Barriers to nutritional care for the undernourished hospitalised elderly: Perspectives of nurses

Journal of Clinical Nursing

Volumn 24, Issue 5-6, 2015, Pages 696-706

  Eide, Helene Dahl ^a,b   Halvorsen, Kristin ^b,c   Almendingen, Kari ^b  

^a AKERSHUS UNIVERSITY HOSPITAL   (Norway)

^b Faculty of Health Sciences   (Norway)

^c OSLO METROPOLITAN UNIVERSITY   (Norway)

Author keywords

Experiences; Focus groups; Hermeneutics; Hospital care; Nurses; Nutrition; Older people; Phenomenology; Qualitative study

Indexed keywords

ADULT; FEMALE; HEALTH CARE DELIVERY; HEALTH PERSONNEL ATTITUDE; HOSPITALIZATION; HUMAN; INFORMATION PROCESSING; MALE; MALNUTRITION; MIDDLE AGED; NORWAY; NURSING STAFF; NUTRITIONAL SUPPORT; UNIVERSITY HOSPITAL; YOUNG ADULT;

ADULT; ATTITUDE OF HEALTH PERSONNEL; FEMALE; FOCUS GROUPS; HEALTH SERVICES ACCESSIBILITY; HOSPITALIZATION; HOSPITALS, UNIVERSITY; HUMANS; MALE; MALNUTRITION; MIDDLE AGED; NORWAY; NURSING STAFF, HOSPITAL; NUTRITIONAL SUPPORT; YOUNG ADULT;

EID: 84923443479     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/jocn.12562     Document Type: Article

References (44)

