Journal articles: 'Nursing - Nutrition'

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Whittington, Kelli D., and Dawn C. Null. "Evaluation of nutritional literacy among undergraduate nursing students." Journal of Nursing Education and Practice 14, no. 7 (April 11, 2024): 22. http://dx.doi.org/10.5430/jnep.v14n7p22.

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Background/Objective: It is difficult to describe or quantify the extensiveness and importance of the nurses’ role in direct patient care. Although Registered Dietitian Nutritionists (RDN) are available, it is often the nurse who is tasked with monitoring a patient’s nutritional status and carrying out nutrition interventions to optimize oral intake such as providing meals and oral supplements, as well as administering enteral and parenteral nutrition. Therefore, it is critical that nurses have an understanding of nutrition to promote good health. Although fundamental nursing courses stress the nurse’s role in promoting healthy nutrition as a means to prevent disease and assist patients in sustaining wellness, there is no standardized nursing curriculum enforcing an independent nutrition course within nursing programs.Methods: A quantitative methodology was used to explore the level of nutritional awareness as measured by the Nutritional Literacy Assessment Instrument (NLit) among BSN nursing students in a public, 4-year institution in the Mid-West of the United States. Nutritional literacy, as defined by Gibbs et al., students’ knowledge of food and associated impact on nutrition was evaluated. Results: The data indicated that 70% of participants had completed an undergraduate nutrition course, with the highest performance on the Nutritional Literacy Survey within the understanding of food groups. Over 80% of respondents were found to have a likelihood of good nutrition literacy. Although no statistical significance was found between a pre-requisite Nutrition course and/or an integrated Nursing Nutrition course and Nutritional Literacy, statistical significance was found when examining student classification (sophomores versus seniors) impact on Nutritional Literacy scores.Conclusions: Promoting the integration of nutrition concepts across a variety of courses within the nursing curriculum will assist the student to utilize clinical judgment in the application and synthesis of nutritional concepts in relation to patient health and wellness.

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Bugshan, Waleed M., Mustafa M. Balto, Munirah A. Almutairi, Zainab A. Al Awani, Hana K. Alenezi, Fatima M. Jawad, Jaber M. Al Yami, et al. "Importance of nutritional documentation in maintaining health among the elderly." International Journal Of Community Medicine And Public Health 10, no. 1 (December 29, 2022): 388. http://dx.doi.org/10.18203/2394-6040.ijcmph20223566.

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All individuals have a fundamental human right to nutrition. However, it is well known that undernourishment is a common and major health issue among elderly across the globe. Nutritional documentation helps to guarantee correct nutritional care and therapy. Research on medical and nursing home staff's documentation of nutritional care in hospitals and between medical facilities and nursing homes is scarce. The evidence that is presently offered points to unsatisfactory documenting practices. The nursing workforce lacks the necessary skills to appropriately account for the relationship between patients' medical conditions and their nutritional status, as well as the substantial risk of heightened patient suffering brought on by undernutrition. Unsystematic and unorganized recording processes may contribute to the lack of nutritional information document management and sharing. Another challenge is brought on by the inadequate proper nutrition information transfer when elderly patients are transferring between hospitals and nursing facilities. Clarifying roles in nutrition therapy and treatment is part of interprofessional responsibility. The haziness and ambiguity around accountability may be one factor contributing to the lack of attention given to nutritional documentation. Reassessment of the prevailing systems and development an alternate solution way of tracking food consumption among medical and nursing home residents given the present documentation issues, elevated staff turnover rate, and the inability of training and managing interventions to generate long-term behavioral modifications among nursing home staff may aid in reducing the level of undernutrition and lack of nutrition-related documentation among geriatric individuals.

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Fitriani, Ade, Dadi Hamdani, and Risa Lutfiatul Rohimah. "Case Study: Status of Nutritional Assessment of Wound Healing After Appendectomy Surgery in Appendicitis Patients." JURNAL VNUS (Vocational Nursing Sciences) 6, no. 1 (May 30, 2024): 34–41. http://dx.doi.org/10.52221/jvnus.v6i1.307.

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Objective: This case study is intended to intervene and implement the nutritional status of appendicitis patients in improving the wound healing process with nausea after appendicectomy surgery. Method: In the nursing care research process, methods were used which included assessment, nursing diagnoses, planning, implementation and evaluation which were carried out for 3 days in the Anggrek BLUD room at the Banjar City Hospital. Enforcement of nursing diagnoses refers to the Indonesian Nursing Diagnosis Standards (IDHS). Indonesian Nursing Intervention Standards (SIKI), Indonesian Nursing Outcome Standards (SLKI), and nursing evaluations are documented using the SOAPIER method. Result: Nursing diagnosis of Deficit Nutrition related to postoperative nausea, nutritional status assessment for 3 days was carried out on the healing of surgical wounds. From the results of the data analysis, the researcher concluded that the nursing problems experienced by clients were nutritional deficits (D.0019) associated with postoperative nausea. The problem of excessive nutritional deficits for clients is partially resolved, marked by the loss of feelings of nausea when given food, being able to digest food properly, measuring the client's body mass index which is found to be normal, improving the client's nutrition is fulfilled by consuming high-calorie, high-protein foods. Conclusion: Conclusions can be drawn in the results of the nursing procedure commencing with evaluation, identification of nursing issues, actions, execution, and assessment of nursing. Concluded the problem of nutritional deficits related to postoperative nausea with an appendectomy with an assessment of nutritional status can improve the wound healing process as indicated by the response of clients who obtain changes in nutritional status with the wound healing process. Assessment of nutritional status is proven to be able to improve the postoperative wound healing process, the benefits of assessing nutritional status by fulfilling the client's nutrition are maximally implemented if done periodically and in stages.

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Moore, Mary Courtney, Peggi A. Guenter, and Josephine Hogan Bender. "Nutrition-related Nursing Research." Image: the Journal of Nursing Scholarship 18, no. 1 (March 1986): 18–21. http://dx.doi.org/10.1111/j.1547-5069.1986.tb00534.x.

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Ahearn-Spera, Margaret. "Nutrition Support in Nursing." Journal of Neuroscience Nursing 21, no. 2 (April 1989): 135. http://dx.doi.org/10.1097/01376517-198904000-00014.

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Fan, Lijuan, Ya Zhou, Fanglu Chen, and Tao Xia. "A Combination of Early Enteral Nutrition Support and Nutritional Nursing Interventions Effectively Improves Nutritional Status of Patients with Liver Cirrhosis." Current Topics in Nutraceutical Research 22, no. 2 (January 6, 2024): 744–48. http://dx.doi.org/10.37290/ctnr2641-452x.22:744-748.

