oru.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Clinical nursing leaders' perceptions of nutrition quality indicators in Swedish stroke wards: a national survey
Faculty of Health, Science, and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden.
Faculty of Health, Science, and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden; Department of Nursing, Gjøvik University College, Elverum, Norway.
Faculty of Health, Science, and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden; Department of Nursing, Hedmark University College, Elverum, Norway.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Örebro University Hospital. Department of Quality and Patient Safety, Lindesberg Hospital, Lindesberg, Sweden.ORCID iD: 0000-0002-0714-0167
2015 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 23, no 6, 705-715 p.Article in journal (Refereed) Published
Abstract [en]

Aim To describe nursing leaders’ perceptions of nutrition quality in Swedish stroke wards.

Background A high risk of undernutrition places great demand on nutritional care in stroke wards. Evidence-based guidelines exist, but healthcare professionals have reported low interest in nutritional care. The Donabedian framework of structure, process and outcome is recommended to monitor and improve nutrition quality.

Method Using a descriptive cross-sectional design, a web-based questionnaire regarding nutritional care quality was delivered to eligible participants.

Result Most clinical nursing leaders reported structure indicators, e.g. access to dieticians. Among process indicator s, regular assessment of patients’ swallowing was most frequently reported in comprehensive stroke wards compared with other stroke wards. Use of outcomes to monitor nutrition quality was not routine. Wards using standard care plans showed significantly better results.

Conclusion Using the structure, process and outcome framework to examine nutrition quality, quality-improvement needs became visible. To provide high-quality nutrition, all three structure , process and outcome components must be addressed.

Implications for nursing management The use of care pathways, standard careplans, the Senior Alert registry, as well as systematic use of outcome measures could improve nutrition quality. To assist clinical nursing leaders in managing all aspects of quality, structure, process and outcome can be a valuable framework.

Place, publisher, year, edition, pages
2015. Vol. 23, no 6, 705-715 p.
Keyword [en]
Cross sectional study; Management; Nutritional organisation; Quality indicators; Senior Alert registry; Stroke patients
National Category
Nursing Nutrition and Dietetics
Research subject
Nursing Science; Nutrition
Identifiers
URN: urn:nbn:se:oru:diva-38719DOI: 10.1111/jonm.12199ISI: 000360840300003PubMedID: 26340320Scopus ID: 2-s2.0-84940925759OAI: oai:DiVA.org:oru-38719DiVA: diva2:764105
Note

Funding Agencies:

Research Committee of Örebro County Council

Swedish Stroke Association

Available from: 2014-11-18 Created: 2014-11-18 Last updated: 2017-10-18Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Carlsson, Eva
By organisation
School of Health and Medical Sciences, Örebro University, SwedenÖrebro University Hospital
In the same journal
Journal of Nursing Management
NursingNutrition and Dietetics

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 47 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf