Nutrition Support Therapies on the Medication Administration Record: Impacts on Staff Perception of Nutrition Care.

Autor: Citty SW; Family, Community and Health System Science, University of Florida College of Nursing, Gainesville, Florida, USA.; Gainesville Geriatric Research Education and Clinical Center (GRECC), North Florida/South Georgia Veterans Health System, Gainesville, Florida, USA., Bjarnadottir RI; Family, Community and Health System Science, University of Florida College of Nursing, Gainesville, Florida, USA., Marlowe BL; Food and Nutrition Services Department, University of Florida Health Shands Hospital, Gainesville, Florida, USA., Jones S; Information Technology Department, University of Florida Health Shands Hospital, Gainesville, Florida, USA., Lucero RJ; Family, Community and Health System Science, University of Florida College of Nursing, Gainesville, Florida, USA., Garvan CW; Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA., Kamel AY; Pharmacy Department, University of Florida Health Shands Hospital, Gainesville, Florida, USA., Westhoff L; Nursing Services Department, University of Florida Health Shands Hospital, Gainesville, Florida, USA., Keenan G; Family, Community and Health System Science, University of Florida College of Nursing, Gainesville, Florida, USA.
Jazyk: angličtina
Zdroj: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [Nutr Clin Pract] 2021 Jun; Vol. 36 (3), pp. 629-638. Date of Electronic Publication: 2020 Oct 23.
DOI: 10.1002/ncp.10590
Abstrakt: Background: It has been reported that many hospitals in the United States have fragmented and ineffective ordering, administration, documentation, and evaluation/monitoring of nutrition therapies. This paper reports on a project to investigate if perceived hospital staff awareness and documentation of nutrition support therapies (NSTs) improves by including them as part of the medication administration record (MAR).
Methods: Surveys were conducted with nursing staff, physicians, and dietitians before and after adding NSTs to the MAR to evaluate the perceived impact on the outcome of interest. The outcomes of interest include nurses' perception of ease of finding information, awareness of an order, and ability to assess administration and documentation and dietitian, nurse, and physician staff perceptions of impact of intervention on aspects of the nutrition care process.
Results: After adding NST to the MAR, nursing staff perceived improvement in knowing that their patient had an oral nutritional supplement (ONS) order (P = .01), when and how much product was last administered (P = .01), and documentation of the type of product consumed (P = .01) and volume of product consumed (P = .01). The majority of dietitian and nurses surveyed reported perceived improvement in placing and finding ONS orders, in administration of ONS, in ability to evaluate patient nutrition status, and in ONS intake and a positive impact on clinical practice.
Conclusion: Inclusion of NST in the MAR presents an innovative solution to enhance staff awareness of ordered therapies and perception of improved documentation of nutrition interventions for hospitalized patients.
(© 2020 American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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