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. 2023 Nov;80(5):530-537.
doi: 10.1111/1747-0080.12838. Epub 2023 Aug 23.

Malnutrition screening tool use in a New Zealand hospital: Reliability and rates of malnutrition screening on admission

Huyen-Tran Diep-Pham  1 , Natasha Donald  1 , Catherine L Wall  1   2
Affiliations

Malnutrition screening tool use in a New Zealand hospital: Reliability and rates of malnutrition screening on admission

Huyen-Tran Diep-Pham et al. Nutr Diet. 2023 Nov.

Abstract

Aims: This research aimed to assess the rate and reliability of routine nurse-completed malnutrition screening and report the prevalence of malnutrition risk on admission to Christchurch Hospital.

Methods: Student dietitians administered the Malnutrition Screening Tool to patients in three speciality wards within 48 h of admission. Student dietitians' Malnutrition Screening Tool scores were compared against documented nurse-completed Malnutrition Screening Tool scores. Data were analysed using descriptive statistics, Fisher's exact test, and Cohen's kappa tests (interrater reliability ⱪ). A p-value <0.05 was considered statistically significant.

Results: Student dietitians, using the Malnutrition Screening Tool, screened 360 (96%) of 377 eligible patients while nurses screened 332 (88%) patients. Student dietitians and nurses screened 119 patients (33%) and 63 patients (18%) respectively at risk of malnutrition. There was fair agreement (ⱪ = 0.311) in Malnutrition Screening Tool total scores between nurses and student dietitians. There was a significant difference in the proportion of patients screened at risk of malnutrition between nurses and student dietitians (p < 0.0001).

Conclusion: Malnutrition risk remains high in acute care settings. Nurses were less likely to screen patients as at risk of malnutrition than student dietitians. Regular support and training in using Malnutrition Screening Tool may help improve the rate and reliability of routine malnutrition screening.

Keywords: interrater reliability; malnutrition; malnutrition screening tool; nurse screening; nutrition risk screening; student dietitian.

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References

REFERENCES

    1. Agarwal E, Ferguson M, Banks M, et al. Malnutrition and poor food intake are associated with a prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: results from the nutrition care day survey 2010. Clin Nutr. 2013;32(5):737-745.
    1. Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health. 2011;8(2):514-527.
    1. Holmes S. The effects of undernutrition in hospitalised patients. Nurs Stand. 2007;22(12):35-38.
    1. Allard JP, Keller H, Jeejeebhoy KN, et al. Decline in nutritional status is associated with prolonged length of stay in hospitalized patients admitted for 7 days or more: a prospective cohort study. Clin Nutr. 2016;35(1):144-152.
    1. Agarwal E, Ferguson M, Banks M, Bauer J, Capra S, Isenring E. Nutritional status and dietary intake of acute care patients: results from the nutrition care day survey 2010. Clin Nutr. 2011;31(1):41-47.

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