Implementation Of Nutritional Care Research Articles

Finding the place for nutrition in healthcare education and practice

BackgroundMalnutrition continues to impact healthcare outcomes, quality of life and costs to healthcare systems. The implementation of nutrition care in healthcare practice may improve health outcomes for patients and the...

The Role of Telemedicine as Health Promotion Media during the Covid-19 Pandemic in Indonesia: A Systematic Review

Background: WHO has declared COVID-19 as a worldwide pandemic in March 2020, which has prompted several countries to take steps to prevent its spread due to the increasing number of cases. One of the policies implemented in Indonesia is the PSBB, so it has an impact on all aspects including access to health services. The rapid development of information technology in the era of the industrial revolution 4.0 has a positive impact, especially for the effectiveness and efficiency of health services, namely the development of e-health which is one component to bring health services closer to the community, one of which is in the form of telemedicine. This study aims to describe the role of telemedicine as health promotion media during the current COVID-19 pandemic. Methods: This research used a literature study approach. This study used 6 reviewed articles. The data was extracted by determining the key variables and then analyzed descriptively which is presented in tabular form. Results: Telemedicine is widely used as a medium of health communication by the public. One of the reasons people use telemedicine in health communication at this time is that the COVID-19 pandemic condition makes patients too afraid and anxious to conduct face-to-face consultations and visit hospitals. Besides that, telemental Counseling on Reducing Adolescent Anxiety Due to Exposure to Covid 19 Information. In addition, telemedicine can also be applied in the field of nutrition in the implementation of nutritional care in hospitals. Conclusion: Telemedicine as a health promotion media can be utilized in various fields such as telegize, telemedicine in midwifery and emergency room, telemental, and telepsychology.

Nutritional Care for Patients with Ebola Virus Disease.

During the Ebola virus disease (EVD) outbreak of 2014–2016 in West Africa, practitioners faced challenges providing nutritional care for patients in Ebola treatment units (ETUs). The current EVD outbreak in the Democratic Republic of the Congo demonstrates the need to understand lessons learned from previous outbreaks and to update nutritional guidelines. We conducted a literature review to identify articles that included nutrition as an integral part of supportive care. We found little information on the specific nutritional care or practical challenges within an ETU. This review showed that nutritional care for EVD patients is poorly described, and therefore the optimal composition and implementation of nutritional care remain unknown. We recommend that researchers and practitioners share specific and practical details of their experiences in providing nutritional support within ETUs to expand the knowledge base and ultimately improve the nutritional care for an increasingly prevalent patient population.

Optimizing Nutrition Care for Pressure Injuries in Hospitalized Patients.

Significance: It is estimated that up to 50% of hospitalized patients are malnourished. Malnutrition can lead to longer hospital stays, altered immune function, and impaired skin integrity and wound healing. Malnutrition has been found to be a significant factor influencing pressure injury (PI) risk and wound healing. While PI prevention requires multidimensional complex care using a variety of evidence-based strategies, hospitalized patients benefit from interventions that focus on improving oral nutrition to reduce PI risk and enhance wound healing. Unfortunately, malnutrition is often under-recognized and inadequately managed in hospitalized patients and this can lead to higher rates of complications such as PI. Recent Advances: Recent studies suggest that nutritional care has a major impact in PI prevention and management. Strategies, including early identification and management of malnutrition and provision of specially-formulated oral nutritional interventions to at-risk patients, optimization of electronic health record systems to allow for enhanced administration, monitoring, and evaluation of nutritional therapies, and implementation of protocol-based computerized decision support systems, have been reported to improve outcomes. Critical Issues: Unfortunately, there are gaps in the implementation of nutritional care in hospitals. Timely identification and management of malnutrition is needed to advance quality care for hospitalized patients and reduce malnutrition and associated PI. Future Directions: Further research on effective, evidence-based strategies for implementation of all stages of the nutrition care process is needed to reduce pressure injuries and malnutrition in hospitalized patients.

The Nutrition Knowledge of Croatian General Practitioners.

