Insufficient nutritional knowledge among health care workers?

Mowé, Morten; Bosæus, Ingvar; Rasmussen, Henrik Højgaard; Kondrup, Jens; Unosson, Mitra; Rothenberg, Elisabet; Irtun, Øivind

doi:10.1016/j.clnu.2007.10.014

Cited by 233 publications

(225 citation statements)

References 15 publications

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“…Low levels of confidence were reported in areas such as promoting suitable food or nutrition goals, monitoring food consumption, translating the Irish food pyramid into practical advice, and formulating meal plans. Previous studies have similarly shown low confidence in nutrition knowledge and skills [19][20][21][22][23]. It was also clear from the findings that previous nutrition education experiences are important in affecting confidence about nutrition care, with those who reported previous education in nutrition having more confidence in certain areas of their knowledge and skills.…”

Section: Discussionsupporting

confidence: 63%

Providing Nutrition Care to Patients with Chronic Disease: An Irish Teaching Hospital Healthcare Professional Study

Keaver

O’Meara

Mukhtar

et al. 2018

Journal of Biomedical Education

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An increasing prevalence of noncommunicable diseases (NCDs) and chronic illness is putting an ever increasing burden on healthcare services and delivery worldwide. Diet contributes significantly to the development of NCDs. Nutrition should therefore be viewed as an important aspect of patient care and be addressed by all healthcare professionals (HCPs). Previous work has highlighted a lack of competency around providing nutrition advice in HCPs; however, positive attitudes towards the importance of nutrition care are well documented in this group. The aim of this study is to document and compare Irish HCPs self-perceived competency towards incorporating nutrition care into practice. The NUTCOMP questionnaire was completed by 206 HCPs in Sligo University Hospital. The findings showed positive attitudes towards the incorporation of nutrition care into HCP practice; however, confidence in knowledge and skills was low, thus missing vital opportunities to prevent and/or treat chronic diseases and improve outcomes in acute illness. Previous nutrition education was associated with greater self-perceived knowledge about and skills in providing nutrition care to patients and positively associated with attitudes towards incorporating nutrition care into practice. HCPs expressed a desire and unmet need for additional and ongoing educational intervention in the area of nutritional intervention.

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Section: Discussionsupporting

confidence: 63%

Providing Nutrition Care to Patients with Chronic Disease: An Irish Teaching Hospital Healthcare Professional Study

Keaver

O’Meara

Mukhtar

et al. 2018

Journal of Biomedical Education

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“…Nutrition is a vital component of health promotion and disease prevention (Mowe, Bosaeus, & Højgaard, 2008). The impacts of nutrition on health throughout the course of human life are very profound and are inextricably linked to cognitive and social development, more so in early childhood (Black et al., 2013).…”

Section: Introductionmentioning

confidence: 99%

“…It is classically believed that good knowledge should be associated with good attitude and proper nutritional practices (Azizi, Aghaee, Ebrahimi, & Ranjbar, 2011; Mowe et al., 2008). However, in some situations, good knowledge and attitude do not necessarily translate into good practices (Bukusuba, Kikafunda, & Whitehead, 2010).…”

Section: Introductionmentioning

confidence: 99%

The status of nutritional knowledge, attitude and practices associated with complementary feeding in a post‐conflict development phase setting: The case of Acholi sub‐region of Uganda

Nassanga

Okello-Uma

Ongeng

2018

Food Science & Nutrition

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Inappropriate complementary feeding is an important challenge to proper child nutrition in post‐conflict rural areas in many sub‐Saharan African countries. While in protected areas during conflict situation and soon after during recovery, communities normally receive nutrition education as part of capacity building to improve knowledge, attitude, and practices to enable them manage maternal and child nutrition issues during the post‐conflict development phase. It is largely unknown whether capacity in nutrition provided is maintained and adequately applied in the post‐conflict development situation. Using Acholi sub‐region of Uganda, an area that experienced violent armed conflict for 20 years (mid‐80s–early 2000), as a case study, we examined the status of nutritional knowledge, attitude, and practices associated with complementary feeding among caregivers of 6‐ to 23‐month‐old children in a post‐conflict development phase following return to normalcy nearly 10 years post‐conflict emergency situation. The results showed that a high proportion of caregivers had good knowledge (88%) and attitude (90.1%) toward complementary feeding. However, only a half (50%) of them practiced correct nutrition behavior. Education status of the household head and sex of the child significantly predicted caregiver knowledge on complementary feeding (p ≤ 0.05). Education status of the household head also predicted caregiver attitude toward complementary feeding (p ≤ 0.05). Poverty, food insecurity, and maternal ill health were the major factors that hindered caregivers from practicing good complementary feeding behavior. These results demonstrate that nutrition education on complementary feeding provided to the community during conflict emergency and recovery situation is largely retained in terms of knowledge and attitude but poorly translated into good child feeding practices due to poverty, food insecurity, and maternal ill health. Maternal health, food security, and poverty reduction should be prioritized if adequate complementary feeding is to be achieved among conflict‐affected communities in the post‐conflict development phase.

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“…But still, nothing has happened to address the lack of nutrition in the curricula for physicians as well as nurses, at least in Scandinavia (7) , and health-care staff in the USA seem to be having similar problems (1) . Citing Mowe et al (7) : 'The self-reported nutritional knowledge was inadequate among Scandinavian doctors and nurses. A combination of an integrated nutrition curriculum during the education, together with postgraduate training for both physicians and nurses should be established'.…”

Section: Nutrition Training For Health-care Staffmentioning

confidence: 99%

Who gives good weight-loss advice to the obese?

Yngve¹

2009

PHN

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According to a recent survey of 1873 obese (BMI at or above 30 kg/m 2 ) US adults, insufficient advice regarding weight loss is provided by health professionals (1) . Among those visiting a physician during the year before the survey, only 39 % were advised to lose weight. This number is actually slightly lower than in a previous study. Those with a poorer health and with higher BMI were more frequently advised to lose weight. The advice given was to lose more than 20 % of body weight.Clinical guidelines from the US Department of Health and Human Services (DHHS) (2) clearly recommend both cutting energy intake and increasing physical activity level. Of the obese adults given advice in this study (1) , more than 40 % were given advice not consistent with the US DHHS clinical guidelines, i.e. they were told either to cut intake or to increase their physical activity level. Clearly, as the authors conclude: 'Health professionals in this study do not take advantage of their influential role in promoting healthy behaviors among their obese patient population'.

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Insufficient nutritional knowledge among health care workers?

Cited by 233 publications

References 15 publications

Providing Nutrition Care to Patients with Chronic Disease: An Irish Teaching Hospital Healthcare Professional Study

Providing Nutrition Care to Patients with Chronic Disease: An Irish Teaching Hospital Healthcare Professional Study

The status of nutritional knowledge, attitude and practices associated with complementary feeding in a post‐conflict development phase setting: The case of Acholi sub‐region of Uganda

Who gives good weight-loss advice to the obese?

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