En intervjustudie gällande skillnad i resutat mellan två avdelningar vid nutritionsmätningar
Nutritional policyInpatientsMalnutritionPersonnel hospitalNutritional requirementsNäringsriktlinjerSlutenvårdspatienterUndernäringSjukhuspersonalNäringsbehov
BackgroundMalnutrition in hospitalized patients has a high prevalence. This led to an action plan against malnutrition that was conducted in 2012 at Enköpings hospital. This paper investigated the nursing staff perceptions of this project on nutrition and nutrient intake in two different departments, and whether these perceptions differ between departments. MethodAn inductive approach with semi-structured interview was used in interviews with eight persons from the staff of the two departments of the hospital in Enköping involved in the project. Interviews were recorded, transcribed and analyzed by content analysis. ResultsIn the interview material four categories were identified as well as six different subcategories. The different categories were: "Attitude", "Knowledge", "Procedures" and "Workload". The results showed that there were differences in attitude to the project by the two departments. There were also differences in perceptions about the knowledge level of the staff who worked on the project. However, the staffs of the two departments agreed that there existed a high workload and inadequate procedures on the wards. ConclusionsThere was a distinction in the perception of the level of expertise of the staff but consensus regarding inadequate procedures and workload. The differences in attitude are considered due to the high workload and staff turnover but also diffuse professional roles. Further studies in this area is of value to answer more concretely why a department achieves better results than an equivalent department in the same hospital. This essay has only studied if workload and working environment can affect the reception of new routines, so there is scope to identify additional factors.