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Impact of interprofessional education for medical and nursing students on the nutritional management of in-patients

Introduction: Despite its frequency, malnutrition is underestimated in its importance for morbidity and mortality. Interprofessional nutrition management can improve patient safety and clinical outcomes. An interprofessional education is considered as the basis for good team cooperation. So far, lit...

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Autores principales: Braun, Benedikt, Grünewald, Matthias, Adam-Paffrath, Renate, Wesselborg, Bärbel, Wilm, Stefan, Schendel, Lena, Hoenen, Matthias, Müssig, Karsten, Rotthoff, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: German Medical Science GMS Publishing House 2019
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446465/
https://www.ncbi.nlm.nih.gov/pubmed/30993169
http://dx.doi.org/10.3205/zma001219
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author Braun, Benedikt
Grünewald, Matthias
Adam-Paffrath, Renate
Wesselborg, Bärbel
Wilm, Stefan
Schendel, Lena
Hoenen, Matthias
Müssig, Karsten
Rotthoff, Thomas
author_facet Braun, Benedikt
Grünewald, Matthias
Adam-Paffrath, Renate
Wesselborg, Bärbel
Wilm, Stefan
Schendel, Lena
Hoenen, Matthias
Müssig, Karsten
Rotthoff, Thomas
author_sort Braun, Benedikt
collection PubMed
description Introduction: Despite its frequency, malnutrition is underestimated in its importance for morbidity and mortality. Interprofessional nutrition management can improve patient safety and clinical outcomes. An interprofessional education is considered as the basis for good team cooperation. So far, little data is available on the effects of interprofessional education on measurable outcomes for patients. The objective is to determine to what extent student feedback leads to a change of in-patient nutritional management for a selected internal medical ward. Methodology: In a teaching project based on the method of research oriented learning, medical and nursing students conducted an analysis of the nutritional situation of patients and developed individual treatment plans. The students orally reported their findings to the care teams as well as via a poster presentation to decision-makers of the clinic. A prospective cohort intervention study was conducted to assess the nutritional status of patients before and after student interventions using established screening tools. Differences were tested using t-test and Fisher’s exact test. Institutional consequences for nutrition management were recorded descriptively. The teaching unit was evaluated by the students before and after. Results: Malnutrition was found in 59% of patients. Inspired by student feedback, institutional consequences followed: a) routine inpatient screening using Nutritional Risk Screening; and b) the use of pie charts to estimate food intake. Conclusion: The feedback from the results of student interprofessional cooperation led to a sensitization of decision-makers and enabled new measures to improve nutritional management. These can increase patient safety.
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spelling pubmed-64464652019-04-16 Impact of interprofessional education for medical and nursing students on the nutritional management of in-patients Braun, Benedikt Grünewald, Matthias Adam-Paffrath, Renate Wesselborg, Bärbel Wilm, Stefan Schendel, Lena Hoenen, Matthias Müssig, Karsten Rotthoff, Thomas GMS J Med Educ Article Introduction: Despite its frequency, malnutrition is underestimated in its importance for morbidity and mortality. Interprofessional nutrition management can improve patient safety and clinical outcomes. An interprofessional education is considered as the basis for good team cooperation. So far, little data is available on the effects of interprofessional education on measurable outcomes for patients. The objective is to determine to what extent student feedback leads to a change of in-patient nutritional management for a selected internal medical ward. Methodology: In a teaching project based on the method of research oriented learning, medical and nursing students conducted an analysis of the nutritional situation of patients and developed individual treatment plans. The students orally reported their findings to the care teams as well as via a poster presentation to decision-makers of the clinic. A prospective cohort intervention study was conducted to assess the nutritional status of patients before and after student interventions using established screening tools. Differences were tested using t-test and Fisher’s exact test. Institutional consequences for nutrition management were recorded descriptively. The teaching unit was evaluated by the students before and after. Results: Malnutrition was found in 59% of patients. Inspired by student feedback, institutional consequences followed: a) routine inpatient screening using Nutritional Risk Screening; and b) the use of pie charts to estimate food intake. Conclusion: The feedback from the results of student interprofessional cooperation led to a sensitization of decision-makers and enabled new measures to improve nutritional management. These can increase patient safety. German Medical Science GMS Publishing House 2019-03-15 /pmc/articles/PMC6446465/ /pubmed/30993169 http://dx.doi.org/10.3205/zma001219 Text en Copyright © 2019 Braun et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Braun, Benedikt
Grünewald, Matthias
Adam-Paffrath, Renate
Wesselborg, Bärbel
Wilm, Stefan
Schendel, Lena
Hoenen, Matthias
Müssig, Karsten
Rotthoff, Thomas
Impact of interprofessional education for medical and nursing students on the nutritional management of in-patients
title Impact of interprofessional education for medical and nursing students on the nutritional management of in-patients
title_full Impact of interprofessional education for medical and nursing students on the nutritional management of in-patients
title_fullStr Impact of interprofessional education for medical and nursing students on the nutritional management of in-patients
title_full_unstemmed Impact of interprofessional education for medical and nursing students on the nutritional management of in-patients
title_short Impact of interprofessional education for medical and nursing students on the nutritional management of in-patients
title_sort impact of interprofessional education for medical and nursing students on the nutritional management of in-patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446465/
https://www.ncbi.nlm.nih.gov/pubmed/30993169
http://dx.doi.org/10.3205/zma001219
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