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Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices

Understanding the knowledge, attitudes, and practices (KAP) of hospital staff is needed to improve care activities that support the detection/prevention/treatment of malnutrition, yet quality measures are lacking. The purpose was to develop (study 1) and assess the administration and discriminative...

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Autores principales: Laur, Celia, Marcus, Hannah, Ray, Sumantra, Keller, Heather
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5198121/
https://www.ncbi.nlm.nih.gov/pubmed/27775604
http://dx.doi.org/10.3390/healthcare4040079
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author Laur, Celia
Marcus, Hannah
Ray, Sumantra
Keller, Heather
author_facet Laur, Celia
Marcus, Hannah
Ray, Sumantra
Keller, Heather
author_sort Laur, Celia
collection PubMed
description Understanding the knowledge, attitudes, and practices (KAP) of hospital staff is needed to improve care activities that support the detection/prevention/treatment of malnutrition, yet quality measures are lacking. The purpose was to develop (study 1) and assess the administration and discriminative potential (study 2) of using such a KAP measure in acute care. In study 1, a 27-question KAP questionnaire was developed, face validated (n = 5), and tested for reliability (n = 35). Kappa and Intraclass Correlation (ICC) were determined. In study 2, the questionnaire was sent to staff at five diverse hospitals (n = 189). Administration challenges were noted and analyses completed to determine differences across sites, professions, and years of practice. Study 1 results demonstrate that the knowledge/attitude (KA) and the practice (P) subscales are reliable (KA: ICC = 0.69 95% CI 0.45–0.84, F = 5.54, p < 0.0001; P: ICC = 0.84 95% CI 0.68−0.92, F = 11.12, p < 0.0001). Completion rate of individual questions in study 2 was high and suggestions to improve administration were identified. The KAP mean score was 93.6/128 (range 51–124) with higher scores indicating more knowledge, better attitudes and positive practices. Profession and years of practice were associated with KAP scores. The KAP questionnaire is a valid and reliable measure that can be used in needs assessments to inform improvements to nutrition care in hospital.
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spelling pubmed-51981212017-01-04 Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices Laur, Celia Marcus, Hannah Ray, Sumantra Keller, Heather Healthcare (Basel) Article Understanding the knowledge, attitudes, and practices (KAP) of hospital staff is needed to improve care activities that support the detection/prevention/treatment of malnutrition, yet quality measures are lacking. The purpose was to develop (study 1) and assess the administration and discriminative potential (study 2) of using such a KAP measure in acute care. In study 1, a 27-question KAP questionnaire was developed, face validated (n = 5), and tested for reliability (n = 35). Kappa and Intraclass Correlation (ICC) were determined. In study 2, the questionnaire was sent to staff at five diverse hospitals (n = 189). Administration challenges were noted and analyses completed to determine differences across sites, professions, and years of practice. Study 1 results demonstrate that the knowledge/attitude (KA) and the practice (P) subscales are reliable (KA: ICC = 0.69 95% CI 0.45–0.84, F = 5.54, p < 0.0001; P: ICC = 0.84 95% CI 0.68−0.92, F = 11.12, p < 0.0001). Completion rate of individual questions in study 2 was high and suggestions to improve administration were identified. The KAP mean score was 93.6/128 (range 51–124) with higher scores indicating more knowledge, better attitudes and positive practices. Profession and years of practice were associated with KAP scores. The KAP questionnaire is a valid and reliable measure that can be used in needs assessments to inform improvements to nutrition care in hospital. MDPI 2016-10-20 /pmc/articles/PMC5198121/ /pubmed/27775604 http://dx.doi.org/10.3390/healthcare4040079 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Laur, Celia
Marcus, Hannah
Ray, Sumantra
Keller, Heather
Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices
title Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices
title_full Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices
title_fullStr Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices
title_full_unstemmed Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices
title_short Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices
title_sort quality nutrition care: measuring hospital staff’s knowledge, attitudes, and practices
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5198121/
https://www.ncbi.nlm.nih.gov/pubmed/27775604
http://dx.doi.org/10.3390/healthcare4040079
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