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dc.contributor.authorTangvik, Randi Julieen_US
dc.contributor.authorGuttormsen, Anne Beriten_US
dc.contributor.authorTell, Grethe Seppolaen_US
dc.contributor.authorRanhoff, Anette Hylenen_US
dc.description.abstractBackground/Objectives: Malnutrition is present in 20–50% of hospitalized patients, and nutritional care is a challenge. The aim was to evaluate whether the implementation of a nutritional strategy would influence nutritional care performance in a university hospital. Subjects/Methods: This was a prospective quality improvement program implementing guidelines for nutritional care, with the aim of improving nutritional practice. The Nutrition Risk Screening (NRS) 2002 was used. Point prevalence surveys over 2 years to determine whether nutritional practice had improved. Results: In total, 3604 (70%) of 5183 eligible patients were screened and 1230 (34%) were at nutritional risk. Only 53% of the at-risk patients got nutritional treatment and 5% were seen by a dietician. The proportion of patients screened increased from the first to the eighth point prevalence survey (P=0.012), but not the proportion of patients treated (P=0.66). The four initial screening questions in NRS 2002 identified 92% of the patients not at nutritional risk. Conclusions: Implementation of nutritional guidelines improved the screening performance, but did not increase the proportion of patients who received nutritional treatment. Point prevalence surveys were useful to evaluate nutritional practice in this university hospital. In order to improve practice, we suggest using only the four initial screening questions in NRS 2002 to identify patients not at risk, better education in nutritional care for physicians and nurses, and more dieticians employed. Audit of implementation of guidelines, performed by health authorities, and specific reimbursement for managing nutrition may also improve practice.en_US
dc.publisherNature Publishing Groupeng
dc.relation.ispartof<a href="" target="blank">Nutritional risk in a university hospital. Challenges and consequences in clinical practice</a>
dc.rightsCopyright 2012 Macmillan Publishers Limitedeng
dc.subjectNutrition guidelineseng
dc.subjectPoint prevalence surveyeng
dc.subjectNutritional risk screeningeng
dc.subjectQuality indicatoreng
dc.titleImplementation of nutritional guidelines in a university hospital monitored by repeated point prevalence surveysen_US
dc.typePeer reviewed
dc.typeJournal article
dc.source.journalEuropean Journal of Clinical Nutrition

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Copyright 2012 Macmillan Publishers Limited
Except where otherwise noted, this item's license is described as Copyright 2012 Macmillan Publishers Limited