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This study aimed to examine the clinical impact of early enteral nutrition support combined with nutritional nursing intervention on the bleeding status, nutritional status, and prognosis of patients with liver cirrhosis complicated with upper gastrointestinal bleeding. The patients were divided into two groups: an observation group and a control group. The observation group (n = 50) received early enteral nutrition support, combined with nutritional nursing interventions, while the control group (n = 50) received conventional nursing, including guidance on a healthy diet and vital sign monitoring. We found that body mass index, albumin, and total protein levels were higher among patients in the observation group than among those in the control group. The total effective rate was higher among patients in the observation group than among those in the control group. Patients in the observation group had lower rates of rebleeding frequency, self-rating anxiety and depression scale scores, and complications than those in the control group. Early enteral nutrition support combined with scientific and effective nutritional nursing interventions, can effectively improve the nutritional status of patients with liver cirrhosis complicated with upper gastrointestinal bleeding, thereby preventing complications and facilitating patients’ recovery; this should be widely promoted in clinical practice.

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Li, Ying, Lingmin Yu, and Zhi Liu. "Enhancing Postoperative Recovery and Nutritional Status in Acute Myocardial Infarction Patients: The Impact of Early Rehabilitation Nursing and Enteral Nutrition Post-Percutaneous Coronary Intervention." Current Topics in Nutraceutical Research 22, no. 3 (January 6, 2024): 835–40. http://dx.doi.org/10.37290/ctnr2641-452x.22:835-840.

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This study aimed to explore the effects of early rehabilitation nursing combined with enteral nutrition on acute myocardial infarction patients’ recovery and nutritional status after percutaneous coronary intervention. A retrospective analysis was conducted on clinical data from 92 patients who underwent therapy in our hospital following percutaneous coronary intervention from February 2021 to February 2023. These patients were split into a control group and a study group. The control group received standard rehabilitation nursing and routine parenteral nutrition, while the study group was administered early rehabilitation nursing and enteral nutritional support. Post-intervention outcomes showed that the study group had higher left ventricular ejection fraction, cardiac output, 6-minute walking test results, Chinese Cardiovascular Patients’ Quality of Life Assessment Questionnaire scores, and total protein and albumin levels compared to the control group (P < 0.05). Furthermore, the study group exhibited a lower incidence of complications and higher nursing satisfaction than the control group (P < 0.05). This indicates that early rehabilitation nursing combined with enteral nutrition is beneficial for enhancing postoperative recovery, improving nutritional status, and elevating the quality of life in patients with acute myocardial infarction after percutaneous coronary intervention.

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Cotugna, Nancy, Connie E. Vickery, and Sheldon McBee. "Sports Nutrition for Young Athletes." Journal of School Nursing 21, no. 6 (December 2005): 323–28. http://dx.doi.org/10.1177/10598405050210060401.

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Nutritional needs for peak athletic performance include sufficient calorie intake, adequate hydration, and attention to timing of meals. Student athletes and their advisors often are misinformed or have misconceptions about sports nutrition. This paper identifies nutritional needs of young athletes, reviews common misconceptions, and examines the nutrition knowledge of athletes and their sources of nutrition information. Topics covered include energy, carbohydrate, protein, fat and micronutrient needs, hydration requirements, timing of meals, and issues related to age, gender, and specific sports. Other issues addressed include “making weight” and ergogenic aids. Proper nutrition for young athletes is critical not only to their athletic success, but more importantly to their growth, development, and overall health. Nutritional recommendations should be based on the most current scientific data; we provide information about appropriate resources for the school nurse when advising student athletes and their coaches and parents.

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KENNEDY, CHRISTINE M. "Childhood Nutrition." Annual Review of Nursing Research 16, no. 1 (January 1998): 3–38. http://dx.doi.org/10.1891/0739-6686.16.1.3.

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This review focuses on the research in normative nutrition for children aged 2 to 12, published from 1985 to 1996. The chapter uses a primary prevention framework and the Healthy People 2000 (Public Health Service, 1990) objectives to identify and review those areas relevant for childhood health promotion and nursing practice. Current research demonstrates that food intake in early childhood is causally linked to health-related problems later in life, therefore obesity and cardiovascular research are highlighted in this review. Environmental and societal factors affect the nutritional health of children, thus the contribution of the media, poverty, cultural, and family practices are also reviewed. The chapter concludes with a summary of strengths and weaknesses of the body of research and suggestions for a nursing agenda in the area of childhood nutrition.

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Lu, Hanqin, Yang Liu, Wenping Lv, and Lin Zang. "Postoperative Enteral Nutrition-Based Diversified Nursing and Postoperative Complications and Nutritional Status of Hip Replacement in Elderly Femoral Neck Fracture Patients." Current Topics in Nutraceutical Research 21, no. 1 (September 11, 2023): 32–38. http://dx.doi.org/10.37290/ctnr2641-452x.22:32-38.

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We explored the impacts of postoperative enteral nutrition-based diversified nursing on postoperative complications and the nutritional status of hip replacement for elderly femoral neck fracture patients. A total of 86 patients undergoing total hip replacement in our hospital between January 2021 and December 2022 were enrolled in this study. While the patients in the control group received routine nursing intervention, those in the treatment group received postoperative enteral nutrition-based diversified nursing intervention. Compared to the control group, the first time of getting out of bed and the hospital stay in the treatment group were shorter. After nursing, the Harris score in the treatment group was higher than the control group, and the visual analog scale, self-rating anxiety scale, and self-rating depression scale scores, as well as the incidence of complications, were lower. The Barthel index in the treatment group was higher when compared with the control group. Also, serum albumin and total protein levels in the treatment group were higher when compared with the control group. Patient’s satisfaction with nursing in the treatment group was higher than in the control group. To conclude, postoperative enteral nutrition-based diversified nursing intervention can lessen the incidence of postoperative complications as well as elevate the nutritional status of elderly femoral neck fracture patients undergoing hip replacement.

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Li, Feifei, and Juan Yin. "Clinical Impact of Tiered Nursing on Postoperative Recovery and Nutritional Status of General Surgery Patients Receiving Nasogastric Enteral Nutrition Support." Current Topics in Nutraceutical Research 22, no. 1 (September 27, 2023): 207–12. http://dx.doi.org/10.37290/ctnr2641-452x.22:207-212.

