A Précis of the publication: Comparing Hospital Staff Nutrition Knowledge, Attitude, and Practices Before and 1 Year After Improving Nutrition Care: Results From the More-2-Eat Implementation Project Celia V. Laur, Heather H. Keller, Lori Curtis, Pauline Douglas, Joseph Murphy and Sumantra Ray. http://journals.sagepub.com/doi/pdf/10.1177/0148607117718493 All hospital staff play a role in the prevention, detection and treatment of malnutrition, so to understand their knowledge, attitudes and practice (KAP) is critical for influencing and sustaining change in nutrition care practices. The project enlisted five diverse Canadian hospitals in 2016 to implement INPAC (Integrated Nutrition Pathway for Acute Care) in one medical unit. Prior to commencement of the study, baseline data were collected, including a KAP survey of unit staff. The survey was repeated one year after implementation of INPAC. Key Findings: Before implementation of INPAC, 189 health care professionals completed the KAP survey and 147 one year later (unpaired), with 57 completing it at both time points (paired). After one year of INPAC implementation, there was a significant increase in total KAP score in unpaired results for the post-implementation survey, with an increase in knowledge/attitude (KA) and practice (P) components. There were no statistically significant changes in paired responses. Those who felt they were asked what changes they wanted to see (67%), felt involved (59%) and supported (79.5%) in the change process, had significantly higher KA and KAP scores than those who did not feel involved. Clinical relevance: Improving the nutrition care of hospitalized patients requires an inter-disciplinary approach to implement and sustain the changes. Team members who felt involved in the nutrition care changes had a greater increase in nutrition KA and total scores after implementation of nutrition care activities. As part of the change management process at your hospital, it is recommended that a needs assessment of staff perceptions of nutrition and nutrition care be undertaken. This can provide direction for understanding perceptions and areas for improvement. To obtain the survey go to: This resource is made possible from funding obtained from the Canadian Frailty Network.
A Précis of the publication: Comparing Hospital Staff Nutrition Knowledge, Attitude, and Practices Before and 1 Year After Improving Nutrition Care: Results From the More-2-Eat Implementation Project Celia V. Laur, Heather H. Keller, Lori Curtis, Pauline Douglas, Joseph Murphy and Sumantra Ray. http://journals.sagepub.com/doi/pdf/10.1177/0148607117718493 All hospital staff play a role in the prevention, detection and treatment of malnutrition, so to understand their knowledge, attitudes and practice (KAP) is critical for influencing and sustaining change in nutrition care practices. The project enlisted five diverse Canadian hospitals in 2016 to implement INPAC (Integrated Nutrition Pathway for Acute Care) in one medical unit. Prior to commencement of the study, baseline data were collected, including a KAP survey of unit staff. The survey was repeated one year after implementation of INPAC. Key Findings: Before implementation of INPAC, 189 health care professionals completed the KAP survey and 147 one year later (unpaired), with 57 completing it at both time points (paired). After one year of INPAC implementation, there was a significant increase in total KAP score in unpaired results for the post-implementation survey, with an increase in knowledge/attitude (KA) and practice (P) components. There were no statistically significant changes in paired responses. Those who felt they were asked what changes they wanted to see (67%), felt involved (59%) and supported (79.5%) in the change process, had significantly higher KA and KAP scores than those who did not feel involved. Clinical relevance: Improving the nutrition care of hospitalized patients requires an inter-disciplinary approach to implement and sustain the changes. Team members who felt involved in the nutrition care changes had a greater increase in nutrition KA and total scores after implementation of nutrition care activities. As part of the change management process at your hospital, it is recommended that a needs assessment of staff perceptions of nutrition and nutrition care be undertaken. This can provide direction for understanding perceptions and areas for improvement. To obtain the survey go to: This resource is made possible from funding obtained from the Canadian Frailty Network.