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首页> 外文期刊>Journal of human nutrition and dietetics >Barriers and facilitators to undertaking nutritional screening of patients: A systematic review
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Barriers and facilitators to undertaking nutritional screening of patients: A systematic review

机译:进行患者营养筛查的障碍和促进者:系统评价

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Background: Recent reports have suggested that registered nurses may not screen patients admitted to their care for malnutrition. The objective of this integrative review was to locate and review published research investigating barriers and facilitators to nutritional screening by nurses. Methods: A systematic search for relevant English language publications was conducted through CINAHL?, Web of Science, MEDLINE? and EMBASE and an Internet search engine (completed November 2011). Reference lists of relevant publications were also searched. Search terms included nursing, dietetics, nutrition disorders and screening, as well as associated MeSH? terms and Subject Headings. Six hundred and sixteen publications were identified and 605 were excluded. Publications reporting research concerning barriers and facilitators to nutritional screening by nurses were selected using exclusion and inclusion criteria. These were reviewed and the key findings described, categorised, combined, reviewed and refined to create themes. Results: Eleven publications were reviewed. Publications primarily reported hospital-based studies undertaken in three continents and considered barriers rather than facilitators. Five themes emerged: organisational culture, competing priorities, the value of clinical judgement, training and education, and discrepancy between attitudes and practice. Conclusions: Studies primarily involved acute care and indicated that routine screening for malnutrition will not take place unless it is considered an integral part of nursing assessment that is required by policy and resourced appropriately. Qualitative studies investigating barriers and facilitators to screening for malnutrition in community settings are needed and research is required to test interventions designed to modify or remove barriers and facilitate screening.
机译:背景:最近的报告表明,注册护士可能不会对营养不良的患者进行筛查。这项综合审查的目的是找到并审查已发表的研究,调查阻碍护士进行营养筛查的障碍和促进因素。方法:通过CINAHL?,Web of Science,MEDLINE?对相关的英语出版物进行系统搜索。 EMBASE和Internet搜索引擎(2011年11月完成)。还搜索了相关出版物的参考清单。搜索词包括护理,饮食,营养失调和筛查以及相关的MeSH?术语和主题词。确定了616种出版物,排除了605种。使用排除和纳入标准选择了报告有关护士营养筛查的障碍和促进因素的研究的出版物。对这些内容进行了审查,并对主要发现进行了描述,分类,组合,审查和完善以创建主题。结果:审查了11种出版物。出版物主要报道了在三大洲进行的以医院为基础的研究,并且考虑了障碍而不是促进因素。出现了五个主题:组织文化,竞争重点,临床判断,培训和教育的价值以及态度与实践之间的差异。结论:研究主要涉及急性护理,并指出除非对营养不良进行常规筛查,除非将其视为政策要求并提供适当资源的护理评估的组成部分。需要进行定性研究,以调查在社区环境中筛查营养不良的障碍和促进者,并且需要进行研究以测试旨在修改或消除障碍并促进筛查的干预措施。

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