Barriers and facilitators to screening for malnutrition by community nurses: A qualitative study

Authors: Green, S.M., James, E.P., Latter, S., Sutcliffe, M. and Fader, M.J.

Journal: Journal of Human Nutrition and Dietetics

Volume: 27

Issue: 1

Pages: 88-95

eISSN: 1365-277X

ISSN: 0952-3871

DOI: 10.1111/jhn.12104

Abstract:

Background: A substantial proportion of individuals who live in community settings in the UK experience malnutrition. Routine screening for malnutrition by healthcare practitioners has been recommended in many regions. The present study aimed to understand community nurses' perceptions of barriers and facilitators to undertaking nutritional screening. Methods: A qualitative study was undertaken with a purposive sample of community nurses working in one UK healthcare organisation. Semi-structured interviews were used to elicit perceptions of barriers and facilitators. Interviews were digitally recorded, anonymised and transcribed. Initial codes were assigned for salient constructs identified in the transcripts, refined by grouping, and a thematic list was developed. Results: Twenty district nurses and community matrons were interviewed at which time saturation of the data was achieved. Six themes emerged: supportive organisational culture, time and resource to screen and intervene, ease and acceptability of the screening tool, professional judgement as good as screening, the need for training and sharing good practice, and enhancing communication between care settings. Conclusions: The findings of the present study suggest that screening is more likely to be completed where an organisation is perceived to have a clear expectation that it is undertaken and also demonstrates this through training and availability of resources. The need for a process or tool that nurses find easy to use and relevant to their practice area was highlighted. Further research should examine the effect of the use of a nutritional screening tool by community nurses on nutritional care planning and intervention. © 2013 The British Dietetic Association Ltd.

Source: Scopus

Barriers and facilitators to screening for malnutrition by community nurses: a qualitative study.

Authors: Green, S.M., James, E.P., Latter, S., Sutcliffe, M. and Fader, M.J.

Journal: J Hum Nutr Diet

Volume: 27

Issue: 1

Pages: 88-95

eISSN: 1365-277X

DOI: 10.1111/jhn.12104

Abstract:

BACKGROUND: A substantial proportion of individuals who live in community settings in the UK experience malnutrition. Routine screening for malnutrition by healthcare practitioners has been recommended in many regions. The present study aimed to understand community nurses' perceptions of barriers and facilitators to undertaking nutritional screening. METHODS: A qualitative study was undertaken with a purposive sample of community nurses working in one UK healthcare organisation. Semi-structured interviews were used to elicit perceptions of barriers and facilitators. Interviews were digitally recorded, anonymised and transcribed. Initial codes were assigned for salient constructs identified in the transcripts, refined by grouping, and a thematic list was developed. RESULTS: Twenty district nurses and community matrons were interviewed at which time saturation of the data was achieved. Six themes emerged: supportive organisational culture, time and resource to screen and intervene, ease and acceptability of the screening tool, professional judgement as good as screening, the need for training and sharing good practice, and enhancing communication between care settings. CONCLUSIONS: The findings of the present study suggest that screening is more likely to be completed where an organisation is perceived to have a clear expectation that it is undertaken and also demonstrates this through training and availability of resources. The need for a process or tool that nurses find easy to use and relevant to their practice area was highlighted. Further research should examine the effect of the use of a nutritional screening tool by community nurses on nutritional care planning and intervention.

Source: PubMed

Barriers and facilitators to screening for malnutrition by community nurses: a qualitative study

Authors: Green, S.M., James, E.P., Latter, S., Sutcliffe, M. and Fader, M.J.

Journal: JOURNAL OF HUMAN NUTRITION AND DIETETICS

Volume: 27

Issue: 1

Pages: 88-95

eISSN: 1365-277X

ISSN: 0952-3871

DOI: 10.1111/jhn.12104

Source: Web of Science (Lite)

Barriers and facilitators to screening for malnutrition by community nurses: a qualitative study.

Authors: Green, S.M., James, E.P., Latter, S., Sutcliffe, M. and Fader, M.J.

Journal: Journal of human nutrition and dietetics : the official journal of the British Dietetic Association

Volume: 27

Issue: 1

Pages: 88-95

eISSN: 1365-277X

ISSN: 0952-3871

DOI: 10.1111/jhn.12104

Abstract:

Background

A substantial proportion of individuals who live in community settings in the UK experience malnutrition. Routine screening for malnutrition by healthcare practitioners has been recommended in many regions. The present study aimed to understand community nurses' perceptions of barriers and facilitators to undertaking nutritional screening.

Methods

A qualitative study was undertaken with a purposive sample of community nurses working in one UK healthcare organisation. Semi-structured interviews were used to elicit perceptions of barriers and facilitators. Interviews were digitally recorded, anonymised and transcribed. Initial codes were assigned for salient constructs identified in the transcripts, refined by grouping, and a thematic list was developed.

Results

Twenty district nurses and community matrons were interviewed at which time saturation of the data was achieved. Six themes emerged: supportive organisational culture, time and resource to screen and intervene, ease and acceptability of the screening tool, professional judgement as good as screening, the need for training and sharing good practice, and enhancing communication between care settings.

Conclusions

The findings of the present study suggest that screening is more likely to be completed where an organisation is perceived to have a clear expectation that it is undertaken and also demonstrates this through training and availability of resources. The need for a process or tool that nurses find easy to use and relevant to their practice area was highlighted. Further research should examine the effect of the use of a nutritional screening tool by community nurses on nutritional care planning and intervention.

Source: Europe PubMed Central