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This research attempted to clarify the clinical impact of tiered nursing on the postoperative recovery and nutritional status of general surgery patients receiving nasogastric enteral nutrition support. Eighty patients undergoing surgery requiring nasogastric enteral nutrition support in the Department of General Surgery of Shengjing Hospital, affiliated with China Medical University, from June 2021 to June 2023 were randomly divided into a control group and an experimental group using computer-assisted drawing. Each group consisted of 40 patients. During the nutritional support period, the control group received conventional nursing, whereas the experimental group received tiered nursing care. The incidence of gastrointestinal adverse reactions and serum albumin and prealbumin scores in the experimental group were lower than in the control group. The first postoperative time of exhaustion, defecation, oral intake, and overall length of stay was shorter in the experimental group than in the control group. The 36-Item Short Form Survey scores were higher in the experimental group than in the control group. In summary, tiered nursing intervention for general surgery patients receiving nasogastric enteral nutrition support can maintain postoperative gastrointestinal comfort, shorten gastrointestinal function recovery and overall recovery times, and elevate postoperative quality of life.

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Dudek, Susan G. "Nutrition Handbook For Nursing Practice." Nursing 17, no. 11 (November 1987): 86–87. http://dx.doi.org/10.1097/00152193-198711000-00029.

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Skirgaudas, Pamela S. "Nutrition in Contemporary Nursing Practice." Nurse Practitioner 13, no. 2 (February 1988): 61. http://dx.doi.org/10.1097/00006205-198802000-00007.

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Egman, S. "689 Enteral Nutrition Nursing Protocol." Pediatric Research 68 (November 2010): 350–51. http://dx.doi.org/10.1203/00006450-201011001-00689.

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Baldi, Ileana, Nicola Soriani, Giulia Lorenzoni, Danila Azzolina, Elisa Dal Lago, Sara De Bardi, Elvira Verduci, Renzo Zanotti, and Dario Gregori. "Research in Nursing and Nutrition." Gastroenterology Nursing 40, no. 1 (2017): 63–70. http://dx.doi.org/10.1097/sga.0000000000000246.

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&NA;, &NA;. "Nutrition Handbook for Nursing Service." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 11, no. 6 (November 1993): 60. http://dx.doi.org/10.1097/00004045-199311000-00015.

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&NA;. "Nutrition Handbook for Nursing Practice." American Journal of Nursing 98, no. 2 (February 1998): 16H. http://dx.doi.org/10.1097/00000446-199802000-00017.

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Buckner, Martha McDaniel. "Perioperative Nutrition Problems: Nursing Management." Critical Care Nursing Clinics of North America 2, no. 4 (December 1990): 559–66. http://dx.doi.org/10.1016/s0899-5885(18)30775-5.

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Wood, Susanne. "Nutrition handbook for nursing practice." Clinical Nutrition 12, no. 5 (October 1993): 317. http://dx.doi.org/10.1016/0261-5614(93)90053-7.

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Ni, Hui, Yang Sun, Yan Meng, Jianqin Zhang, and Yonghong Yang. "Effects of Psychiatric Issues and Early Enteral Nutrition Therapy on Anxiety and Quality-of-Life of Patients with Gastric Cancer." American Journal of Health Behavior 46, no. 6 (December 30, 2022): 595–99. http://dx.doi.org/10.5993/ajhb.46.6.1.

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Objectives: In this study, we assessed the effects of psychiatric issues and early enteral nutrition therapy on anxiety and quality-of-life of patients with gastric cancer. Methods: We enrolled 60 patients with gastric cancer treated from January 2018 to November 2020 and divided them into 2 groups using a random number table (N=30 per group). All patients received early enteral nutrition therapy. The control group was given routine nursing; treatment of persons in the observation group was supplemented with additional psychiatric nursing. We then compared anxiety-depression scores, treatment compliance, nutritional status indices, and quality-of-life score. Results: The Self-rating Anxiety Scale (SAS) score and the Self-rating Depression Scale (SDS) score significantly declined in both groups after nursing compared with those before nursing (p<.05). After nursing, the SAS score and SDS score were lower in the observation group versus the control group (p<.05). The total rate of treatment compliance in the observation group (93.33%) was higher than that in the control group (73.33%) (p<.05). After nursing, the levels of hemoglobin, albumin, prealbumin, and transferrin were significantly higher in both groups than before nursing (p<.05), but higher in the observation group (p<.05). After nursing, the quality-of-life score was significantly higher in both groups than before nursing (p<.05), but higher in the observation group (p<.05). Conclusion: During enteral nutrition therapy for patients with gastric cancer, psychiatric treatment can effectively alleviate patient anxiety and depression, enhance treatment compliance, improve nutritional status, and enhance quality-of-life.

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Wang, Xin, and Dan Wang. "Accelerated Rehabilitation Surgical Nursing Combined with Enteral Nutrition can Improve the Recovery of Hip Function in Patients Undergoing Total Hip Arthroplasty." Current Topics in Nutraceutical Research 22, no. 3 (January 23, 2024): 852–60. http://dx.doi.org/10.37290/ctnr2641-452x.22:852-860.

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This study aimed to examine the impact of accelerated rehabilitation surgical nursing combined with enteral nutrition on the postoperative recovery of patients undergoing total hip arthroplasty. We enrolled 100 patients admitted to Ankang People’s Hospital between January 2021 and December 2022. The patients were randomly divided into a control group and a treatment group. Patients in the control group received routine nursing and targeted dietary guidance, while those in the treatment group received accelerated rehabilitation surgical nursing and enteral nutrition. Patients in the treatment group exhibited lower intraoperative blood loss, postoperative time of getting out of bed, postoperative hospital stays, visual analog scale scores, and incidence of complications than those in the control group. Additionally, patients in the treatment group exhibited higher Harris scores, Barthel indexes, and higher prealbumin, hemoglobin, transferrin, albumin, immunoglobulins G, A, and M levels, and nursing satisfaction than those in the control group. Accelerated rehabilitation surgical nursing combined with enteral nutrition for patients undergoing total hip arthroplasty can effectively improve hip function and life ability recovery, shorten the rehabilitation time, lower the complication rate, promote the nutritional status and immune function and improve the nursing satisfaction rate of patients.

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Ani, Ime, Adeola Adeola, Nnenna Ajuzie, and Miriam Sam-Okere. "Nutrition knowledge and attitude of Babcock University medical and nursing students and Inter-professional collaboration with Dietitians in patient care." Babcock University Medical Journal 5, no. 1 (June 30, 2022): 54–62. http://dx.doi.org/10.38029/babcockunivmedj.v5i1.130.

