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首页> 外文期刊>International journal of older people nursing >How much do residential aged care staff members know about the nutritional needs of residents?
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How much do residential aged care staff members know about the nutritional needs of residents?

机译：住院老年护理人员对居民的营养需求了解多少？

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Background: Undernutrition, weight loss and dehydration are major clinical issues for people with dementia in residential care, with excessive weight loss contributing to increased risk of frailty, immobility, illness and premature morbidity. This paper discusses a nutritional knowledge and attitudes survey conducted as part of a larger project focused on improving nutritional intake of people with dementia within a residential care facility in Brisbane, Australia. Aims: The specific aims of the survey were to identify (i) knowledge of the nutritional needs of aged care facility residents; (ii) mealtime practices; and (iii) attitudes towards mealtime practices and organisation. Methods: A survey based on those used in other healthcare settings was completed by 76 staff members. The survey included questions about nutritional knowledge, opinions of the food service, frequency of feeding assistance provided and feeding assessment practices. Results: Nutritional knowledge scores ranged from 1 to 9 of a possible 10, with a mean score of 4.67. While 76% of respondents correctly identified risk factors associated with malnutrition in nursing home residents, only 38% of participants correctly identified the need for increased protein and energy in residents with pressure ulcers, and just 15% exhibited correct knowledge of fluid requirements. Further, while nutritional assessment was considered an important part of practice by 83% of respondents, just 53% indicated that they actually carried out such assessments. Identified barriers to promoting optimal nutrition included insufficient time to observe residents (56%); being unaware of residents' feeding issues (46%); poor knowledge of nutritional assessments (44%); and unappetising appearance of food served (57%). Conclusion: An important step towards improving health and quality of life for residents of aged care facilities would be to enhance staff nutritional awareness and assessment skills. This should be carried out through increased attention to both preservice curricula and on-the-job training. Implications for practice: The residential facility staff surveyed demonstrated low levels of nutrition knowledge, which reflects findings from the international literature. This has implications for the provision of responsive care to residents of these facilities and should be explored further.
机译：背景：营养不足，体重减轻和脱水是住院治疗中痴呆症患者的主要临床问题，体重减轻过多会导致体弱，行动不便，疾病和过早发病的风险增加。本文讨论了一项营养知识和态度调查，该调查是一项大型项目的一部分，该项目的重点是在澳大利亚布里斯班的一家住宅护理机构中改善痴呆症患者的营养摄入。目的：调查的具体目的是确定（i）对老年护理机构居民的营养需求的了解; （ii）进餐时间习惯; （iii）对就餐习惯和组织的态度。方法：由76名工作人员完成了一项基于其他医疗机构使用的调查。该调查包括有关营养知识的问题，对食物服务的看法，提供的喂养帮助的频率以及喂养评估做法。结果：营养知识得分范围为1到9（可能为10），平均得分为4.67。虽然76％的受访者正确地确定了疗养院居民与营养不良相关的危险因素，但只有38％的参与者正确地确定了患有压疮的居民对蛋白质和能量的需求增加，只有15％的人正确地了解了液体需求。此外，虽然营养评估被83％的受访者视为实践的重要组成部分，但只有53％的受访者表示营养评估实际上是在进行。确定的促进最佳营养的障碍包括观察居民的时间不足（56％）;不了解居民的进食问题（46％）;营养评估知识不足（44％）;所提供食物的外观令人垂涎欲滴（57％）。结论：改善养老机构居民健康和生活质量的重要步骤将是提高员工的营养意识和评估技能。应通过更多地注意岗前课程和在职培训来实现这一目标。对实践的影响：接受调查的居民设施人员显示出较低的营养知识水平，这反映了国际文献的发现。这对为这些设施的居民提供响应式护理有影响，应进一步探讨。

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