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A nurse is responsible for observing food intake, assessing nutritional status of patients, giving education about nutrition, and applying, assessing, caring nutrition.

Nutritional Assessment

However, many studies showed that nurses have inadequate knowledge about nutrition. In many studies physicians and nurses were found to have insufficient levels of nutritional knowledge and that there was a great need for nutrition education for along time. As there are only few published data about nutritional knowledge of nurses in Turkey, the aim of the current study was to determine the nutrition knowledge level of the nurses working at three hospitals in Zonguldak, Turkey. The research was conducted among randomly selected nurses working in three major hospitals in Zonguldak, Turkey.

The research data were collected by means of a questionnaire. The questionnaire was developed specifically for this study, based on literature and professional clinical experience. To test face validity, content validity and clarity, 5 specialists in the field of clinical nutrition in Turkey who are members of the educational committee of Turkish Society of Parenteral and Enteral Nutrition were asked to judge whether the questions appeared to be reasonable, covering relevant and important data with clarity.


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This resulted in minor linguistic changes and layout changes. A pilot test was conducted with eight nurses who were not involved in the study, but worked in the same areas. On the basis of their comments, the questionnaire was revised for clarity and ease of use. The questionnaire contained three sections. In the first section there were questions about the demographic characteristics, the history of education and practices in institutional and working areas of the applicants.

In the second section, opinions relating to basic subjects in clinical nutrition were to be expressed.

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In the third section, 20 multiple choice questions were asked under 5 main sections to assess the attitudes and knowledge of nurses about clinical nutrition; the assessment of the nutritional status of the patient, planning nutritional support, practicing nutritional therapy, and observation and assessment of the patient receiving nutritional support. Consent also was obtained from the director of the nursing department and ward nurse managers.

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The average age of respondents was Thirthy-four per cent of nurses had an undergraduate degree and Most of the respondents The mean nutrition knowledge of all participants was obtained as Questions asked and percentage of nurses with correct answers was given in Table 1. As can be seen in Table 1 , only 2 of the 20 questions were answered correctly by more than This was followed by the enteral access types The nurses who conducted nutritional assessment activities had a greater knowledge score It was observed that the higher knowledge level of the nurses is, the more they examined patients and noticed malnutrition.

The educational status and the knowledge scores of the nurses were presented in Table 3. Nurses, who had graduate degree Only one nurse 0. Eighteen nurses 6.

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Most of the nurses The others It was observed that nurses working in hospitals which had a nutrition team reached In the current study, the mean general knowledge score was Crogan et al. Warber et al. Given the previous research, the mean knowledge score of nurses at Similar to these findings Crogan and Evans [ 6 ] expressed in their study that nutritional assessment activities were directly correlated with the knowledge about nutrition. This was similar to the findings of Crogan et al.

Yet, the increase in knowledge scores was not found to be in correlation with the increase in professional experience. Long-term nursing experience without any special education on nutrition and with no working experience in this field does not increase the nutrition knowledge. When examined from a general point of view, a difference in clinical nutrition level could not be found between nurses having worked four years vs. In contrast, a majority of the nurses explained that they gained their knowledge about clinical nutrition from their professional experiences.


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This may emphasize that education is better than conventional clinical experience when it comes to clinical nutrition. However, many other studies showed that nurses have inadequate knowledge about nutrition recommended that there is a need for increased nutritional nursing knowledge and nutrition education should be emphasised in nursing-school programs and continuing education. In the opinion of Without a good knowledge base nurses cannot provide appropriate nutritional.

Different studies showed the inadequacy of education regarding nutrition in medical and nursing programs and the requirement of expanded content of nutrition in the curricula. Under the enlightenment of this data, it is observed that an increase in clinical nutrition knowledge cannot be provided in the working area. Thus the requirement and importance of an education in nutrition in nurse education programs emerges. In Turkey, nutrition education complains only basic nutrition clinical nutrition education is not adequately included. The curriculum should be revised in order to educate nurses having satisfactory qualities in this field of study.

The main target in this education ought not to be training nutrition nursing, but increasing the clinical nutrition levels as a part of clinical application and patient care service. In conclusion it is determined that the nutrition knowledge of nurses working in our country is not adequate; therefore an educational support system is needed both at schools and in hospitals. The reform and reorganization of educational curricula is crucial. We are indebted to the members of the educational committee of Turkish Society of Parenteral and Enteral Nutrition who reviewed the questionnaire forms.

All Published work is licensed under a Creative Commons Attribution 4. Visit for more related articles at Health Science Journal. Introduction Malnutrition is a crucial health problem that often occurs even in healthy societies, but it occurs much more frequently among hospitalized patients and elders. Method and Material The research was conducted among randomly selected nurses working in three major hospitals in Zonguldak, Turkey.

Introduction to Clinical Nutrition 2nd edition, Revised and Expanded

Results The average age of respondents was Discussion In the current study, the mean general knowledge score was We are always looking for ways to improve customer experience on Elsevier. We would like to ask you for a moment of your time to fill in a short questionnaire, at the end of your visit. If you decide to participate, a new browser tab will open so you can complete the survey after you have completed your visit to this website. Thanks in advance for your time. Skip to content. Search for books, journals or webpages All Pages Books Journals. View on ScienceDirect.

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