| Autor: |
Möcking K; Universitätsklinikum Essen, Deutschland., Hosters B; Universitätsklinikum Essen, Deutschland. |
| Jazyk: |
němčina |
| Zdroj: |
Pflege [Pflege] 2023 Aug; Vol. 36 (4), pp. 238-245. Date of Electronic Publication: 2023 May 15. |
| DOI: |
10.1024/1012-5302/a000937 |
| Abstrakt: |
Development of an advanced practice nurse (APN) role for nutrition management: A needs assessment using a mixed methods approach Abstract. Background: Nurses are attributed to play a key role in nutrition management. This field has emerged to be a subject of advanced nursing practice. Aim: Conducting a needs assessment on the role profile of an advanced practice nurse (APN) in nutrition management according to the PEPPA framework. Methods: Mixed methods design. In a cross-sectional study on the current practice, the diagnostic accuracy of nurses' nutrition screening using Nutritional Risk Screening (NRS 2002) compared with independent assessment by a nutrition expert using NRS 2022 was examined. In case of a positive screening result, reasons were determined using an in-depth assessment. In addition, semi-structured, guideline-based interviews were conducted and content-analysed. Results: The identification of patients at risk by nurses' nutrition screening showed a need for improvement (sensitivity: 56%, specificity: 96%; n = 195). Commonly identified reasons for (risk of) malnutrition ( n = 51) were lack of desire to eat/lack of appetite or increased caloric needs due to illness. Development opportunities and expectations for an APN were specified based on the interviews ( n = 20). They refer to skill enhancement, support within the interprofessional team in complex treatment cases and a stronger nursing role in nutrition management. Conclusions: Based on the needs assessment, the APN's areas of responsibility were identified and assigned to the Hamric model, and implementation strategies could be derived. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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