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Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Influence of Nutrition and Nonnutrition Factors on Pressure Injury Outcomes Among At-Risk Asian Nursing Home
Tracey L Yap1, Susan Kennerly, Susan D Horn
1Tracey L. Yap, PhD, RN, is Associate Professor, School of Nursing, Duke University, Durham, North Carolina; Susan Kennerly PhD, RN, is Professor, College of Nursing, East Carolina University, Greenville, North Carolina; Susan D. Horn, PhD, is Adjunct Professor, University of Utah School of Medicine, Salt Lake City, Utah; Ryan Barrett, MS, is a former Project Manager and Analyst, the Institute for Clinical Outcomes Research, Salt Lake City, Utah; Jequie Dixon, DNP, RN, AG-ACNP, is Clinical Assistant Professor, University of Kansas, Kansas City, Kansas; and Nancy Bergstrom, PhD, RN, is Associate Dean for Research and Trumble Professor of Aging Research (ret), School of Nursing, UT Health Houston, Houston, Texas. Acknowledgment: The authors thank Judith C. Hays, PhD, who assisted in writing, preparing, and critically reviewing the manuscript. The authors received funding from the National Institutes of Health, National Institute of Nursing Research, and National Institute on Aging NCT0066535, Ontario Ministry of Health and Long Term Care, and Toronto Health Economic Technology Assessment Collaborative. The authors have disclosed no financial relationships related to this article. Submitted April 19, 2019; accepted June 13, 2019.
Objective:
Given evidence that malnutrition and immobility increase the risk of pressure injuries (PIs) in nursing home (NH) residents and that body mass index guidelines related to undernutrition may differ between Asian and non-Asian populations, the purpose of this study was to describe differences in overall nutrition, dietary intake, and nonnutrition risk factors for PIs between Asian and non-Asian NH residents.
Design And Setting:
Secondary data analysis of a 3-week PI prevention randomized controlled trial in seven Canadian NHs.
Patients:
Asian (n = 97) and non-Asian (n = 408) residents at moderate or high mobility-related risk of PI.
Main Outcome Measure:
Incident PI by racial subgroups.
Main Results:
Asian residents (PI = 6) consumed significantly smaller meals and marginally different patterns of daily dietary consumption of protein types, liquid supplements, and snacks; took more frequent tub baths; and had marginally lower body mass index than non-Asian residents (PI = 4).
Conclusions:
Findings are consistent with earlier research suggesting that nutrition consumption and care patterns may predispose Asian NH residents to develop more PIs than their non-Asian counterparts. Future research should focus on the threshold for and types of nutrition support sufficient to improve nutrition status and reduce PI risk.
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