Comparison of an Institutional Nutrition Screen With 4 Validated Nutrition Screening Tools

Brown, Britta; Heeg, Anne; Turek, Jennifer; Maillet, Julie OʼSullivan

doi:10.1097/00008486-200604000-00008

Cited by 8 publications

(7 citation statements)

References 34 publications

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“…There is an increasing multicultural population; some patients have limited English language skills that form a barrier to interviewing. Similar barriers to screening were also reported in other Australian studies 26 and in other countries 21,27 . The practicability of the screening tools is therefore in question.…”

Section: Introductionsupporting

confidence: 68%

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Identifying malnutrition risk in acute medical patients: Validity and utility of Malnutrition Universal Screening Tool and Modified Malnutrition Screening Tool

Gibson

Sequeira

Cant

et al. 2012

Nutrition & Dietetics

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Aim: Nutrition screening is increasingly conducted in hospitals during the patient admission process. We aimed to explore the ease of use of two tools in the conduct of screening by nutrition technicians (NTs), and to compare validity. The tools are Malnutrition Universal Screening Tool (MUST) and Modified Malnutrition Screening Tool (Mod‐MST). Methods: A sample of 262 consecutive adult hospital patients in medical wards was screened during December 2008 to January 2009. Trained NTs used both tools to screen each patient. Dietitians who were blinded to screening results then assessed each patient using Subjective Global Assessment as a reference tool. Time taken for screening was recorded and ease of tool use was explored in interviews with technicians. Results: The specificity of MUST and Mod‐MST was 85% and 83%, respectively, with sensitivity of 80% and 77%. Both tools were easy to use and could be applied to all patients, including those unable to answer interview questions. However, the MUST took two to three times longer to complete (5–7 min) using objective data. The Mod‐MST collected subjective data that required interpretation by technicians. Conclusion: Specificity and sensitivity of the two tools were less than optimum at ≤85%, as some patients would be misclassified. Both tools were valid and feasible to use with all medical patients, including those with whom communication cannot be established. The Mod‐MST is recommended, as choice of malnutrition screening tool needs to balance efficacy with time taken to be useful for mass screening programs.

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Section: Introductionsupporting

confidence: 68%

“…Similar barriers to screening were also reported in other Australian studies 26 and in other countries. 21,27 The practicability of the screening tools is therefore in question.…”

Section: Introductionmentioning

confidence: 99%

Identifying malnutrition risk in acute medical patients: Validity and utility of Malnutrition Universal Screening Tool and Modified Malnutrition Screening Tool

Gibson

Sequeira

Cant

et al. 2012

Nutrition & Dietetics

View full text Add to dashboard Cite

show abstract

“…, 2006; Kyle et al. , 2006; Brown et al. , 2006; Bailey, 2006; British Association for Parenteral and Enteral Nutrition, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…The Malnutrition Universal Screening Tool ('MUST') developed by the British Association for Parenteral and Enteral Nutrition (BAPEN) (2003) has been widely used in hospitals, primary care settings and homes (Stratton et al, 2004;Clugston et al, 2006;Kyle et al, 2006;Brown et al, 2006;Bailey, 2006;British Association for Parenteral and Enteral Nutrition, 2008). A survey of nutrition screening of patients in UK hospitals (using 'MUST') found that, of 9336 patients, 26% were at risk of malnutrition on admission to hospital (British Association for Parenteral and Enteral Nutrition, 2008).…”

Section: Introductionmentioning

confidence: 99%

Exploring issues influencing the use of the Malnutrition Universal Screening Tool by nurses in two Australian hospitals

Porter

Raja

Cant

et al. 2009

J Human Nutrition Diet

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Background: Nutrition screening using evidence‐based clinical practice is important for identifying patients whose nutritional status may be compromised, so that they receive appropriate treatment. Introduction of the Malnutrition Universal Screening Tool (`MUST') in two wards in two Melbourne hospitals resulted in low screening completion rates by nursing staff. Nurses’ screening practices were explored to understand personal and workplace barriers to compliance. Methods: Surveys of patients’ medical records and focus groups with nurses were used to gather data. Audio‐recorded group narratives were transcribed verbatim, and then coded thematically to develop understandings of response patterns. Results: A survey of admitted patients (n = 46) showed low screening rates by ward (17% and 62%). Eighteen nurses in two wards participated in three focus groups. The five main themes that emerged were: ‘screening role’, ‘task priorities’, ‘recognition of evidence‐based practice’, ‘uncertainty of protocols’ and ‘degree of competence’. Screening completion was limited by workloads, uncertainty about screening policy and also individuals’ skill in use of the tool. Conclusions: Application of `MUST' can be facilitated by increasing nurses’ competence through training and by the provision of ongoing support. When implementing nutrition risk screening, dietitians’ roles should include continually working with nurses to identify and reduce the barriers that prevent the adoption of universal screening. Enhancement of collaboration is essential to ensure that optimal nutrition care occurs.

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“…27 Studies describe a lack of nutrition-related information in patients’ healthcare records. 35,36 Healthcare professionals indicate that they do know that nutrition is important, 37,38 but they have difficulties identifying what needs to be documented about patients’ nutritional care, what is relevant and what is important. 37,39 Fundamental to any discussion of structured documentation is a recognition of the significant international work undertaken on Minimum Data Sets (MDS).…”

Section: Introductionmentioning

confidence: 99%

Speaking the same language: Development of a Nutrition Minimum Data Set for healthcare professionals in primary healthcare

Håkonsen

Pedersen

Bygholm

et al. 2019

Health Informatics J

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Providing the best possible nutritional care requires accurate and precise communication between healthcare professionals. Developing a Nutrition Minimum Data Set will inform professionals in primary healthcare of which core elements should be documented and facilitate a standardized approach to the documentation of nutritional care. A two-step methodological approach was utilized in this study: (1) a systematic scoping review was conducted to map evidence underpinning the development of a Minimum Data Set and (2) the datasources were categorized using the inductive content analysis approach. A total of 32 items were identified in the datasources. Five categories were inductively derived from the data: (1) physiologic measurements, (2) ability to eat, (3) intake, (4) stress factors and (5) factors which indirectly affect intake and needs. Organizing the documentation following the structure presented in this Minimum Data Set will contribute to a standardized terminology, which may lead to increased quality of documentation, increased continuity of care and improved health outcomes.

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Comparison of an Institutional Nutrition Screen With 4 Validated Nutrition Screening Tools

Cited by 8 publications

References 34 publications

Identifying malnutrition risk in acute medical patients: Validity and utility of Malnutrition Universal Screening Tool and Modified Malnutrition Screening Tool

Identifying malnutrition risk in acute medical patients: Validity and utility of Malnutrition Universal Screening Tool and Modified Malnutrition Screening Tool

Exploring issues influencing the use of the Malnutrition Universal Screening Tool by nurses in two Australian hospitals

Speaking the same language: Development of a Nutrition Minimum Data Set for healthcare professionals in primary healthcare

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