Research Article
Determination of Nurses' Attitudes towards Nutritional Assessment, their Knowledge of Nutritional Care and Perceived Quality of Care
Abstract
Objective: The aim of this study was conducted to evaluate the attitudes of nurses toward the importance of nutritional assessment, their level of knowledge of nutritional care, and the nurse-perceived quality of nutritional care.
Material and Methods: This descriptive and cross-sectional study was conducted between 15 March 2019 and 30 June 2019 with 590 nurses working in a state and university hospital in the Afyonkarahisar province of Turkey. The data were collected using the Nurse Information Form and the Questionnaire for Evaluating the Importance of Nutritional Assessment, the Level of Nutritional Care Knowledge and the Perceived Quality of Care among Nurses.
Results: The mean score was 23.41±2.85 for the nurses' attitudes toward the importance of nutritional assessment, 25.95±3.45 for the level of knowledge of nutritional care among nurses, and 33.70±5.51 for the nurse-perceived quality of nutritional care. According to CHAID analysis results, the most important variable affecting nurses' attitudes and perceived nutritional care quality scores was the clinic they work in (F = 12.307; F= 36.445; p <0.001 respectively) and their knowledge level scores were mostly affected by the education level variable (F= 9.257; p = 0.002).
Conclusion: It was determined that nurses have a positive attitude toward the importance of nutritional assessment; however, they lack a sufficient level of knowledge in nutritional care, and do not evaluate the quality of care provided to patients at their clinics as sufficiently favorable. It is recommended that to improve the nurses' competence in nutritional care.
References
- Shin, B.C, Chun, I.A, Ryu, S.Y, Oh, J.E, Choi, P.K, Kang, H.G, Association between indication for therapy by nutrition support team and nutritional status, Medicine (Baltimore), 2018, 97(52),1-5.
- Marshall, A.P, Takefala, T, Williams, L.T, Spencer, A, Grealish, L, Roberts, S, Health practitioner practices and their influence on nutritional intake of hospitalised patients, International Journal of Nursing Sciences, 2019, 6(2), 162-168.
- Sun, H, Zhang, L, Zhang, P, Yu, J, Kang, W, Guo, S, et al, A comprehensive nutritional survey of hospitalized patients: Results from nutrition Day 2016 in China, PLoS One, 2018, 13(3), e0194312.
- Al-Kalaldeh, M, Watson, R, Hayter, M, Jordanian nurses' knowledge and responsibility for enteral nutrition in the critically ill, Nursing in Critical Care, 2015, 20(5), 229-241.
- Meijers, J.M, Tan, F, Schols, J.M, Halfens, R.J, Nutritional care; do process and structure indicators influence malnutrition prevalence over time? Clinical Nutrition, 2014, 33(3), 459-465.
- Alzahrani, S.H, Alamri, S.H, Prevalence of malnutrition and associated factors among hospitalized elderly patients in King Abdulaziz University Hospital, Jeddah, Saudi Arabia, BMC Geriatrics, 2017, 17(1),136.
- Curtis, L.J. Bernier, P. Jeejeebhoy, K. Allard, J, Duerksen, D, Gramlich, L. et al, Costs of hospital malnutrition. Clinical Nutrition 2017, 36(5), 1391-1396.
- Fjeldstad, S.H, Thoresen, L, Mowé, M, Irtun, Ø, Changes in nutritional care after implementing national guidelines-a 10-year follow-up study, The European Journal of Clinical Nutrition, 2018, 72(7), 1000-1006.
- Leiva, B.E, Badia, T.M, Virgili, C.N, Elguezabal, S.G, Faz, M.C, Herrero, M.I. et al, Hospital malnutrition screening at admission: malnutrition increases mortality and length of stay, Nutricion Hospitalaria, 2017, 34(4), 907-913.
- Avelino-Silva, T.J, Jaluul, O, Malnutrition in hospitalized older patients: management strategies to ımprove patient care and clinical outcomes, International Journal of Gerontology, 2017, 11, 56-61.
- Christner, S, Ritt, M, Volkert, D, Wirth, R, Sieber, C.C, Gaßmann, K.G, Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002), Journal of Human Nutrition and Dietetics, 2016, 29(6), 704-713.
