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首页> 外文期刊>Journal of human nutrition and dietetics >An audit to evaluate the effect of staff training on the use of Malnutrition Universal Screening Tool.
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An audit to evaluate the effect of staff training on the use of Malnutrition Universal Screening Tool.

机译：评估员工培训对营养不良通用筛查工具使用效果的审核。

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Background: Malnutrition is common in hospitalized adults and it is associated with adverse hospital outcomes. Patients admitted to hospital should be routinely screened and monitored regularly (NICE, 2006). The Malnutrition Universal Screening Tool (MUST) (Elia, 2003) has been used for nutrition screening since 2004. A survey conducted 2005 showed that 54% of patient's records contained a completed MUST form. As a result regular training on nutritional screening for ward staff by dietitians was introduced. The aims of the present audit were to assess the current use of MUST in district general hospitals and to evaluate the effect of regular training for clinical staff on the use of the MUST tool. Methods: This audit was conducted during May and June 2007, at three hospital sites. The medical and dietetic notes of 432 patients, who had been admitted not <72 h previously, on 30 adult wards from all specialties, apart from a spinal injuries unit, were examined by dietitians and the presence of a correctly completed MUST form recorded. A Chi-squared test was used to compare the number of completed tools in 2005 with the number completed in 2007. Results: A completed MUST form was present in 67% (288) of patient's records. This was a significant (P < 0.001) increase compared with the audit conducted in 2005. The audit in 2005 found that 54% (212/392) of patient's records had a correctly completed MUST form. Discussion: There has been a significant improvementin the use of the MUST tool for malnutrition screening on adult wards in this trust. The introduction of training on the use of MUST for all clinical staff appears to have been effective in increasing the use of the MUST tool. Training is now included as a part of the trust mandatory training. Conclusions: Training of clinical staff in the use of the MUST tool is an effective method of increasing the tool's use. References Elia, M. (2003) Screening for Malnutrition: A multidisciplinary Responsibility. Development and Use of the Malnutrition Universal Screening Tool (MUST) for adults. BAPEN. NICE. (2006) Nutrition Support in Adults: Oral nutrition support, enteral tube feeding and parenteral nutrition. Available at http://www.nice.nhs.uk (accessed on 17 January 2008).
机译：背景：营养不良在住院的成年人中很常见，并且与不良的医院预后相关。应当对入院的患者进行例行筛查和定期监测（NICE，2006）。营养不良通用筛查工具（MUST）（Elia，2003）自2004年以来就用于营养筛查。2005年进行的一项调查显示，患者记录中有54％包含完整的MUST表格。结果，引入了营养师对病房人员进行营养筛查的常规培训。本审核的目的是评估地区综合医院当前对MUST的使用，并评估对临床人员进行定期培训对MUST工具使用的影响。方法：该审核于2007年5月和6月在三个医院进行。营养师检查了除脊柱损伤单元外的所有专科的30个成人病房中的432例患者，这些患者的医学和饮食记录此前未在72小时内入院，营养师对其进行了检查，并记录了正确填写的MUST表格的存在。卡方检验用于比较2005年完成的工具数量和2007年完成的工具数量。结果：67％（288）的患者记录中包含完整的MUST表格。与2005年进行的审核相比，这是一个显着的提高（P <0.001）。2005年的审核发现，患者记录的54％（212/392）具有正确填写的MUST表格。讨论：在这种信任下，对成年人病房进行营养不良筛查的MUST工具的使用有了显着改善。向所有临床人员介绍使用MUST的培训似乎对增加MUST工具的使用是有效的。现在，培训已包含在信任强制性培训中。结论：培训临床人员使用MUST工具是增加工具使用量的有效方法。参考文献Elia，M.（2003）营养不良筛查：多学科责任。成人营养不良通用筛查工具（MUST）的开发和使用。巴彭不错。 （2006）成人营养支持：口服营养支持，肠管饲喂和肠胃外营养。可在http://www.nice.nhs.uk上获得（2008年1月17日访问）。

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