PURPOSE: To describe the documentation of nutrition-related data and wards referral to dieticians in a Belgian university hospital. METHOD: Retrospective analysis of 506 nursing records. FINDINGS: Body weight and height are documented in 22%. "Feeding assistance" and "usual food intake pattern" are documented in 68% of all cases, and in 71% it is marked whether the patient is on a diet. Eight percent of the patients are referred to a dietician, but the indications for these referrals are not clear. CONCLUSION: Given the poor documentation, most likely these patients are not adequately screened for malnutrition as recommended. IMPLICATIONS FOR NURSING PRACTICE: Nurses' documentation of nutrition-related data should be improved to facilitate treatment of malnutrition with tailored multidisciplinary interventions.
PURPOSE: To describe the documentation of nutrition-related data and wards referral to dieticians in a Belgian university hospital. METHOD: Retrospective analysis of 506 nursing records. FINDINGS: Body weight and height are documented in 22%. "Feeding assistance" and "usual food intake pattern" are documented in 68% of all cases, and in 71% it is marked whether the patient is on a diet. Eight percent of the patients are referred to a dietician, but the indications for these referrals are not clear. CONCLUSION: Given the poor documentation, most likely these patients are not adequately screened for malnutrition as recommended. IMPLICATIONS FOR NURSING PRACTICE: Nurses' documentation of nutrition-related data should be improved to facilitate treatment of malnutrition with tailored multidisciplinary interventions.