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Objective: The study assessed nutrition knowledge and attitude of final year medical and nursing students and inter-professional collaboration with dietitians in the management of patients. Methodology: This cross-sectional study of all final year medical and nursing and Babcock University students collected quantitative data using a structured questionnaire that contains sections on nutrition instruction hours, knowledge, attitude, and barriers to nutrition. Data obtained was analyzed using the Statistical Package for Social Sciences (SPSS) version 20. Statistics were significant at p<0.05. Result: A total of 159 students participated in the study, 73 medical students and 86 nursing students. The proportion of those who had good, average, and poor knowledge scores were 50.3%, 39%, and 10.7% respectively. The attitude towards nutrition was positive. There was no significant relationship between nutrition knowledge and nutrition instruction hours during pre-clinical (P=0.368) and clinical years (P=0.245). Conclusion: Significant proportions of the students had good nutrition knowledge, however, there were gaps in knowledge in clinical nutrition; nutritional management of diabetes, hypertension, and renal diseases, respectively. There was a high positive attitude towards nutrition among the students but nutrition education was not perceived as sufficient to adequately prepare them for nutrition care of patients. Insufficient training for doctors and nurses, lack of confidence in the efficacy of the intervention of dietitians/nutritionists, and Lack of interest from patients to see the dietitian were the prominent barriers to inter-professional collaboration with dietitians/nutritionists.

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Qin, Jie, Dahai Wu, Chenhai Zheng, Shuai Yuan, and Xiaodong Feng. "Nutritional Intervention and Emotional Nursing Alleviate Anxiety and Improve Sleep Quality in Tinnitus and Deafness Patients." Current Topics in Nutraceutical Research 22, no. 1 (September 11, 2023): 252–57. http://dx.doi.org/10.37290/ctnr2641-452x.22:252-257.

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This study has evaluated the influence of nutrition intervention and emotional nursing on anxiety and sleep quality in tinnitus and deafness patients. A total of 100 patients with tinnitus and deafness received therapy between January 2022 and December 2022. The patients were divided into control (n = 50) and treatment (n = 50) groups. All patients were given drugs and traditional Chinese acupuncture treatment. In addition, the control group was given routine nursing, and the treatment group was given nutritional intervention plus emotional nursing. The therapeutic effects, nutritional indexes, negative emotions, sleep quality, quality of life, and treatment compliance of patients in both groups were compared. The total effective rate in the treatment group was elevated when compared to the control group. After nursing, serum albumin, prealbumin, hemoglobin, and transferrin levels in the treatment group were higher; the Hamilton Depression Scale, Hamilton Anxiety Scale, and Pittsburgh sleep quality index scores in the treatment group were lower; the Generic Quality of Life Inventory-74 score and treatment compliance in the treatment group were higher compared to the control group. To sum up, nutrition intervention and emotional nursing can improve anxiety and sleep quality and promote the nutritional state of tinnitus and deaf patients.

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Zdankiewicz, Alicja, Wiktoria Konaszczuk, Piotr Pawłowski, and Aneta Kościołek. "Prehabilitation and nutritional interventions - an interdisciplinary perspective." Journal of Education, Health and Sport 13, no. 2 (December 23, 2022): 116–23. http://dx.doi.org/10.12775/jehs.2023.13.02.016.

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Introduction: Nutrition is defined as the acquisition of exogenous nutrients. It is a basic need of a living organism. Malnutrition has become a problem for hospitalized patients, especially in the surgical ward. The condition leads to the deterioration of the patient's clinical performance and quality of life. Ongoing nursing interventions, particularly the use of parenteral or enteral nutrition, can reduce the risk of complications resulting from the inadequate nutrient supply. Aim of the study: The purpose of this study is to analyze nutritional problems in the practice of a surgical nurse. Material and method: A non-systematic review of the available literature on nutritional problems published in the last seven years (2015 - 2022) was conducted. Databases such as Google Scholar and PubMed were searched, using the following keywords: nutritional problems, malnutrition, nutritional treatment, surgical nursing, and hospital malnutrition. Sixteen original and review papers were eligible for analysis. The criteria for qualifying articles for review were title, abstract content, keywords, and topics related to nutrition problems in the context of nursing practice. Results and conclusions: Malnutrition is a serious problem in clinical practice. Standardized scales NRS 2002, MUST, and MNA are used to correctly diagnose this problem. The nurse's role in caring for a patient with a nutritional deficit is to monitor the patient's condition, take anthropometric measurements and collect materials for diagnostic tests. This allows the correct selection of nutritional treatment individually for the patient.

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Moore, Kristin, Cheryl Cooper, Kayleigh Fagert, Amalia Cochran, Sheela S. Thomas, and Rebecca Coffey. "40 Implementation of a Nursing-driven Volume-based Enteral Feeding Protocol." Journal of Burn Care & Research 41, Supplement_1 (March 2020): S27. http://dx.doi.org/10.1093/jbcr/iraa024.044.

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Abstract Introduction Nutrition in the burn patient is vital to proper wound healing and graft take, counteracting the hypermetabolic response, and improving patient outcomes. Studies support early, aggressive enteral nutrition for burn patients. Enteral nutrition is often interrupted during hospitalization, causing patients to fail to achieve their nutritional goals. To maximize nutritional support for burn patients, our institution implemented a nurse-driven, volume-based enteral infusion protocol (VBP). The goal of this quality improvement project was to compare clinical outcomes and volume of enteral nutrition received by the burn patient pre- and post-VBP. Methods A single-center retrospective analysis was conducted at one adult burn center comparing pre- and post-implementation of a VBP. Patients aged 18–89 years admitted to the SICU for initial management of burn injury between November 2014 – May 2015 (pre-VBP) and June 2015 – January 2016 (post-VBP) were included; for stepdown patients the time period ranged from June 2017 – December 2017 (pre-VBP) and February 2018 – September 2018 (post-VBP). Pertinent demographic and burn-related data were collected. Clinical outcomes included length of stay (LOS), complications as defined by National Burn Repository, duration of mechanical ventilation, percent weight gain or loss, and percent of enteral volume received. Results In the SICU, there were 10 patients pre-protocol and 12 patients post-protocol. When comparing pre-VBP to post-VBP demographics, mean TBSA was 19.6% (1–40.5) vs 24.83% (2–61.5%), with a mean age of 64.4 vs 60.7 years. For clinical outcomes, mean number of complications was 1.6 vs 2, with mean ventilator days of 16.2 vs 16.4, SICU mean length of stay/TBSA 1.99 vs 2.23 days, and hospital mean LOS/TBSA 3.83 vs 2.54 days. Overall prescribed amount of enteral nutrition received pre-VBP was 105% vs post-VBP amount received at 95% (p=0.09). For the step-down unit, there were 8 patients pre-protocol and 6 patients post-protocol. Overall prescribed amount of enteral nutrition received pre-VBP was 83% vs post-VBP amount received at 89% (p=0.3815). Conclusions While clinical outcomes remain unchanged during the evaluation period, our patients met their prescribed enteral nutrition volume requirements when a nurse-driven VBP was initiated. In addition, for non-ICU patients, a trend was seen towards increased tube feeds with VBP. Applicability of Research to Practice Nurse-driven VBPs allow for RNs to adjust the rate of enteral nutrition by “catching up” for interruptions in feeding to meet the patient’s nutritional goals for the day.

