Observational study of the relationship between nurse staffing levels and compliance with mandatory nutritional assessments in hospital
Authors: Recio-Saucedo, A. et al.
Journal: Journal of Human Nutrition and Dietetics
Volume: 34
Issue: 4
Pages: 679-686
eISSN: 1365-277X
ISSN: 0952-3871
DOI: 10.1111/jhn.12847
Abstract:Background: In the UK, it is recommended that hospital patients have their nutritional status assessed within 24 h of admission using the Malnutrition Universal Screening Tool (MUST). The present study aimed to examine the association between nurse staffing levels and missed nutritional status assessments. Methods: A single-centre, retrospective, observational study was employed using routinely collected MUST assessments from 32 general adult hospital wards over 2 years, matched to ward nurse staffing levels. We used mixed-effects logistic regression to control for ward characteristics and patient factors. Results: Of 43 451 instances where staffing levels could be linked to a patient for whom an assessment was due, 21.4% had no MUST score recorded within 24 h of admission. Missed assessments varied between wards (8–100%). There was no overall association between registered nurse staffing levels and missed assessments; although higher admissions per registered nurse were associated with more missed assessments [odds ratio (OR) = 1.09, P = 0.005]. Higher healthcare assistant staffing was associated with lower rates of missed assessments (OR = 0.80, P < 0.001). There was a significant interaction between registered nurses and healthcare assistants staffing levels (OR = 0.97, P = 0.011). Conclusions: Despite a written hospital policy requiring a nutritional assessment within 24 h of admission, missed assessments were common. The observed results show that compliance with the policy for routine MUST assessments within 24 h of hospital admission is sensitive to staffing levels and workload. This has implications for planning nurse staffing.
https://eprints.bournemouth.ac.uk/35036/
Source: Scopus
Observational study of the relationship between nurse staffing levels and compliance with mandatory nutritional assessments in hospital.
Authors: Recio-Saucedo, A., Smith, G.B., Redfern, O., Maruotti, A., Griffiths, P. and Missed Care Study Group
Journal: J Hum Nutr Diet
Volume: 34
Issue: 4
Pages: 679-686
eISSN: 1365-277X
DOI: 10.1111/jhn.12847
Abstract:BACKGROUND: In the UK, it is recommended that hospital patients have their nutritional status assessed within 24 h of admission using the Malnutrition Universal Screening Tool (MUST). The present study aimed to examine the association between nurse staffing levels and missed nutritional status assessments. METHODS: A single-centre, retrospective, observational study was employed using routinely collected MUST assessments from 32 general adult hospital wards over 2 years, matched to ward nurse staffing levels. We used mixed-effects logistic regression to control for ward characteristics and patient factors. RESULTS: Of 43 451 instances where staffing levels could be linked to a patient for whom an assessment was due, 21.4% had no MUST score recorded within 24 h of admission. Missed assessments varied between wards (8-100%). There was no overall association between registered nurse staffing levels and missed assessments; although higher admissions per registered nurse were associated with more missed assessments [odds ratio (OR) = 1.09, P = 0.005]. Higher healthcare assistant staffing was associated with lower rates of missed assessments (OR = 0.80, P < 0.001). There was a significant interaction between registered nurses and healthcare assistants staffing levels (OR = 0.97, P = 0.011). CONCLUSIONS: Despite a written hospital policy requiring a nutritional assessment within 24 h of admission, missed assessments were common. The observed results show that compliance with the policy for routine MUST assessments within 24 h of hospital admission is sensitive to staffing levels and workload. This has implications for planning nurse staffing.
https://eprints.bournemouth.ac.uk/35036/
Source: PubMed
Observational study of the relationship between nurse staffing levels and compliance with mandatory nutritional assessments in hospital
Authors: Recio-Saucedo, A., Smith, G.B., Redfern, O., Maruotti, A. and Griffiths, P.