- Kang, M.C, Kim, J.H, Ryu, S.W, Moon, J.Y, Park, J.H, Park, J.K, et al, Prevalence of malnutrition in hospitalized patients: a multicenter cross-sectional study, Journal of Korean Medical Science, 2018, 33(2), 1-10.
- Valentini, A, Federici, M, Cianfarani, M.A, Tarantino, U, Bertoli, A, Frailty and nutritional status in older people: the Mini Nutritional Assessment as a screening tool for the identification of frail subjects, Clinical Interventions in Aging, 2018, 13, 1237-1244.
- Yalcin, N, Cihan, A, Gundogdu, H, Ocakci, A, Nutrition knowledge level of nurses, Health Science Journal, 2013, 7(1), 99-108.
- Theilla, M, Cohen, J, Singer, P, Liebman, C, Kagan, I. et al, The Assessment, knowledge and perceived quality of nutrition care amongst nurses, Journal of Nutritional Medicine and Diet Care, 2016, 2(1), 2-5.
- Muscaritoli, M, Krznarić, Z, Singer, P, Barazzoni, R, Cederholm, T, Golay, A. et al, Effectiveness and efficacy of nutritional therapy: A systematic review following Cochrane methodology. Clinical Nutrition, 2017, 36(4), 939-957.
- Rinninella, E, Fagotti, A, Cintoni, M, Raoul, P, Scaletta, G, Quagliozzi, L. et al, Nutritional ınterventions to ımprove clinical outcomes in ovarian cancer: a systematic review of randomized controlled trials, Nutrients, 2019, 11(6), 1404.
- Barker, L.A, Gout, B.S, Crowe, T.C, Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system, International Journal of Environmental Research and Public Health, 2011, 8(2), 514-527.
- Sauer, A.C, Alish, C.J, Strausbaugh, K, West, K, Quatrara, B, Nurses needed: Identifying malnutrition in hospitalized older adults, Nursing Plus Open 2, 2016 ,21-25.
- Kim, H, Choue, R, Nurses' positive attitudes to nutritional management but limited knowledge of nutritional assessment in Korea, International Nursing Review, 2009, 56(3), 333-339.
- Mogre, V, Ansah, G.A, Marfo, D.N, et al, Assessing nurses’ knowledge levels in the nutritional management of diabetes, International Journal of Africa Nursing Sciences, 2015, 3, 40-43.
- Chapman, C, Barker, M, Lawrence, W, Improving nutritional care: innovation and good practice, Journal of Advanced Nursing, 2015, 71(4), 881-94.
- Sağlıkta Kalite Standartları Hastane Seti, 2015, https://dosyamerkez.saglik.gov.tr/Eklenti/3460,skshastanesetiv5r1pdf.pdf? Erişim Tarihi: 1 Şubat 2010.
- Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik, 19 Nisan 2011. http://www.turkhemsirelerdernegi.org.tr/tr/yasa-ve-yonetmelikler/yonetmelikler/19-nisan 2011-hemsirelik-yonetmeliginde-degisiklik-yapilmasina-dair-yonetmelik.aspx. Erişim Tarihi: 1 Şubat 2010.
- Yılmaz, D.K, Sarkut, P, Düzgün, F, Kuzu, C, Kılıçturgay, S, Yatan hastaların nutrisyonel değerlendirme ve desteğine yönelik hemşirelerin görüşleri, Hemşirelikte Eğitim ve Araştırma Dergisi, 2017, 14(2), 139-143.
- Aydin, N, Karaöz, S, Nutritional assessment of patients before gastrointestinal surgery and nurses' approach to this issue, Journal of Clinical Nursing, 2008, 17(5), 608-617.
- Koçhan, E, Akın, S, Hemşirelerin enteral ve parenteral beslenme uygulamalarına ilişkin bilgi düzeylerinin değerlendirilmesi, JAREN, 2018, 4(1), 1-14.
- Kısacık, G.Ö, Çoşğun, T, Taştekin, A, Hemşirelerde nütrisyonel değerlendirmenin önemini, nütrisyonel bakıma ilişkin bilgi düzeyini ve algılanan nütrisyonel bakım kalitesini değerlendirme ölçeği Türkçe formunun psikometrik özellikleri, Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 2019, 35(3), 123-135.
