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dc.contributor.authorWester, Paulina
dc.contributor.authorAngus, Rebecca
dc.contributor.authorEaslea, Dayle
dc.contributor.authorLin, Michelle
dc.contributor.authorChen, Benjamin
dc.contributor.authorBisset, Leanne
dc.date.accessioned2019-05-29T13:14:00Z
dc.date.available2019-05-29T13:14:00Z
dc.date.issued2018
dc.identifier.issn1446-6368
dc.identifier.doi10.1111/1747-0080.12416
dc.identifier.urihttp://hdl.handle.net/10072/381816
dc.description.abstractAim Malnutrition is highly prevalent in rehabilitation patients, and screening is important to allow for timely intervention to reduce the incidence of adverse clinical outcomes. We aimed to determine the reliability and validity of the commonly employed malnutrition screening tool by non‐dietitian staff in categorising patients at risk of malnutrition in the rehabilitation setting. Methods This prospective observational cohort study recruited 100 participants on admission to a rehabilitation ward. The malnutrition screening tool was applied by nursing staff and repeated by nutrition assistants. Results were compared to malnutrition as determined by dietitian‐applied subjective global assessment of each patient. Inter‐rater reliability tests were conducted with two dietitians, two nutrition assistants and two nurses independently but simultaneously recording malnutrition screening tool scores on a subgroup of 15 participants. Results Agreement between dietitian‐determined malnutrition and risk as identified by nutrition assistant and nursing staff screening tool application was only modest (64% and 51%, respectively). While both professions met the a priori criteria for acceptable specificity (≥60%), neither met the criterion for adequate sensitivity (≥80%). The inter‐rater reliability of the tool was excellent, with almost perfect agreement (≥0.89) between ward dietitian and nutrition assistants, and moderate to substantial agreement (0.56–0.65) with nursing staff, when compared to a senior dietitian. Conclusions Non‐dietitian staff failed to apply the malnutrition screening tool with sufficient sensitivity in normal ward practice to warrant its use in the rehabilitation setting. Alternative options for identification of malnutrition need to be considered to ensure appropriate treatment.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherWiley Online
dc.publisher.placeAustralia
dc.relation.ispartofpagefrom324
dc.relation.ispartofpageto330
dc.relation.ispartofissue3
dc.relation.ispartofjournalNutrition and Dietetics
dc.relation.ispartofvolume75
dc.subject.fieldofresearchNutrition and Dietetics not elsewhere classified
dc.subject.fieldofresearchNutrition and Dietetics
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchFood Sciences
dc.subject.fieldofresearchcode111199
dc.subject.fieldofresearchcode1111
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode0908
dc.subject.keywordsMalnutrition
dc.subject.keywordsNursing staff
dc.subject.keywordsNutrition assistant
dc.subject.keywordsNutrition screening
dc.subject.keywordsRehabilitation
dc.titleUse of the malnutrition screening tool by non-dietitians to identify at-risk patients in a rehabilitation setting: A validation study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorBisset, Leanne M.
gro.griffith.authorChen, Ben


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