Journal: JOURNAL OF HUMAN NUTRITION AND DIETETICS
Volume: 34
Issue: 4
Pages: 679-686
eISSN: 1365-277X
ISSN: 0952-3871
DOI: 10.1111/jhn.12847
https://eprints.bournemouth.ac.uk/35036/
Source: Web of Science (Lite)
Observational study of the relationship between nurse staffing levels and compliance with mandatory nutritional assessments in hospital.
Authors: Recio-Saucedo, A., Smith, G.B., Redfern, O., Maruotti, A., Griffiths, P. and Missed Care Study Group
Journal: Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
Volume: 34
Issue: 4
Pages: 679-686
eISSN: 1365-277X
ISSN: 0952-3871
DOI: 10.1111/jhn.12847
Abstract:Background
In the UK, it is recommended that hospital patients have their nutritional status assessed within 24 h of admission using the Malnutrition Universal Screening Tool (MUST). The present study aimed to examine the association between nurse staffing levels and missed nutritional status assessments.Methods
A single-centre, retrospective, observational study was employed using routinely collected MUST assessments from 32 general adult hospital wards over 2 years, matched to ward nurse staffing levels. We used mixed-effects logistic regression to control for ward characteristics and patient factors.Results
Of 43 451 instances where staffing levels could be linked to a patient for whom an assessment was due, 21.4% had no MUST score recorded within 24 h of admission. Missed assessments varied between wards (8-100%). There was no overall association between registered nurse staffing levels and missed assessments; although higher admissions per registered nurse were associated with more missed assessments [odds ratio (OR) = 1.09, P = 0.005]. Higher healthcare assistant staffing was associated with lower rates of missed assessments (OR = 0.80, P < 0.001). There was a significant interaction between registered nurses and healthcare assistants staffing levels (OR = 0.97, P = 0.011).Conclusions
Despite a written hospital policy requiring a nutritional assessment within 24 h of admission, missed assessments were common. The observed results show that compliance with the policy for routine MUST assessments within 24 h of hospital admission is sensitive to staffing levels and workload. This has implications for planning nurse staffing.https://eprints.bournemouth.ac.uk/35036/
Source: Europe PubMed Central
Observational study of the relationship between nurse staffing levels and compliance with mandatory nutritional assessments in hospital.
Authors: Recio-Saucedo, A., Smith, G.B., Redfern, O., Maruotti, A., Griffiths, P. and Missed Care Study Group
Journal: Journal of Human Nutrition and Dietetics
Volume: 34
Issue: 4
Pages: 679-686
ISSN: 0952-3871
Abstract:BACKGROUND: In the UK, it is recommended that hospital patients have their nutritional status assessed within 24 h of admission using the Malnutrition Universal Screening Tool (MUST). The present study aimed to examine the association between nurse staffing levels and missed nutritional status assessments. METHODS: A single-centre, retrospective, observational study was employed using routinely collected MUST assessments from 32 general adult hospital wards over 2 years, matched to ward nurse staffing levels. We used mixed-effects logistic regression to control for ward characteristics and patient factors. RESULTS: Of 43 451 instances where staffing levels could be linked to a patient for whom an assessment was due, 21.4% had no MUST score recorded within 24 h of admission. Missed assessments varied between wards (8-100%). There was no overall association between registered nurse staffing levels and missed assessments; although higher admissions per registered nurse were associated with more missed assessments [odds ratio (OR) = 1.09, P = 0.005]. Higher healthcare assistant staffing was associated with lower rates of missed assessments (OR = 0.80, P < 0.001). There was a significant interaction between registered nurses and healthcare assistants staffing levels (OR = 0.97, P = 0.011). CONCLUSIONS: Despite a written hospital policy requiring a nutritional assessment within 24 h of admission, missed assessments were common. The observed results show that compliance with the policy for routine MUST assessments within 24 h of hospital admission is sensitive to staffing levels and workload. This has implications for planning nurse staffing.
https://eprints.bournemouth.ac.uk/35036/
Source: BURO EPrints