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Xiao, Qigui, Lan Lang, Zhenhua Ma, Yulin Zhang, and Kedong Xu. "Exploration of the Curative Effect of Early Enteral Nutrition Nursing on Patients with Severe Acute Pancreatitis and the Improvement of Patients’ Mental Health and Inflammation Level." Journal of Healthcare Engineering 2021 (September 11, 2021): 1–10. http://dx.doi.org/10.1155/2021/8784905.

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In order to explore the curative effect of early enteral nutrition nursing on patients with severe acute pancreatitis and the improvement of patients’ mental health and inflammation levels, this paper compares the curative effect of early enteral nutrition nursing and traditional care on patients with severe acute pancreatitis and the improvement effects of patients’ mental health and inflammation levels through controlled trials. Moreover, this paper combines statistical methods for data processing and visually expresses data through statistical graphs and statistical tables. Through the comparison of experiments, it can be seen that the improvement effect in all aspects of patients in the test group is significantly higher than that in the control group. Finally, through the analysis of the test results, it can be known that the use of early enteral nutrition nursing for patients with acute severe acute pancreatitis has a certain effect in improving their nutritional status, regulating immune function, and promoting mental health.

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Turan, Mensure, Zeliha Cengiz, and Dilek Olmaz. "Evidence-Based Investigation of Nurses' Nutrition Interventions in Intensive Care Patients Regarding Enteral Nutrition." Dimensions of Critical Care Nursing 43, no. 3 (May 2024): 123–29. http://dx.doi.org/10.1097/dcc.0000000000000639.

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Aim The aim of this study was to examine the practices and knowledge levels of nurses regarding enteral nutrition interventions in intensive care unit patients in terms of evidence. Method This cross-sectional study was conducted in 2 hospitals between May and August 2021. A total of 136 nurses working in the intensive care units of the hospitals completed online questionnaires including demographic characteristics and questions about enteral nutrition. Results According to the nurses' knowledge level about the indication of enteral nutrition formulas, the following were incorrect or incomplete: their knowledge about transition to parenteral nutrition in case of nutritional contraindications, what to do when the amount of gastric residual volume in tolerance is >500 mL every 6 hours, the conditions for starting enteral nutrition, and which formulas are appropriate to use. Regarding their knowledge about enteral feeding tubes/sets, their knowledge about radiologic imaging after tube placement, measurement of gastric pH level, and marking the tube location was insufficient. Differently, the correct answer percentages of the nurses in 11 of the 13 questions regarding the principles of enteral nutrition practice were above 70%. Conclusion Nurses had adequate knowledge of the principles of enteral nutrition practice, but their knowledge of the indication of enteral nutrition formulas and the evidence for enteral feeding tubes/sets varied. The results showed that nurses need to gain information about the indication of enteral nutrition formulas and evidence related to enteral feeding tubes/sets.

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Zhang, Jiaoping, and Pei Zhang. "Effect of Bundle Management in the Reduction of EN Complications in Patients Receiving Enteral Nutrition (EN) in the ICU." Tobacco Regulatory Science 7, no. 4 (July 31, 2021): 417–21. http://dx.doi.org/10.18001/trs.7.4.19.

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To investigate the efficacy of bundle management in reducing EN complications in ICU enteral nutrition (EN) patients. Methods: In this study, 90 patients with enteral nutrition who were admitted to our hospital and ICU from January 2018 to January 2021 were randomly divided into two groups by random number method: control group (n = 45) treated with routine nursing management and study group (n = 45) treated with bundle management by random number method. The nursing outcomes of the two groups were compared. Results: The incidence rate of enteral nutrition complications in the study group was significantly lower than that in the control group (P<0.05). The nutritional indexes after intervention in the study group were significantly better than those in the control group (P<0.05). There was no significant difference in the relative ratio of nutritional indexes before intervention between the two groups (P>0.05). The satisfaction degree of the patients' family members in the study group was significantly better than that of the patients' family members in the control group (P<0.05). Conclusion: Bundle management measures for patients with enteral nutrition in ICU can effectively improve the nutritional index of patients and the satisfaction of their family members, and reduce the incidence of complications of enteral nutrition, which has obvious clinical value.

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Zhang, Jiaoping, and Pei Zhang. "Effect of Bundle Management in the Reduction of EN Complications in Patients Receiving Enteral Nutrition (EN) in the ICU." Tobacco Regulatory Science 7, no. 5 (September 30, 2021): 3063–67. http://dx.doi.org/10.18001/trs.7.5.1.76.

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To investigate the efficacy of bundle management in reducing EN complications in ICU enteral nutrition (EN) patients. Methods: In this study, 90 patients with enteral nutrition who were admitted to our hospital and ICU from January 2018 to January 2021 were randomly divided into two groups by random number method: control group (n = 45) treated with routine nursing management and study group (n = 45) treated with bundle management by random number method. The nursing outcomes of the two groups were compared. Results: The incidence rate of enteral nutrition complications in the study group was significantly lower than that in the control group (P<0.05). The nutritional indexes after intervention in the study group were significantly better than those in the control group (P<0.05). There was no significant difference in the relative ratio of nutritional indexes before intervention between the two groups (P>0.05). The satisfaction degree of the patients’ family members in the study group was significantly better than that of the patients’ family members in the control group (P<0.05). Conclusion: Bundle management measures for patients with enteral nutrition in ICU can effectively improve the nutritional index of patients and the satisfaction of their family members, and reduce the incidence of complications of enteral nutrition, which has obvious clinical value.

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Cox, Stacey. "A holistic approach to creating a nutrition plan for hospitalised inpatients." Veterinary Nurse 11, no. 3 (April 2, 2020): 126–31. http://dx.doi.org/10.12968/vetn.2020.11.3.126.

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Proper nutrition ensures adequate intakes of energy, protein, minerals and vitamins and it is essential for dogs and cats to ensure health and longevity. Veterinary nurses play a vital role in educating pet owners about nutrition as well as implementing the majority of nutritional support to hospitalised animals. As part of a holistic approach to delivering nutritional support, nutrition plans can be used successfully. This article will discuss and educate on how to implement and deliver this systematic approach using a basic nursing process of assessment, planning, implementation and evaluation to ensure an organised and more successful method is used to deliver nutritional support to inpatients.