- Şata, M, Çaka, M, CHAID Analizi ve lojistik regresyon analizi sonuçlarının karşılaştırılması, Dicle Üniversitesi Ziya Gökalp Eğitim Fakültesi Dergisi, 2018, 33, 48-56.
- Doğan, N, Özdamar, K, CHAID analizi ve aile planlaması ile ilgili bir uygulama, Türkiye Klinikleri Tıp Bilimleri, 2003, 23, 392-397.
- Cohen, J, Statistical Power Analysis for the Behavioral Sciences, 1988, New York, NY: Routledge Academic.
- Özbaş, N, Göçmen, B.Z, Hemşirelerin tüple enteral beslenme konusunda bilgi düzeylerinin belirlenmesi, Journal of Human Sciences, 2018, 15(1), 359-367.
- Ameri, Z.D, Vafaee, A, Sadeghi, T, Mirlashari, Z, Ghoddoosi-Nejad, D, Kalhor, F, Effect of a comprehensive total parenteral nutrition training program on knowledge and practice of nurses in NICU, Global Journal of Health Science, 2016, 8(10), 135-142.
- Ke, L.S, Chiu, T.Y, Hu, W.Y, Lo, S.S, Effects of educational intervention on nurses' knowledge, attitudes, and behavioral intentions toward supplying artificial nutrition and hydration to terminal cancer patients, Support Care Cancer, 2008, 16(11), 1265-1272.
- Khalil El-Meanawi, N.H.K, Impact of implementing an educational program regarding care of nasogastric tube feeding on nurses' knowledge and performance, Journal of Nursing and Health Science, 2017, 6(1), 101-109.
- Kim, H, Chang, S.J, Implementing an educational program to improve critical care nurses' enteral nutritional support, Australian Critical Care, 2019, 32(3), 218-222.
- Sharour, L.A, Improving oncology nurses' knowledge, self-confidence, and self-efficacy in nutritional assessment and counseling for patients with cancer: A quasi-experimental design, Nutrition, 2019, 62, 131-134.
- Duerksen, D.R, Keller, H.H, Vesnaver, E, Laporte, M, Jeejeebhoy, K, Payette, H, et al., Nurses' perceptions regarding the prevalence, detection, and causes of malnutrition in Canadian hospitals: results of a Canadian malnutrition task force survey, The Journal of Parenteral and Enteral Nutrition, 2016, 40(1), 100-106.
- Mowe, M, Bosaeus, I, Rasmussen, H.H, Kondrup, J, Unosson, M, Rothenberg, E. et al., Insufficient nutritional knowledge among health care workers? Clinical Nutrition, 2008, 27(2), 196-202.
- Uysal, N, Eşer, İ, Khorsid, L, Hemşirelerin Enteral Beslenme İşlemine Yönelik Uygulama ve Kayıtlarının İncelenmesi, Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 2011, 14(2), 1-9.
- DeLegge, M.H, Kelly, A.T, State of nutrition support teams, Nutrition in Clinical Practice, 2013, 28(6), 691-697.
- Khalaf, A, Westergren, A, Ekblom, O, Al-Hazzaa, M.H, Berggren, V, Nurses' views and experiences of caring for malnourished patients in surgical settings in Saudi Arabia - a qualitative study, BMC Nursing, 2014, 13, 29.
- Lane, C, Wedlake, L.J, Dougherty, L, Shaw, C, Attitudes towards and knowledge of nutrition support amongst health care professionals on London intensive care units, Journal of Human Nutrition and Dietetics, 2014, 27(Suppl 2), 339-351.
- Eide, H.D, Halvorsen, K, Almendingen, K, Barriers to nutritional care for the undernourished hospitalised elderly: perspectives of nurses, Journal of Clinical Nursing, 2015, 24(5-6), 696-706.
- Bauer, S, Halfens, R.J, Lohrmann, C, Knowledge and attitudes of nursing staff towards malnutrition care in nursing homes: A multicentre cross-sectional study, The Journal of Nutrition, Health & Aging, 2015, 19(7), 734-740.