1. Bavelaar JW, Otter CD, van Bodegraven AA, Thijs A & van Bokhorst-de van der Schueren MA (2008) Diagnosis and treatment of (disease-related) in-hospital malnutrition: the performance of medical and nursing staff. Clinical Nutrition 27, 431-438.
2. Beck AM, Balknas UN, Furst P, Hasunen K, Jones L, Keller U, Melchior JC, Mikkelsen BE, Schauder P, Sivonen L, Zinck O, Oien H & Ovesen L (2001) Food and nutritional care in hospitals: how to prevent undernutrition - report and guidelines from the Council of Europe. Clinical Nutrition 20, 455-460.
3. Bradbury-Jones C, Sambrook S & Irvine F (2009) The phenomenological focus group: an oxymoron? Journal of Advanced Nursing 65, 663-671.
4. Carey MA & Smith MW (1994) Capturing the group effect in focus groups: a special concern in analysis. Qualitative Health Research 4, 123-127.
5. Coffey A & Atkinson P (1996) Making Sense of Qualitative Data. Complementary Research Strategies, 1st edn. SAGE Publications, Thousand Oaks, CA.
6. Crabtree BF & Miller WL (1999) Doing Qualitative Research, 2nd edn. SAGE Publications, Thousand Oaks.
7. Gadamer HG (2004) Truth and Method, 3rd edn. Continuum Publications, Wiltshire, UK.
8. Holst M, Rasmussen HH & Unosson M (2009) Well-established nutritional structure in Scandinavian hospitals is accompanied by increased quality of nutritional care. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 4, 22-29.
9. Khalaf A, Berggren V & Westergren A (2009) Caring for undernourished patients in an orthopaedic setting. Nursing Ethics 16, 5-18.
10. Kitzinger J (1994) The methodology of focus groups: the importance of interaction between research participants. Sociology of Health and Illness 16, 103-121.
11. Kitzinger J (1995) Qualitative research. Introducing focus groups. British Medical Journal 311, 299-302.
12. Kondrup J, Johansen N, Plum LM, Bak L, Larsen IH, Martinsen A, Andersen JR, Baernthsen H, Bunch E & Lauesen N (2002) Incidence of nutritional risk and causes of inadequate nutritional care in hospitals. Clinical Nutrition 21, 461-468.
13. Kondrup J, Allison SP, Elia M, Vellas B & Plauth M (2003) ESPEN guidelines for nutrition screening 2002. Clinical Nutrition 22, 415-421.
14. Kowanko I, Simon S & Wood J (1999) Nutritional care of the patient: nurses' knowledge and attitudes in an acute care setting. Journal of Clinical Nursing 8, 217-224.
15. Kristoffersen NJ, Nortvedt F & Skaug E-A (2011) Grunnleggende sykepleie [Basic nursing care], 2nd edn. Gyldendal akademisk, Oslo, Norway.
16. Kvale S & Brinkmann S (2009) Interviews: Learning the Craft of Qualitative Research Interviewing, 2nd edn. SAGE Publications, Los Angeles, CA.
17. Lindorff-Larsen K, Hojgaard Rasmussen H, Kondrup J, Staun M & Ladefoged K (2007) Management and perception of hospital undernutrition - a positive change among Danish doctors and nurses. Clinical Nutrition 26, 371-378.
18. Lovdata (2001) Lov om Pasient- og Brukerrettigheter [The (Norwegian) Patient's Rights Act]. LOV 1999-07-02 nr 63. Ministry of Health and Social Affairs. Available at: http://lovdata.no/lov/1999-07-02-63 (accessed 29 January 2014).
19. Malterud K (2001) Qualitative research: standards, challenges, and guidelines. Lancet 358, 483-488.
20. Malterud K (2012) Fokusgrupper som Forskningsmetode for Medisin og Helsefag [Focus Groups as a Research Method in Medicine and Health Care], 1st edn. Universitetsforlaget, Oslo, Norway.
21. Ministry of Education and Research (2012) Meld.St.13 (2011-2012): Utdanning for Velferd. Samspill i Praksis [Report nr.13 to the Storting (2011-2012): Education for Welfare. Cooperation in Practice]. Oslo, Kunnskapsdepartementet. Available at: http://www.regjeringen.no/pages/37006956/PDFS/STM201120120013000DDDPDFS.pdf (accessed 29 January 2014).
22. Ministry of Health and Care services (1997) Prioritering på ny. Gjennomgang av Retningslinjer for Prioriteringer innen norsk Helsetjeneste (NOU 1997:18) [Prioritizing again. Revision of Guidelines for Priorities in the Norwegian Health and Care Services (NOU 1997:18)]. Oslo, Sosial-og helsedepartementet. Available at: http://www.regjeringen.no/Rpub/NOU/19971997/018/PDFA/NOU199719970018000DDDPDFA.pdf (accessed 30 January 2014).
23. Ministry of Health and Care services (2009) Report No. 47 (2008-2009) to the Storting. Summary in English: The Coordination Reform. Proper treatment - At the Right Place and Right Time. Oslo. Available at: http://www.regjeringen.no/upload/HOD/Samhandling%20engelsk_PDFS.pdf (accessed 30 January 2014).
24. Ministry of Health and Care services (2013) Meld. St. 29 (2012-2013): Morgendagens Omsorg [Report nr.29 to the Storting (2012-2013): Care of Tomorrow]. Oslo, Helse- og omsorgsdepartementet. Available at: http://www.regjeringen.no/pages/38301003/PDFS/STM201220130029000DDDPDFS.pdf (accessed 30 January 2014).