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Rahm, David. "Perioperative Nutrition and Nutritional Supplements." Plastic Surgical Nursing 25, no. 1 (January 2005): 21–28. http://dx.doi.org/10.1097/00006527-200501000-00004.

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&NA;. "Perioperative Nutrition and Nutritional Supplements." Plastic Surgical Nursing 25, no. 1 (January 2005): 29–30. http://dx.doi.org/10.1097/00006527-200501000-00005.

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Reza, Md Sajib Al, Md Abdur Rahim, Md Abul Kalam Azad, Vivekananda Biswas, Abdur Rahman, Md Al Amin, Nargis Akter, Habiba Benta Hasan, and Senjuti Sharif Adrita. "The nutritional knowledge of nurses working at the medical college hospital in the northern district of Bangladesh: A cross-sectional study." Journal of Healthcare Administration 2, no. 2 (December 13, 2023): 176–90. http://dx.doi.org/10.33546/joha.2983.

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Background: Nutrition significantly impacts disease prevention and patient recovery. As healthcare providers across various health sectors, nurses often have the opportunity to offer dietary guidance to patients. However, there is a dearth of studies in the literature that assess nurses’ nutritional knowledge in Bangladesh. Objective: This study aimed to determine the nutritional knowledge of nurses employed at a tertiary-level medical college hospital in the Dinajpur district of Bangladesh. Methods: An observational descriptive cross-sectional study design was employed, with 109 staff nurses completing a self-administered questionnaire. This questionnaire covered demographic characteristics, work-related information, and 20 multiple-choice questions (MCQs) aimed at assessing nurses’ nutrition knowledge. Data were collected between April and May 2022. Statistical analyses included descriptive statistics, chi-square (χ2) tests, and one-way analysis of variance (ANOVA). Results: The average score of nutrition knowledge was 63.4% (SD = 13.94) for all nurses, falling within the low to moderate range. Nurses with a Bachelor’s degree in nursing (22.2%) and 11 - 15 years of work experience (14.7%) demonstrated a very good level of nutrition knowledge. Education level (χ2 = 18.659; p <0.05) and work experience (χ2 = 22.356; p <0.01) significantly influenced knowledge levels. Most nurses sought nutritional advice from less than 25% of patients, with doctors/physicians being the most common source of nutrition information provided by nurses. Conclusion: The average nutritional knowledge score of Bangladeshi nurses was low to moderate. Education level and length of work experience significantly impacted knowledge levels. Therefore, it is recommended that effective ongoing nutrition education programs, nursing curriculum reforms, and in-service training are crucial to enhancing nurses’ nutritional knowledge.

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Farapti, Farapti, Martina Puspa Wangi, and Sri Adiningsih. "The Assessment of Daily Menus in Nursing Home Residents for Improving Intake and Nutritional Status in Elderly." Amerta Nutrition 7, no. 2 (June 9, 2023): 262–66. http://dx.doi.org/10.20473/amnt.v7i2.2023.262-266.

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Background: Malnutrition has impacted the health condition and life quality of the elderly who live in nursing homes. Unmaximized menu planning can cause this condition. Objectives: This study aimed to analyze the nutrition content of the menu provided by the nursing home based on recommended dietary allowance (RDA) for older people and to identify the current nutrition status of the elderly Methods: The food intakes were evaluated by observing all menus during the five days. Nutrient contents were analyzed by calculating all meal nutrition and comparing them to the recommended dietary allowance for the elderly. Body weight was measured using Bio Impedance Analysis (BIA) Tanita, and a stadiometer measured body height. Furthermore, weight and high were measured based on body mass index calculation to measure nutritional status. Results: It was found that the mean energy content was 1242.6 ± 193.9 kcal/day, and only 69.03 ± 10.7% fulfilled the recommendation. For protein content, it only met 70.5% of the RDA. Macronutrients such as protein are only 70.5% of the recommended dietary needs for the elderly. From BMI analysis, it was found that 26.23 % of the elderly are undernutrition. Conclusions: The nutritional content of the menus served for the elderly in nursing homes did not yet meet the daily requirement and is still below that recommended for the elderly, so the nutrient of the menus should be increased to achieve optimum nutritional status.

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Heitkemper, M. M., and J. F. Shaver. "Nursing Research Opportunities in Enteral Nutrition." Nursing Clinics of North America 24, no. 2 (June 1989): 415–26. http://dx.doi.org/10.1016/s0029-6465(22)01494-3.

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Robidoux, Laura W., and Gopal Sankaran. "Managing Nutrition Services in Nursing Homes." Journal of Nutrition For the Elderly 17, no. 3 (June 9, 1998): 41–57. http://dx.doi.org/10.1300/j052v17n03_03.

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Hennessey, Kathryn, Marsha Orr, and Susan Curtas. "Nutrition Support Nursing: A Specialty Practice." Clinical Nurse Specialist 4, no. 2 (1990): 67–70. http://dx.doi.org/10.1097/00002800-199000420-00003.

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Hennessey, Kathryn, Marsha Orr, and Susan Curtas. "Nutrition Support Nursing: A Specialty Practice." Clinical Nurse Specialist 4, no. 2 (1990): 67–70. http://dx.doi.org/10.1097/00002800-199022000-00003.

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Weigley, Emma S. "Nutrition in the Nursing Curriculum—Redux." Journal of Nutrition Education 28, no. 5 (September 1996): 249–50. http://dx.doi.org/10.1016/s0022-3182(96)70095-x.

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Morello, Michela, Maria L. Marcon, Alessandro Laviano, Marta Giometto, Carla Baruffi, Elisa Zulian, Paolo Cenerelli, et al. "Enteral Nutrition in Nursing Home Residents." Nutrition in Clinical Practice 24, no. 5 (October 2009): 635–41. http://dx.doi.org/10.1177/0884533609342439.

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Sousa-Catita, Diogo, Maria Alexandra Bernardo, Carla Adriana Santos, Maria Leonor Silva, Paulo Mascarenhas, Catarina Godinho, and Jorge Fonseca. "Comparing Assessment Tools as Candidates for Personalized Nutritional Evaluation of Senior Citizens in a Nursing Home." Nutrients 13, no. 11 (November 20, 2021): 4160. http://dx.doi.org/10.3390/nu13114160.

