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Clinical nursing leaders' perceptions of nutrition quality indicators in S wedish stroke wards: a national survey
Author(s) -
Persenius Mona,
HallLord MarieLouise,
WildeLarsson Bodil,
Carlsson Eva
Publication year - 2015
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12199
Subject(s) - dieticians , medicine , nursing , quality (philosophy) , quality management , health care , malnutrition , family medicine , operations management , management system , philosophy , epistemology , pathology , economics , economic growth
Aim To describe nursing leaders' perceptions of nutrition quality in S wedish 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 D onabedian 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 indicators, 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 care plans, the S enior A lert 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.

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