护士管理的营养不良查工具改善了获得营养护理和营养不良诊断的机会
Jamie Olsen1, Mary Chew1, Janet Fawcett1
1Phoenix VA Health Care System, United States.
实施护士管理的营养不良查工具 (MST) 显著减少了查时间,增加了住院患者的营养不良诊断. 这种工具改善了注册护士 (RN) 和注册营养师 (RDN) 之间获得护理和合作的机会.
科学领域:
- 临床营养学 临床营养学
- 医疗保健管理的管理
- 患者的治疗结果.
背景情况:
- 营养不良在住院患者中很普遍,需要早期检测和干预.
- 为了应对这一挑战,实施了一种由护士管理的营养不良查工具 (MST).
研究的目的:
- 评估由护士管理的营养不良查工具 (MST) 对患者护理过程的影响.
- 评估营养不良查,评估和诊断时间表的变化.
- 了解医疗保健专业人员对MST的看法.
主要方法:
- 一个混合方法的回顾性队列研究,涉及6163名住院患者.
- 从VA企业数据仓库 (CDW) 和员工注册护士 (RN) 和注册营养师 (RDN) 的电子调查中提取的数据.
- 使用曼-惠特尼测试进行统计分析,以比较实施前后的结果.
主要成果:
- 从入院到营养不良查的时间在MST实施后显著减少.
- 被查并被诊断为营养不良的患者的百分比大幅增加.
- 虽然评估的时间增加了,但诊断的时间保持不变;RN认为护理质量有所改善,而RDN则注意到工作流程的改进和加强的合作.
结论:
- MST的实施提高了住院患者获得营养不良护理的整体机会.
- 该研究提供了优化资源和临床工作流程的见解,以改善患者营养管理.
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