- Alhashemi, S.H, Ghorbani, R, Vazin, A, Improving knowledge, attitudes, and practice of nurses in medication administration through enteral feeding tubes by clinical pharmacists: a case-control study, Advances in Medical Education and Practice, 2019, 10, 493-500.
- Jefferie, D, Johnson, M, Ravens, J, Nurturing and nourishing: the nurses' role in nutritional care, Journal of Clinical Nursing, 2011, 20(3-4), 317-330.
- Persenius, M, Hall-Lord, M.L, Wilde-Larsson, B, Carlsson, E, Clinical nursing leaders' perceptions of nutrition quality indicators in Swedish stroke wards: a national survey, Journal of Nursing Management, 2015, 23(6), 705-715.
- Ekincioğlu, B.A, Kelleci, B, Surmelioglu, N, Hawes, E, Demirkan, K, Halil, M, Abbasoğlu, O, Practice Perspectives of Healthcare Professionals Regarding Common Dilemmas Associated with Enteral Nutrition, Journal of Critical and Intensive Care, 2017, 8(2), 44-49.
- Vest, M.T, Kolm, P, Bowen, J, et al., Association between enteral feeding, weight status, and mortality in a medical intensive care unit, American Journal of Critical Care, 2018, 27(2), 136-143.
- Mula, C, Nurses' competency and challenges in enteral feeding in the intensive care unit (ICU) and high dependency units (HDU) of a referral hospital, Malawi, Malawi Medical Journal, 2014, 3(26),55-59.
Hemşirelerde Nütrisyonel Değerlendirmeye İlişkin Tutumun, Nütrisyonel Bakıma İlişkin Bilgi Düzeyi ve Algılanan Bakım Kalitesinin Belirlenmesi
Abstract
Giriş ve Amaç: Bu araştırma, hemşirelerin nütrisyonel değerlendirmenin önemine ilişkin tutumlarını, nütrisyonel bakıma ilişkin bilgi düzeylerini ve nütrisyonel bakım kalitesi algılarını değerlendirmek amacıyla yapıldı.
Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipteki bu araştırma 15 Mart 2019-30 Haziran 2019 tarihleri arasında Afyonkarahisar ilindeki bir devlet ve bir üniversite hastanesinde çalışan 590 hemşire ile yürütüldü. Verilerin toplanmasında Hemşire Bilgi Formu ve Hemşirelerde Nütrisyonel Değerlendirmenin Önemini, Nütrisyonel Bakıma İlişkin Bilgi Düzeyini ve Algılanan Nütrisyonel Bakım Kalitesini Değerlendirme Ölçeği kullanıldı.
Bulgular: Hemşirelerin nütrisyonel değerlendirmenin önemine ilişkin tutum puan ortalaması 23.41±2.85, nütrisyonel bakıma yönelik bilgi düzeyi puan ortalaması 25.95±3.45, algılanan nütrisyonel bakım kalitesi puan ortalaması 33.70±5.51 olarak bulundu. CHAID analizi sonuçları; hemşirelerin tutum ve algılanan nütrisyonel bakım kalitesi puanları üzerinde etkili olan en önemli değişkenin çalıştıkları klinik olduğunu (sırasıyla; F= 12.307; F= 36.445; p<0.001), bilgi düzeyleri puanlarının ise en çok eğitim düzeyi değişkeninden etkilendiğini gösterdi (F= 9.257; p=0.002).
Sonuç: Araştırmadan elde edilen bulgulara göre; hemşirelerin, nütrisyonel değerlendirmenin önemine ilişkin olumlu bir tutuma sahip oldukları, ancak nütrisyonel bakıma ilişkin bilgi düzeylerinin yeterli olmadığı ve kendi kliniklerinde hastalara sunulan nütrisyonel bakım kalitesini yeterince olumlu değerlendirmedikleri söylenebilir. Hemşirelerin nütrisyonel bakımdaki yetkinliklerinin geliştirilmesi önerilmektedir.
References
- Shin, B.C, Chun, I.A, Ryu, S.Y, Oh, J.E, Choi, P.K, Kang, H.G, Association between indication for therapy by nutrition support team and nutritional status, Medicine (Baltimore), 2018, 97(52),1-5.