Nutrition care delivered in primary health care setting is an effective and necessary preventive health care measure. General practitioners (GPs) nutrition knowledge is related to their nutrition care practice. The aim of this study was to explore the nutrition knowledge of Croatian GPs, and to investigate its connection with the implementation of nutrition care in GPs’ offices. A cross-sectional study was conducted among 17.0% of randomly selected GPs, from May to July 2013, via an anonymous questionnaire. The study showed that only 35.8% of the Croatian GPs had an adequate level of nutrition knowledge (five or more correct answers to nutrition questions). The study further revealed that females, GPs with additional education in nutrition and GPs who had not suffered from chronic diseases with poor nutrition posing as a risk factor had better nutrition knowledge (p = 0.029, p < 0.001 and p = 0.041, respectively). The Spearman rank correlation between GPs’ nutrition knowledge and the implementation of nutrition care in their offices during daily work with patients was rs = −0.190 (p < 0.001). To provide nutrition care in GPs’ offices in Croatia, strategies for improving GPs’ nutrition knowledge are needed.

Attitudes toward Nutrition Care among General Practitioners in Croatia.

Nutrition care should be an integral part of general practitioners’ (GPs’) daily work with patients. The aim of this study was to assess the attitudes of Croatian GPs toward nutrition and nutrition care, and to evaluate the interconnection between their attitudes and implementation of nutrition care in GPs offices. A cross-sectional study was conducted among 17.0% of randomly selected GPs, from May to July of 2013, via a specially designed anonymous questionnaire. The study showed that 36.0% of the Croatian GPs had satisfactory number of positive attitudes (5 or more) toward nutrition and nutrition care. There was statistically significant difference in the median number of positive attitudes based on the additional education of GPs in nutrition and their ailment from chronic diseases (p < 0.001 and p = 0.022, respectively). The Spearman rank correlation between GPs’ attitudes toward nutrition and nutrition care and their practice, i.e., the implementation of nutrition care in GPs’ everyday work with patients was rs = −0.235 (p < 0.001). In order to provide nutrition care in GPs’ offices in Croatia, strategies for changing GPs’ attitudes toward nutrition and nutrition care are needed.

Atencao nutricional no pre-natal de baixo risco do Sistema Unico de Saude: teoria e modelizacao

OBJETIVOS: descrever a teoria da atenção nutricional no pré-natal de baixo risco da rede do Sistema Único de Saúde. MÉTODOS: estudo avaliativo cujo referencial teórico foi o Modelo de Avaliação de Implementação de Love (2004), em seu terceiro estágio (oferta da intervenção). A análise de cobertura foi realizada com base em dados da Pesquisa Nacional de Demografia e Saúde de 2006 e a de componentes contemplou a elaboração dos modelos causal e lógico-operacional. RESULTADOS: a cobertura da atenção pré-natal mostrou-se quase universal no Brasil. Entretanto a não participação em processos da atenção pré-natal e nutricional relacionou-se à maior vulnerabilidade socioeconômica. A magnitude elevada de distúrbios nutricionais gestacionais e o encadeamento lógico das causas presumidas desses distúrbios e de suas consequências ressaltam a pertinência em intervir na ingestão nutricional das gestantes, dada a capacidade que se tem de agir sobre essa causa e a eficácia/efetividade demonstrada das ações. Quanto ao mérito do modelo lógico-operacional, entendeu-se que se a estrutura e o processo da atenção nutricional forem adequadamente implementados pode-se chegar aos resultados esperados. CONCLUSÕES: a descrição da teoria da intervenção e sua modelização revelam-se como etapas fundamentais à avaliação da implementação da atenção nutricional no pré-natal, na busca por seu aprimoramento.

Nurses' positive attitudes to nutritional management but limited knowledge of nutritional assessment in Korea

Nurses' involvement in nutritional management has received greater emphasis as an accountable factor for the nutritional status of patients. Studies have shown that there are deficiencies in awareness of the importance of nutritional assessment and limited nutritional knowledge in nurses. The purpose of this study was to investigate nutritional attitudes and knowledge of nurses working in the hospital environment. A questionnaire survey was conducted. It is focused on nutritional management with regard to assessment of nutritional status and implementation of nutritional care. Nurses were recruited from the university hospital in Seoul, Korea. A majority of nurses had positive attitudes towards patients' nutritional status and had a high desire to receive nutritional information. However, they had limited knowledge of nutrition, especially nutritional assessment criteria which are basic to the evaluation of patient's nutritional status. Nurses did not perform the nutritional assessment appropriately in practice. These findings suggest that nurses have limited nutritional knowledge and they use nutritional assessment criteria poorly in clinical settings. This study provides a framework for developing nutritional management programmes and a standardized protocol for nutritional assessment.