publication statusPublished - Jun 2020
Externally publishedYes

Keywords

  • Attitudes
  • Hospitalised patients (inpatients)
  • Interdisciplinary team
  • Knowledge
  • Malnutrition
  • Risk

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