- Marshall, A.P, Takefala, T, Williams, L.T, Spencer, A, Grealish, L, Roberts, S, Health practitioner practices and their influence on nutritional intake of hospitalised patients, International Journal of Nursing Sciences, 2019, 6(2), 162-168.
- Sun, H, Zhang, L, Zhang, P, Yu, J, Kang, W, Guo, S, et al, A comprehensive nutritional survey of hospitalized patients: Results from nutrition Day 2016 in China, PLoS One, 2018, 13(3), e0194312.
- Al-Kalaldeh, M, Watson, R, Hayter, M, Jordanian nurses' knowledge and responsibility for enteral nutrition in the critically ill, Nursing in Critical Care, 2015, 20(5), 229-241.
- Meijers, J.M, Tan, F, Schols, J.M, Halfens, R.J, Nutritional care; do process and structure indicators influence malnutrition prevalence over time? Clinical Nutrition, 2014, 33(3), 459-465.
- Alzahrani, S.H, Alamri, S.H, Prevalence of malnutrition and associated factors among hospitalized elderly patients in King Abdulaziz University Hospital, Jeddah, Saudi Arabia, BMC Geriatrics, 2017, 17(1),136.
- Curtis, L.J. Bernier, P. Jeejeebhoy, K. Allard, J, Duerksen, D, Gramlich, L. et al, Costs of hospital malnutrition. Clinical Nutrition 2017, 36(5), 1391-1396.
- Fjeldstad, S.H, Thoresen, L, Mowé, M, Irtun, Ø, Changes in nutritional care after implementing national guidelines-a 10-year follow-up study, The European Journal of Clinical Nutrition, 2018, 72(7), 1000-1006.
- Leiva, B.E, Badia, T.M, Virgili, C.N, Elguezabal, S.G, Faz, M.C, Herrero, M.I. et al, Hospital malnutrition screening at admission: malnutrition increases mortality and length of stay, Nutricion Hospitalaria, 2017, 34(4), 907-913.
- Avelino-Silva, T.J, Jaluul, O, Malnutrition in hospitalized older patients: management strategies to ımprove patient care and clinical outcomes, International Journal of Gerontology, 2017, 11, 56-61.
- Christner, S, Ritt, M, Volkert, D, Wirth, R, Sieber, C.C, Gaßmann, K.G, Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002), Journal of Human Nutrition and Dietetics, 2016, 29(6), 704-713.
- Kang, M.C, Kim, J.H, Ryu, S.W, Moon, J.Y, Park, J.H, Park, J.K, et al, Prevalence of malnutrition in hospitalized patients: a multicenter cross-sectional study, Journal of Korean Medical Science, 2018, 33(2), 1-10.
- Valentini, A, Federici, M, Cianfarani, M.A, Tarantino, U, Bertoli, A, Frailty and nutritional status in older people: the Mini Nutritional Assessment as a screening tool for the identification of frail subjects, Clinical Interventions in Aging, 2018, 13, 1237-1244.
- Yalcin, N, Cihan, A, Gundogdu, H, Ocakci, A, Nutrition knowledge level of nurses, Health Science Journal, 2013, 7(1), 99-108.
- Theilla, M, Cohen, J, Singer, P, Liebman, C, Kagan, I. et al, The Assessment, knowledge and perceived quality of nutrition care amongst nurses, Journal of Nutritional Medicine and Diet Care, 2016, 2(1), 2-5.
- Muscaritoli, M, Krznarić, Z, Singer, P, Barazzoni, R, Cederholm, T, Golay, A. et al, Effectiveness and efficacy of nutritional therapy: A systematic review following Cochrane methodology. Clinical Nutrition, 2017, 36(4), 939-957.
- Rinninella, E, Fagotti, A, Cintoni, M, Raoul, P, Scaletta, G, Quagliozzi, L. et al, Nutritional ınterventions to ımprove clinical outcomes in ovarian cancer: a systematic review of randomized controlled trials, Nutrients, 2019, 11(6), 1404.
- Barker, L.A, Gout, B.S, Crowe, T.C, Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system, International Journal of Environmental Research and Public Health, 2011, 8(2), 514-527.
