Nurses’ Knowledge and Attitudes Regarding Nutrition Support: A Descriptive Study

Yıl 2023, Cilt: 3 Sayı: 3, 1 - 12, 27.12.2023

Nurdan Gezer , Ezgi Arslan

Öz

Aim: This study aimed to determine surgical and intensive care nurses’ knowledge and attitudes regarding nutrition support.
Method: The sample size of this descriptive cross-sectional study was calculated using G-Power software. The study sample included 95 nurses working in a university hospital. Study data were collected using a questionnaire form questioning nurses’ introductory characteristics and independent variables of the study. Study data were evaluated using descriptive statistics (mean and percentage values) and chi-square analyses.
Findings: The nurses’ mean age was found to be 27.45±5.132 years. Of the nurses, 84.2% had training regarding nutrition support, and 97.9% provided care to patients receiving nutrition support. The nurses’ mean knowledge score regarding nutrition support was determined to be 50.11±1.95. Their mean attitude score regarding nutrition support was determined to be 12.37±0.2.High percentages of the nurses gave wrong answers for the definition of malnutrition (84.2%),the ideal time for beginning nutrition support (77.9%), the metabolic response to stress (77.9%), and biochemical parameters to be followed up in patients receiving nutrition support (76.8%). Of the nurses, 58.9% agreed that they had enough knowledge and skill to determine if patients are at risk of malnutrition, 57.9% agreed that complications and duration of hospitalization would decrease with sufficient nutrition support, and 63.2% agreed that training regarding nutrition assessment and nutrition support would be valuable for their vocational careers.
Conclusion: This study found that the nurses’ level of knowledge and attitudes regarding nutrition support treatment was not adequate. Following may be recommended: determining each patient’s nutrition condition, initiating and maintaining nutrition support treatment in the patient groups at risk, applying effective nursing care for the prevention of complications, updating current in-service training and evaluating them at specific intervals.

Anahtar Kelimeler

Nutrition support, nurse, level of knowledge, attitude.