25. Morgan DL (1997) Focus Groups as Qualitative Research, 2nd edn. SAGE Publications, Thousand Oaks, CA.
26. Morgan DL (2010) Reconsidering the role of interaction in analyzing and reporting focus groups. Qualitative Health Research 20, 718-722.
27. Morley JE (1997) Anorexia of aging: physiologic and pathologic. American Journal of Clinical Nutrition 66, 760-773. Available at: http://www.ncbi.nlm.nih.gov/pubmed/9322549 (accessed 30 January 2014).
28. Mowe M & Bohmer T (1991) The prevalence of undiagnosed protein-calorie undernutrition in a population of hospitalized elderly patients. Journal of the American Geriatrics Society 39, 1089-1092.
29. Mowe M, Bosaeus I, Rasmussen HH, Kondrup J, Unosson M & Irtun O (2006) Nutritional routines and attitudes among doctors and nurses in Scandinavia: a questionnaire based survey. Clinical Nutrition 25, 524-532.
30. Mowe M, Bosaeus I, Rasmussen HH, Kondrup J, Unosson M, Rothenberg E & Irtun O (2008) Insufficient nutritional knowledge among health care workers? Clinical Nutrition 27, 196-202.
31. Norman K, Pichard C, Lochs H & Pirlich M (2008) Prognostic impact of disease-related malnutrition. Clinical Nutrition 27, 5-15.
32. Norwegian Board of Health Supervision (2013) Not Just One Health Problem. Summary in English of Countrywide Supervision 2011-2012 of Specialized Health Services. Frail Elderly People Treated for Fracture of the Hip. http://www.helsetilsynet.no/no/Norwegian-Board-of-Health-Supervision/Publications/Report-of-the-Norwegian-Board-of-Health-Supervision-2013/Not-just-one-health-problem-Summary-of-countrywide-supervision-2011-2012-elderly-people-treated-for-fracture-of-the-hip/ (accessed 30 January 2014).
33. Rasmussen HH, Kondrup J, Staun M, Ladefoged K, Lindorff K, Jorgensen LM, Jakobsen J, Kristensen H & Wengler A (2006) A method for implementation of nutritional therapy in hospitals. Clinical Nutrition 25, 515-523.
34. Ross LJ, Mudge AM, Young AM & Banks M (2011) Everyone's problem but nobody's job: staff perceptions and explanations for poor nutritional intake in older medical patients. Nutrition & Dietetics 68, 41-46.
35. Schindler K, Pernicka E, Laviano A, Howard P, Schutz T, Bauer P, Grecu I, Jonkers C, Kondrup J, Ljungqvist O, Mouhieddine M, Pichard C, Singer P, Schneider S, Schuh C & Hiesmayr M (2010) How nutritional risk is assessed and managed in European hospitals: a survey of 21, 007 patients findings from the 2007-2008 cross-sectional nutritionDay survey. Clinical Nutrition 29, 552-559.
36. Stratton RJ, Green CJ & Elia M (2003) Disease-related Malnutrition: An Evidence-based Approach to Treatment, 1st edn. CABI, Wallingford, UK.
37. Suominen MH, Sandelin E, Soini H & Pitkala KH (2007) How well do nurses recognize malnutrition in elderly patients. European Journal of Clinical Nutrition 63, 292-296.
38. Tangvik RJ, Guttormsen AB, Tell GS & Ranhoff AH (2012) Implementation of nutritional guidelines in a university hospital monitored by repeated point prevalence surveys. European Journal of Clinical Nutrition 66, 388-393.
39. The Norwegian Directorate of Health (2009) Nasjonale Faglige Retningslinjer for Forebygging og Behandling av Underernæring, in Norwegian [National Professional Guidelines on Prevention and Treatment of Malnutrition]. Oslo. Available at: http://helsedirektoratet.no/publikasjoner/nasjonal-faglig-retningslinje-for-forebygging-og-behandling-av-underernering/Publikasjoner/nasjonal-faglig-retningslinje-for-forebygging-og-behandling-av-underernering.PDF (accessed 30 January 2014).
40. The Norwegian Directorate of Health (2012a) Behovet for Spesialisert Kompetanse i Helsetjenesten. En Status-, Trend- og Behovsanalyse fram mot 2030 [The Need for Specialized Competence in Health and Care Services. A Status, Trend and Needs Analysis up to 2030]. Oslo. Available at: http://helsedirektoratet.no/publikasjoner/behovet-for-spesialisert-kompetanse-i-helsetjenesten/Publikasjoner/behovet-for-spesialisert-kompetanse-fram-mot-2030.pdf (accessed 30 January 2014).
41. The Norwegian Directorate of Health (2012b) Ernæringskompetanse i helse- og Omsorgstjenesten [Nutritional Competence in the Health and Care Services]. Oslo. Available at: http://www.helsedirektoratet.no/publikasjoner/erneringskompetanse-i-helse-og-omsorgstjenesten/Publikasjoner/ern%c3%a6ringskompetanse-i-helse-og-omsorgstjenesten.pdf (accessed 30 January 2014).
42. Vanderwee K, Clays E, Bocquaert I, Verhaeghe S, Lardennois M, Gobert M & Defloor T (2011) Malnutrition and nutritional care practices in hospital wards for older people. Journal of Advanced Nursing 67, 736-746.
43. Volkert D, Saeglitz C, Gueldenzoph H, Sieber CC & Stehle P (2010) Undiagnosed malnutrition and nutrition-related problems in geriatric patients. The Journal of Nutrition, Health & Aging 14, 387-392.
44. Xia C & McCutcheon H (2006) Mealtimes in hospital - who does what? Journal of Clinical Nursing 15, 1221-1227.