TY - JOUR
T1 - Factors Influencing Nurses' Behavior in Nutritional Care for Community-Dwelling Older Adults Before, During, and After Hospitalization
T2 - A Delphi Study
AU - Ten Cate, Debbie
AU - Schuurmans, Marieke J
AU - van Eijk, Jorna
AU - Bell, Jack J
AU - Schoonhoven, Lisette
AU - Ettema, Roelof G A
N1 - Funding Information:
This study was funded by the Netherlands Organization for Health Research and Development (ZonMw) [project number 520002003]. The funding body had no further role in this study.
Publisher Copyright:
© 2022, Slack Incorporated. All rights reserved.
PY - 2022/12
Y1 - 2022/12
N2 - Background. To improve nutritional care for community-dwelling older adults before, during, and after hospitalization, factors influencing nurses’ current behavior should be targeted. The aim of this study was to obtain expert consensus on which factors influencing the behavior of hospital and home care nurses are most relevant, modifiable, and feasible to influence. Method. In a two-round Delphi study, nine pre-selected factors were rated by 26 ex-perts. Results. Eight factors were rated as relevant, modifiable, and feasible to influence: (1) lack of suf-ficient knowledge, (2) mainly neutral attitude, (3) low prioritization, (4) ambiguous motivation to routinely use guidelines and screening tools, (5) moderate awareness about risk factors, (6) lack of sense of in-volving informal caregivers, (7) ambiguous motivation to follow education and training, and (8) strong focus on medical nutrition. Conclusion. The expert panel reached consensus on eight factors influencing nurses’ current behavior. To enhance nutritional care to prevent malnutrition in older adults, strategies are needed for targeting these factors in nursing prac-tice, education, and research.
AB - Background. To improve nutritional care for community-dwelling older adults before, during, and after hospitalization, factors influencing nurses’ current behavior should be targeted. The aim of this study was to obtain expert consensus on which factors influencing the behavior of hospital and home care nurses are most relevant, modifiable, and feasible to influence. Method. In a two-round Delphi study, nine pre-selected factors were rated by 26 ex-perts. Results. Eight factors were rated as relevant, modifiable, and feasible to influence: (1) lack of suf-ficient knowledge, (2) mainly neutral attitude, (3) low prioritization, (4) ambiguous motivation to routinely use guidelines and screening tools, (5) moderate awareness about risk factors, (6) lack of sense of in-volving informal caregivers, (7) ambiguous motivation to follow education and training, and (8) strong focus on medical nutrition. Conclusion. The expert panel reached consensus on eight factors influencing nurses’ current behavior. To enhance nutritional care to prevent malnutrition in older adults, strategies are needed for targeting these factors in nursing prac-tice, education, and research.
KW - Aged
KW - Delphi Technique
KW - Educational Status
KW - Hospitalization
KW - Hospitals
KW - Humans
KW - Independent Living
UR - http://www.scopus.com/inward/record.url?scp=85142803320&partnerID=8YFLogxK
U2 - 10.3928/00220124-20221107-06
DO - 10.3928/00220124-20221107-06
M3 - Article
C2 - 36445272
SN - 0022-0124
VL - 53
SP - 545
EP - 556
JO - Journal of Continuing Education in Nursing
JF - Journal of Continuing Education in Nursing
IS - 12
ER -