Destekleyen Kurum

YOK

Proje Numarası

YOK

Teşekkür

YOK

Kaynakça

• Adam S. (2000). Standardization of nutritional support: are protocols useful? Intensive and Critical Care Nursing, 16 (5): 283-289.
• Al Kalaldeh M, Watson R, Hayter M. (2015). Jordanian nurses' knowledge and responsibility for enteral nutrition in the critically ill. Nursing in Critical Care, 20(5): 229-241.
• Al-Rafay SS, Al-Sharkawy SS. (2012). Educational outcomes associated with providing a comprehensive guidelines program about nursing care of preterm neonates receiving total parenteral nutrition. Clinical Nursing Research, 21(2): 142-158.
• Awad S, Herrod P. J., Forbes E., Lobo D. N. (2010). Knowledge and attitudes of surgical trainees towards nutritional support: food for thought. Clinical Nutrition, 29(2): 243-248.
• Aygencel G. (2017). General Overview of Nutrition and Basic Consepts in Nutrition. Türkiye Klinikleri J Intensive CareSpecial Topics, 3 (2): 53-64.
• Balaban H, Aygencel G, Türkoğlu M, Ülger Z. (2014). Nutritional Support Therapy Practices in a Medical Intensive Care Unit. Yoğun Bakım Dergisi, 5: 30-35.
• Bjerrum M, Tewes M, & Pedersen P. (2012). Nurses’ Self‐reported Knowledge About and Attitude to Nutrition–Before and After a Training Programme. Scandinavian Journal of Caring Sciences, 26(1): 81-89.
• Crogan N. L., Shultz J. A., Adams C. E., Massey L. K. (2001). Barriers to nutrition care for nursing home residents. Journal of Gerontological Nursing, 27(12): 25-31.
• Çekmen N., Dikmen E. (2014). Enteral and Parenteral Nutrition in Intensive Care Medicine. Toraks Cerrahisi Bülteni. 5 (3): 187-197.
• DeLegge M. H., Guenter P., American Society for Parenteral and Enteral Nutrition. (2007). The ASPEN nutrition support core curriculum: a case-based approach-the adult patient (Vol. 1). M. M. Gottschlich (Ed.). Silver Spring, MD: American Society for Parenteral and Enteral Nutrition.
• Dumlu E., Bozkurt B., Tokaç M., Kıyak G., Özkardeş A., Yalçın S., Kılıç M. (2013). Cerrahi hastalarda malnütrisyon ve beslenme desteği. Ankara Medical Journal, 13(1): 33-39.
• Fletcher A., Eileen C. (2011). Knowledge, Attitudes and Practices in the Provision of Nutritional Care. British Journal of Nursing, 20(10): 615-620.
• Gündoğdu R.H. (2015). Economic Side of Nutritional Support. Turkiye Klinikleri J Gen Surg-Special Topics. 8 (1):92-98.
• Güngör E.A. (2015). Prevalence of Malnutrition and Its Importance. Turkiye Klinikleri J Gen Surg-Special Topics. 8(1): 1-9.
• Harrington L. (2004). Nutrition in critically ill adults: key processes and outcomes. Critical Care Nursing Clinics, 16(4): 459-465.
• Iacono M. (2000). Tell me a story: A walk down ASPAN's memory lane. Journal of PeriAnesthesia Nursing, 15(5): 286-328.
• Jefferies D., Johnson M., & Ravens J. (2011). Nurturing and Nourishing: The Nurses’ Role in Nutritional Care. Journal of Clinical Nursing, 20(3‐4): 317-330.
• Kahveci F.Ş. (2015). Nutritional Support in Different Clinical Situation: Nutritional Support in Intensive Care Patient. Turkiye Klinikleri J Gen Surg-Special Topics. 8 (1): 84-91.
• Karasu M., Özşaker E. (2019). An Examination of the Knowledge, Attitudes and Practice of Nurses Regarding the Nutrition of Surgery Patients. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi. 5(1): 1191-1205.
• Koçhan E., Akın, S. (2018). Evaluation of Knowledge Levels of Nurses about Enteral and Parenteral Nutrition Practices. J Acad Res Nurs, JAREN, 4(1): 1-14.
• Mete R., Emeksiz G.K. (2017). Nutrition. Namık Kemal Tıp Dergisi, 5 (2): 91-98.
• Naylor C. J., Griffiths R. D., Fernandez R. S. (2004). Does a multidisciplinary total parenteral nutrition team improve patient outcomes? A systematic review. Journal of Parenteral and Enteral Nutrition, 28(4): 251-258.
• Özbaş N., Baykara Z.G. (2018). The Determitation of the Level of Knowledge of Nurses on Enteral Tube Feeding. International Journal of Human Sciences, 15 (1): 359-367.
• Özçelik A.Ö., Surucuoglu M.S., Sariye, L. (2007). Nutrition Knowledge Level of Nurses in Turkey: Ankara as an Example. Pakistan Journal of Social Sciences, 4 (3): 485-489.
• Porter J., Raja, R., Cant, R., Aroni, R. (2009). Exploring Issues Influencing the Use of The Malnutrition Universal Screening Tool by Nurses in Two Australian Hospitals. J Hum Nutr Diet, 22(3): 203-9.
• Rasmussen H.H., Kondrup J., Ladefoged K., Staun, M. (1999). Clinical nutrition in Danish Hospitals: A Questionnaire Based Investigation Among Doctors and Nurses. Clin Nutr. 18(3): 153–8.
• Savaş S., Bıçaklı D.H. (2011). Nutritional Evaluation. Türkiye Klinikleri Nephrology-Special Topics, 4 (2): 12-19.
• Schaller C., James E. L. (2005). The nutritional knowledge of Australian nurses. Nurse Education Today, 25(5): 405-412.
• Sivrikaya S.K., Eryılmaz A. (2018). Nutritional Supplement in The Team Nursing. Samsun Sağ Bil Der. 3 (2): 33-37.
• Thoresen L., Rothenberg E., Beck A.M., Irtun Ø., Scandinavian Nutrition Group (SNG). (2008). Doctors and Nurses on Wards with Greater Access to Clinical Dietitians Have Better Focus on Clinical Nutrition. J Hum Nutr Diet, 21(3): 239-47.
• Uyar M. (2011). Nutrition Support ICU. Turkiye Klinikleri J Nephrol-Special Topics, 4(3): 52-8.
• Worthington P., Gilbert K. A., Wagner B. A. (2000). Parenteral nutrition for the acutely ill. AACN Advanced Critical Care, 11(4): 559-636.
• Yalcin N., Cihan A., Gundogdu H., Ocakci A. (2013). Nutrition Level of Nurses. Health Science Journal, 7 (1): 99- 108.