- Sauer, A.C, Alish, C.J, Strausbaugh, K, West, K, Quatrara, B, Nurses needed: Identifying malnutrition in hospitalized older adults, Nursing Plus Open 2, 2016 ,21-25.
- Kim, H, Choue, R, Nurses' positive attitudes to nutritional management but limited knowledge of nutritional assessment in Korea, International Nursing Review, 2009, 56(3), 333-339.
- Mogre, V, Ansah, G.A, Marfo, D.N, et al, Assessing nurses’ knowledge levels in the nutritional management of diabetes, International Journal of Africa Nursing Sciences, 2015, 3, 40-43.
- Chapman, C, Barker, M, Lawrence, W, Improving nutritional care: innovation and good practice, Journal of Advanced Nursing, 2015, 71(4), 881-94.
- Sağlıkta Kalite Standartları Hastane Seti, 2015, https://dosyamerkez.saglik.gov.tr/Eklenti/3460,skshastanesetiv5r1pdf.pdf? Erişim Tarihi: 1 Şubat 2010.
- Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik, 19 Nisan 2011. http://www.turkhemsirelerdernegi.org.tr/tr/yasa-ve-yonetmelikler/yonetmelikler/19-nisan 2011-hemsirelik-yonetmeliginde-degisiklik-yapilmasina-dair-yonetmelik.aspx. Erişim Tarihi: 1 Şubat 2010.
- Yılmaz, D.K, Sarkut, P, Düzgün, F, Kuzu, C, Kılıçturgay, S, Yatan hastaların nutrisyonel değerlendirme ve desteğine yönelik hemşirelerin görüşleri, Hemşirelikte Eğitim ve Araştırma Dergisi, 2017, 14(2), 139-143.
- Aydin, N, Karaöz, S, Nutritional assessment of patients before gastrointestinal surgery and nurses' approach to this issue, Journal of Clinical Nursing, 2008, 17(5), 608-617.
- Koçhan, E, Akın, S, Hemşirelerin enteral ve parenteral beslenme uygulamalarına ilişkin bilgi düzeylerinin değerlendirilmesi, JAREN, 2018, 4(1), 1-14.
- Kısacık, G.Ö, Çoşğun, T, Taştekin, A, Hemşirelerde nütrisyonel değerlendirmenin önemini, nütrisyonel bakıma ilişkin bilgi düzeyini ve algılanan nütrisyonel bakım kalitesini değerlendirme ölçeği Türkçe formunun psikometrik özellikleri, Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 2019, 35(3), 123-135.
- Şata, M, Çaka, M, CHAID Analizi ve lojistik regresyon analizi sonuçlarının karşılaştırılması, Dicle Üniversitesi Ziya Gökalp Eğitim Fakültesi Dergisi, 2018, 33, 48-56.
- Doğan, N, Özdamar, K, CHAID analizi ve aile planlaması ile ilgili bir uygulama, Türkiye Klinikleri Tıp Bilimleri, 2003, 23, 392-397.
- Cohen, J, Statistical Power Analysis for the Behavioral Sciences, 1988, New York, NY: Routledge Academic.
- Özbaş, N, Göçmen, B.Z, Hemşirelerin tüple enteral beslenme konusunda bilgi düzeylerinin belirlenmesi, Journal of Human Sciences, 2018, 15(1), 359-367.
- Ameri, Z.D, Vafaee, A, Sadeghi, T, Mirlashari, Z, Ghoddoosi-Nejad, D, Kalhor, F, Effect of a comprehensive total parenteral nutrition training program on knowledge and practice of nurses in NICU, Global Journal of Health Science, 2016, 8(10), 135-142.
- Ke, L.S, Chiu, T.Y, Hu, W.Y, Lo, S.S, Effects of educational intervention on nurses' knowledge, attitudes, and behavioral intentions toward supplying artificial nutrition and hydration to terminal cancer patients, Support Care Cancer, 2008, 16(11), 1265-1272.
- Khalil El-Meanawi, N.H.K, Impact of implementing an educational program regarding care of nasogastric tube feeding on nurses' knowledge and performance, Journal of Nursing and Health Science, 2017, 6(1), 101-109.
