Title
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Does documentation in nursing records of nutritional screening on admission to hospital reflect the use of evidence-based practice guidelines for malnutrition?
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Author
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Abstract
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Purpose To describe the documentation of nutrition-related data and wards referral to dieticians in a Belgian university hospital. Method Retrospective analysis of 506 nursing records. Findings Body weight and height are documented in 22%. Feeding assistance and usual food intake pattern are documented in 68% of all cases, and in 71% it is marked whether the patient is on a diet. Eight percent of the patients are referred to a dietician, but the indications for these referrals are not clear. Conclusion Given the poor documentation, most likely these patients are not adequately screened for malnutrition as recommended. Implications for Nursing Practice Nurses' documentation of nutrition-related data should be improved to facilitate treatment of malnutrition with tailored multidisciplinary interventions. |
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Language
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English
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Source (journal)
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International journal of nursing knowledge. - Malden, MA, 2012, currens
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Publication
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Malden, MA
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John Wiley & Sons, Inc
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2014
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ISSN
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2047-3087
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DOI
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10.1111/2047-3095.12011
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Volume/pages
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25
:1
(2014)
, p. 43-48
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ISI
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000337590900008
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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