Biography
Biography: Aviva Alagem Mizrahi
Abstract
Background:
Malnutrition in the Hospitalized Patients is one of the complications that occur during hospitalization. It occurs at the rate of 30-40% in the hospitalized patients. The most important point in preventing this occurrence is to identify these patients, and the patients who are at a high risk to develop malnutrition, and to provide them with the proper nutrition needs. Their nutrition needs can be met as oral nutrition, enteral feeding tube, or through the vein parenteral nutrition. The nurse who attends the patient, and who sees and knows the patient needs, has a very important role in identifying the nutrition status of the patient, and in the treatment of the malnourished patient. From the month of May till the month of October, 2017, one hundred questionnaires were handed out to nurses, in hospital wards, in Sheba medical center. The questions in the distributed questionnaires were geared towards identifying the nurse’s knowledge and attitude in the perception of nutrition.
The Goals of the Study:
To check the attitude of the nurses to nutrition, and their involvement in the treatment of the malnourished patient .and to understand the gaps in the nurses treatment
The Way the Nurse sees her Roll in the treatment of The Malnourished Patient:
To identify the high risk patient for malnutrition, as well as the patient who is already malnourished, and to ask for consultation and proper treatment.
In order to provide the nutritional services, we need to consider the followings:
The availability of trained nurses, and the awareness of the high risk patient for malnutrition. ,Follow-up on nutrition assessment., Feeding the patient according to the availability of the attending nurse, and according to the head nurse policy.
Barriers in the nutrition treatment:
The availability of the attending nurse to do the score MUST on the first 8 hours of hospitalization .The ability to choose the right diet to the right patient, and to verify that the patient gets this meal .The different procedures and sickness during hospitalization, such as an operation, CT scan, depression, pain, stress.
Data Collected from the Questionnaires:
Female nurses – 71% , Male nurses – 29%
Nurses with academic degrees – 91%
Nurses with specialized training – 52%
Head nurses – 18%
93% of the nurses think that the MUST score is the most important ,but not pay attention to feeding, weight the patient , documenting the amount of food the patient eat ect .Only 50% of the nurses thought that pleasant environment is important to the patient when they eating.
Only 43% of the nurses thought that they should be involved in the nutrition status .Most of them can not estimate the percentage of malnourish patient .they do know the importance of food to recovery from illness
.29% of them does not feed at all, 18% feed every day, feeding can be on the 3 ways .The barriers in nutrition are connected to : knowledge attention, not talking and discussing nutrition subject.- 50%.:The need to professional person in this field such as dietitian or doctor. Stress pressure and no time to the nurse for spending in nutrition's patient.
Summery-
This survey helped me to build a program for nurses to this new year, also to think about the next research to help nurses to give the best treatment to their patient.