- Kim, H, Chang, S.J, Implementing an educational program to improve critical care nurses' enteral nutritional support, Australian Critical Care, 2019, 32(3), 218-222.
- Sharour, L.A, Improving oncology nurses' knowledge, self-confidence, and self-efficacy in nutritional assessment and counseling for patients with cancer: A quasi-experimental design, Nutrition, 2019, 62, 131-134.
- Duerksen, D.R, Keller, H.H, Vesnaver, E, Laporte, M, Jeejeebhoy, K, Payette, H, et al., Nurses' perceptions regarding the prevalence, detection, and causes of malnutrition in Canadian hospitals: results of a Canadian malnutrition task force survey, The Journal of Parenteral and Enteral Nutrition, 2016, 40(1), 100-106.
- Mowe, M, Bosaeus, I, Rasmussen, H.H, Kondrup, J, Unosson, M, Rothenberg, E. et al., Insufficient nutritional knowledge among health care workers? Clinical Nutrition, 2008, 27(2), 196-202.
- Uysal, N, Eşer, İ, Khorsid, L, Hemşirelerin Enteral Beslenme İşlemine Yönelik Uygulama ve Kayıtlarının İncelenmesi, Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 2011, 14(2), 1-9.
- DeLegge, M.H, Kelly, A.T, State of nutrition support teams, Nutrition in Clinical Practice, 2013, 28(6), 691-697.
- Khalaf, A, Westergren, A, Ekblom, O, Al-Hazzaa, M.H, Berggren, V, Nurses' views and experiences of caring for malnourished patients in surgical settings in Saudi Arabia - a qualitative study, BMC Nursing, 2014, 13, 29.
- Lane, C, Wedlake, L.J, Dougherty, L, Shaw, C, Attitudes towards and knowledge of nutrition support amongst health care professionals on London intensive care units, Journal of Human Nutrition and Dietetics, 2014, 27(Suppl 2), 339-351.
- Eide, H.D, Halvorsen, K, Almendingen, K, Barriers to nutritional care for the undernourished hospitalised elderly: perspectives of nurses, Journal of Clinical Nursing, 2015, 24(5-6), 696-706.
- Bauer, S, Halfens, R.J, Lohrmann, C, Knowledge and attitudes of nursing staff towards malnutrition care in nursing homes: A multicentre cross-sectional study, The Journal of Nutrition, Health & Aging, 2015, 19(7), 734-740.
- Alhashemi, S.H, Ghorbani, R, Vazin, A, Improving knowledge, attitudes, and practice of nurses in medication administration through enteral feeding tubes by clinical pharmacists: a case-control study, Advances in Medical Education and Practice, 2019, 10, 493-500.
- Jefferie, D, Johnson, M, Ravens, J, Nurturing and nourishing: the nurses' role in nutritional care, Journal of Clinical Nursing, 2011, 20(3-4), 317-330.
- Persenius, M, Hall-Lord, M.L, Wilde-Larsson, B, Carlsson, E, Clinical nursing leaders' perceptions of nutrition quality indicators in Swedish stroke wards: a national survey, Journal of Nursing Management, 2015, 23(6), 705-715.
- Ekincioğlu, B.A, Kelleci, B, Surmelioglu, N, Hawes, E, Demirkan, K, Halil, M, Abbasoğlu, O, Practice Perspectives of Healthcare Professionals Regarding Common Dilemmas Associated with Enteral Nutrition, Journal of Critical and Intensive Care, 2017, 8(2), 44-49.
- Vest, M.T, Kolm, P, Bowen, J, et al., Association between enteral feeding, weight status, and mortality in a medical intensive care unit, American Journal of Critical Care, 2018, 27(2), 136-143.
- Mula, C, Nurses' competency and challenges in enteral feeding in the intensive care unit (ICU) and high dependency units (HDU) of a referral hospital, Malawi, Malawi Medical Journal, 2014, 3(26),55-59.
There are 51 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Nursing, Health Care Administration |
| Journal Section | Araştırma Makalesi |
| Authors | |
| Publication Date | June 30, 2021 |
| Published in Issue | Year 2021 Volume: 8 Issue: 2 |