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Nutrition is an important health issue for seniors. In nursing homes, simple, inexpensive, fast, and validated tools to assess nutritional risk/status are indispensable. A multisurvey cross-sectional study with a convenient sample was created, comparing five nutritional screening/assessment tools and the time required for each, in order to identify the most useful instrument for a nursing home setting. Nutrition risk/status was evaluated using the following tools: Subjective Global Assessment (SGA), Mini Nutritional Assessment Short Form (MNA-SF), Malnutrition Universal Screening Tool (MUST), Nutritional Risk Screening 2002 (NRS 2002), and calf girth (CG). The time spent completing each tool was recorded. Eighty-three subjects were included. MNA-SF and CG were the screening tools that ranked highest with regards to malnutrition identification. CG failed to identify nutritional risk/malnutrition in seniors with lower limb edema. CG was the fastest tool while SGA was the slowest. This was the first study comparing non-invasive nutritional tools with time expended as a consideration in the implementation. CG is responsive, fast, and reliable in elders without edema. MNA-SF was more efficient at detecting malnutrition cases in the elderly population. Both MNA-SF and CG are considered the most suitable for the nursing home setting.

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Green, Gizell. "Nursing Students' Eating Habits, Subjective, and Mediterranean Nutrition Knowledge During the COVID-19 Pandemic." SAGE Open Nursing 7 (January 2021): 237796082110382. http://dx.doi.org/10.1177/23779608211038209.

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Background Mediterranean nutrition knowledge, healthy eating habits, and subjective nutritional knowledge are crucially important to nursing students’ health. The study strives to examine, during the COVID-19 pandemic period: (a) nursing students' eating habits and their subjective nutritional knowledge according to three groups: novice, advanced, and senior; and (b) subjective knowledge and its role as a mediator between Mediterranean nutritional knowledge and nursing students’ eating habits. Methods A cross-sectional study design with a convenience sample consisting of 212 university nursing students. Participants volunteered to complete a questionnaire that examined their eating habits, subjective nutritional knowledge, and Mediterranean diet knowledge. The university's institutional review board provided permission to conduct the current study. Results Nursing students from the novice group had better eating habits than the advanced and senior groups, and no significant differences were found between the advanced and senior groups regarding eating habits. Additionally, Mediterranean nutritional knowledge had a positive indirect effect on eating habits through subjective nutritional knowledge. Therefore, subjective nutritional knowledge partially mediated the relationship between Mediterranean nutritional knowledge and eating habits. Conclusion First, especially for the advanced and senior groups, it is important to create opportunities for learning via seminars, symposia, and webinars. Interprofessional teams, such as clinical nutritionists or a registered certified dietitian and nursing student, can engage with important, authentic information. Second, since subjective nutritional knowledge was found to be a partial mediator, it may be assumed that there are other mediating variables that we did not examine in this study. Therefore, it is necessary to conduct further research to examine other factors that can serve as mediators for eating habits, in addition to subjective knowledge, especially during COVID-19 times.

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Weigley, Emma S. "Nutrition in Baccalaureate Nursing Education and Beginning Clinical Nursing Practice." Topics in Clinical Nutrition 12, no. 3 (June 1997): 8–14. http://dx.doi.org/10.1097/00008486-199712030-00004.

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Xu, Xiaofeng, Yiwen Zhou, Ying Huang, Qian Le, Lili Lin, and Zhuowen Yu. "Nursing Management of Abdominal Wound Dehiscence of an Infant With Severe Undernutrition and Peristomal Moisture-Associated Dermatitis After Ileostomy Closure." Journal of Wound, Ostomy & Continence Nursing 50, no. 4 (July 2023): 331–36. http://dx.doi.org/10.1097/won.0000000000000987.

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BACKGROUND: Abdominal wound dehiscence (AWD) is a costly postoperative complication; its management is particularly challenging for WOC nurses when it occurs secondary to an ostomy closure. CASE: We present a case of AWD secondary to ileostomy closure in Baby Q, a 9-month 19-day-old female infant. A silver wound contact dressing was used on her dehisced wound followed by negative pressure wound therapy and adhesive tape to pull the wound edge together and promote granulation. We used a combination of enteral nutrition, parenteral nutrition, total parenteral nutrition, and total enteral nutrition adjusting the feeding plan stepwise according to her nutritional status. CONCLUSIONS: Malnutrition and severe peristomal skin complications may contribute to the risk of AWD in infants undergoing reversal of a temporary ostomy. Assessing and treating nutritional status and peristomal skin is imperative before performing ostomy closure.

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Rasheed, Mehak. "Promoting nutritional education in primary school children." British Journal of Nursing 32, no. 8 (April 20, 2023): S14—S18. http://dx.doi.org/10.12968/bjon.2023.32.8.s14.

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Background: Inadequate nutrition knowledge leads to poor dietary choices to the detriment of the overall health of individuals and populations due to the likelihood of the development of various ill health conditions such as obesity and malnutrition. Childhood is the stage that sets a nutritional precedent for life and the attitudes, and beliefs developed in childhood tend to last for the individual's lifespan. Therefore children should be provided with adequate nutritional knowledge to enable longer term healthier food choices. Aim: This study aimed to devise an appropriate strategy for the promotion of nutrition education in primary school children and to evaluate the effectiveness of the intervention. Method: A survey was used to assess the level of nutrition knowledge in children followed by the provision of nutrition education through sessions focusing on adopting easily understandable terms for nutrients and teaching at their level of understanding and education. Techniques such as audiovisual aids and question-and-answer sessions were used to make the sessions entertaining. The outcomes were evaluated through the same survey that was used pre-intervention. Data are presented from a quantitative analysis. Results: The outcomes of the first survey showed a major need for providing nutrition education to students as the students were barely aware of nutrients and the functions of foodstuffs and therefore made poor food choices. However, the post-intervention survey showed a significant improvement in nutritional knowledge, and the majority of the students knew how to make healthier food choices.

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Sinaga, Endang Junita, and Lindawati Simorangkir. "GAMBARAN STATUS GIZI LANSIA DI WILAYAH BINAAN PRODI NERS STIKes SANTA ELISABETH MEDAN." Elisabeth Health Jurnal 4, no. 1 (June 12, 2019): 23–27. http://dx.doi.org/10.52317/ehj.v4i1.254.

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Nutirional methods of the elderly is most important. Changes in body function effect to concumption and absortion of nutrients. The elderly with nutritional problems, it is necessary to cure and prevent complications from the disease. The most problems often are is malnutrion and obesity, it caused due to changes in diet and activities after retirement. Goals : This study aims to determine the description of the nutritional status of the elderly in the Nurse Study Program area of STIKes Santa Elisabeth Medan Method : The present study is descriptif to asses the nutritional status of the elderly Gerontik Ners Nursing Area STIKes Santa Elisabeth Medan using Body Mass Index (BMI) by measuring body weight and height in 30 elderly people. Results: The results showed that the majority of elderly people in the Elderly category (60- 74) 56.4%, the elderly who had gout acid comorbidities were 63.3% and over nutrition status 53.4%. Conculsion : From the results of the study it was found that the majority of the elderly experienced over nutrition 53.4%, based on the study suggested that the Gerontik Nursing group could provide optimum for the elderly. optimum nutrition for the elderly.

