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The STRONGkids nutritional risk screening tool can be used by paediatric nurses to identify hospitalised children at

Vesal Moeeni1, Tony Walls, Andrew S Day

  • 1Department of Paediatrics, University of Otago, Christchurch, New Zealand.

Acta Paediatrica (Oslo, Norway : 1992)
|August 19, 2014
PubMed

Insights

Nurses can effectively use the STRONGkids tool to screen hospitalized children for malnutrition. This screening tool helps identify at-risk children for timely nutritional interventions.

Area of Science:

  • Pediatric Nutrition
  • Healthcare Screening Tools
  • Nursing Practice

Background:

  • Hospitalized children exhibit elevated rates of undernutrition.
  • Early identification of nutritional risk is crucial for intervention.
  • The STRONGkids tool is a validated nutritional risk screening method.

Purpose of the Study:

  • To evaluate the utility of the STRONGkids tool when administered by nurses.
  • To compare nurse-led STRONGkids screening with paediatrician assessment.
  • To determine the feasibility of STRONGkids implementation in nursing practice.

Main Methods:

  • A simplified version of the STRONGkids questionnaire was used.
  • Trained nurses screened 162 hospitalized children (1 month to 17 years).
  • Paediatricians independently assessed patients; nutritional status was confirmed by weight and height measurements.

Main Results:

  • 11.7% of children were undernourished and 13% overnourished.
  • Nurses using STRONGkids identified 84% of undernourished children.
  • Paediatrician assessment identified 90%, showing substantial agreement (kappa = 0.65).

Conclusions:

  • The STRONGkids tool is effective for identifying at-risk children, regardless of administrator (nurse or paediatrician).
  • The simplified STRONGkids tool is suitable and feasible for nurses to use in screening.
  • Implementation by nurses can facilitate early detection and management of nutritional issues in hospitalized children.
Abstract

Keywords:
AnthropometryChildrenNew ZealandNutritionNutritional risk screening

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