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Tian, Xiaoliu, Fenru Li, Yongsha Lei, Erhong Zhao, and Yinzu Li. "Effect of Enteral Nutrition Support in Conjunction with Rapid Rehabilitation Surgery on Postoperative Recovery of Elderly Patients with Colorectal Cancer." Current Topics in Nutraceutical Research 22, no. 2 (November 25, 2023): 439–45. http://dx.doi.org/10.37290/ctnr2641-452x.22:439-445.

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This study aimed to explore the effect of enteral nutrition support, based on the rapid rehabilitation surgery concept, on the postoperative recovery and nutritional status of elderly patients with colorectal cancer. One hundred patients who underwent radical laparoscopic surgery for colorectal cancer in our department from January 2021 to December 2022 were included. Traditional nursing measures were adopted for patients in the control group, while early enteral nutrition support based on accelerated rehabilitation surgery was provided to patients in the observation group. Our findings revealed that the time to get out of bed, exhaust, defecate, have the first feeding, and hospital stay was shorter in the observation group than in the control group (P < 0.05). Following nursing, the occurrence of complications, serum C-reactive protein levels, and lymphocyte count decreased (P < 0.05), while the nutritional and immune indexes, as well as SF-36 scores increased (P < 0.05) in the observation group compared to the control group. Our results suggested that early enteral nutrition support based on rapid rehabilitation surgery can significantly improve the nutritional and immune indexes of patients undergoing colorectal cancer surgery and has good clinical efficacy.

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ten Cate, Debbie, Marieke Schuurmans, Lisette Schoonhoven, and Roelof Ettema. "FROM MISFIT TO FIT: THE IMPACT OF NURSING PRACTICE ON COMPLEX NURSING INTERVENTION DEVELOPMENT." Innovation in Aging 7, Supplement_1 (December 1, 2023): 761. http://dx.doi.org/10.1093/geroni/igad104.2461.

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Abstract Nurses have a key role in providing nutritional care to older adults to prevent and treat malnutrition, and stimulate health and well-being. However, evidence for nursing activities regarding nutritional care is often lacking. Therefore, intervention development is necessary. From earlier studies, an evidence-based nutritional intervention carried out by nurses appeared the best solution. The aim of this study was to outline the steps taken to develop a complex nursing intervention to prevent and treat malnutrition in older adults and the challenges faced during this stage. Following the phase of intervention development of the Medical Research Council (MRC) Framework, a systematic review, a questionnaire survey, semi-structured interviews, focus groups and participant observation were carried out. The purpose was to gather information about current nursing practice and context, the needs of future users and providers, and gain insight into the problem. The studies showed that nurses had moderate knowledge of (mal)nutrition. They gave nutritional care low prioritization during daily nursing activities. These results provided insight that the intended nursing nutritional intervention would most likely lead to a misfit with the context. To fit the intervention properly into nursing practice, it was decided to develop an educational intervention targeting nurses instead of a nutritional intervention carried out by nurses. Building proofs in context leads to challenges but is essential to prevent a misfit between complex nursing interventions and nursing practice. As an element of rigorous intervention development following systematic steps, it increases the chance of successful implementation.

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Li, HuiJun, Weijuan Zeng, EnYan Yang, Rui Fu, Wei Li, Yan Yan Wang, and QiMei Fu. "Enhancing Ischemic Stroke Management with Cluster Nursing: A Comparative Study on the Effects of Ginkgo biloba Diterpene Lipid Amine Treatment." Current Topics in Nutraceutical Research 22, no. 2 (January 30, 2024): 608–11. http://dx.doi.org/10.37290/ctnr2641-452x.22:608-611.

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This study aimed to investigate the effect of cluster nursing on the management of ischemic stroke patients receiving Ginkgo biloba diterpene lipid amine treatment. This study was conducted on 197 patients from the Neurology Department of the author’s hospital from December 2021 to December 2022. These patients were divided based on their admission time into two groups: a control group comprising 98 patients who received routine nursing care and an observation group of 99 patients who were administered cluster nursing. This study evaluated and compared the incidence of nutritional intolerance events, nursing-related adverse events, and the overall quality of life among these groups. Results indicated a statistically significant reduction in the incidence of nutritional intolerance (P < 0.05) and nursing adverse events associated with enteral nutrition support (P < 0.05) in the observation group compared to the control group. Furthermore, the observation group exhibited higher scores in family role, energy, and verbal ability (P < 0.05), suggesting an improvement in the quality of life. These findings highlight the effectiveness of the cluster nursing approach in improving the management and outcomes for ischemic stroke patients in terms of reducing nutritional intolerance and nursing adverse events, thereby significantly enhancing the quality of life.

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Allison, S. P. "Integrated nutrition." Proceedings of the Nutrition Society 64, no. 3 (August 2005): 319–23. http://dx.doi.org/10.1079/pns2005438.

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There is no branch of medicine in which nutritional considerations do not play some part. Overnutrition, undernutrition or unbalanced nutrition are the major causes of ill health in the world. Conversely, illness causes important nutritional and metabolic problems. The spectrum from lack to excess of nutrients is seamless as a clinical and scientific discipline, the two extremes being linked by the Barker effect by which intrauterine malnutrition and low birth weight predispose to obesity, diabetes and CVD in later life. However, the teaching of nutrition in medical and nursing schools remains sparse. Nutritional care cannot be practised satisfactorily in isolation from other aspects of management, since factors such as drugs, surgery and fluid and electrolyte balance affect nutritional status. Nutritional treatment may also have adverse or beneficial effects according to the composition, amount and mode of delivery of the diet and the clinical context in which it is given. Any benefits of nutritional support may also be negated by shortcomings in other aspects of treatment and must therefore be fully integrated into overall care. One example of this approach is the enhanced recovery after a surgery protocol incorporating immediate pre-operative carbohydrate and early post-operative oral intake with strict attention to zero fluid balance, epidural analgesia and early mobilisation. Other examples include the deleterious effect on surgical outcome of salt and water overload or hyperglycaemia, either of which may negate the benefits of nutritional support. There is a need, therefore, to integrate clinical nutrition more closely, not just into medical and surgical practice, but also into the organisation of health services in the hospital and the community, and into the training of doctors and nurses. Societies originally devoted to parenteral and enteral nutrition need to widen their scope to embrace wider aspects of clinical nutrition.

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Journal articles on the topic 'Nursing - Nutrition'

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