Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices
Understanding the knowledge, attitudes, and practices (KAP) of hospital staff is needed to improve care activities that support the detection/prevention/treatment of malnutrition, yet quality measures are lacking. The purpose was to develop (study 1) and assess the administration and discriminative...
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doaj-9762394ba7cd4ff0a0b3c9817f00e3402020-11-25T01:31:59ZengMDPI AGHealthcare2227-90322016-10-01447910.3390/healthcare4040079healthcare4040079Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and PracticesCelia Laur0Hannah Marcus1Sumantra Ray2Heather Keller3School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, CanadaDepartment of Clinical Nutrition, Grand River Hospital, Kitchener, ON N2G 1G3, CanadaThe Need for Nutrition Education/Innovation Programme, c/o MRC Elsie Widdowson Laboratory, University of Cambridge, Cambridge CB1 9NL, UKSchlegel-University of Waterloo Research Institute for Aging, Waterloo, ON N2J 0E2, CanadaUnderstanding the knowledge, attitudes, and practices (KAP) of hospital staff is needed to improve care activities that support the detection/prevention/treatment of malnutrition, yet quality measures are lacking. The purpose was to develop (study 1) and assess the administration and discriminative potential (study 2) of using such a KAP measure in acute care. In study 1, a 27-question KAP questionnaire was developed, face validated (n = 5), and tested for reliability (n = 35). Kappa and Intraclass Correlation (ICC) were determined. In study 2, the questionnaire was sent to staff at five diverse hospitals (n = 189). Administration challenges were noted and analyses completed to determine differences across sites, professions, and years of practice. Study 1 results demonstrate that the knowledge/attitude (KA) and the practice (P) subscales are reliable (KA: ICC = 0.69 95% CI 0.45–0.84, F = 5.54, p < 0.0001; P: ICC = 0.84 95% CI 0.68−0.92, F = 11.12, p < 0.0001). Completion rate of individual questions in study 2 was high and suggestions to improve administration were identified. The KAP mean score was 93.6/128 (range 51–124) with higher scores indicating more knowledge, better attitudes and positive practices. Profession and years of practice were associated with KAP scores. The KAP questionnaire is a valid and reliable measure that can be used in needs assessments to inform improvements to nutrition care in hospital.http://www.mdpi.com/2227-9032/4/4/79measurementknowledge, attitudes and practiceshospital staffnutrition care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Celia Laur Hannah Marcus Sumantra Ray Heather Keller |
spellingShingle |
Celia Laur Hannah Marcus Sumantra Ray Heather Keller Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices Healthcare measurement knowledge, attitudes and practices hospital staff nutrition care |
author_facet |
Celia Laur Hannah Marcus Sumantra Ray Heather Keller |
author_sort |
Celia Laur |
title |
Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices |
title_short |
Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices |
title_full |
Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices |
title_fullStr |
Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices |
title_full_unstemmed |
Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices |
title_sort |
quality nutrition care: measuring hospital staff’s knowledge, attitudes, and practices |
publisher |
MDPI AG |
series |
Healthcare |
issn |
2227-9032 |
publishDate |
2016-10-01 |
description |
Understanding the knowledge, attitudes, and practices (KAP) of hospital staff is needed to improve care activities that support the detection/prevention/treatment of malnutrition, yet quality measures are lacking. The purpose was to develop (study 1) and assess the administration and discriminative potential (study 2) of using such a KAP measure in acute care. In study 1, a 27-question KAP questionnaire was developed, face validated (n = 5), and tested for reliability (n = 35). Kappa and Intraclass Correlation (ICC) were determined. In study 2, the questionnaire was sent to staff at five diverse hospitals (n = 189). Administration challenges were noted and analyses completed to determine differences across sites, professions, and years of practice. Study 1 results demonstrate that the knowledge/attitude (KA) and the practice (P) subscales are reliable (KA: ICC = 0.69 95% CI 0.45–0.84, F = 5.54, p < 0.0001; P: ICC = 0.84 95% CI 0.68−0.92, F = 11.12, p < 0.0001). Completion rate of individual questions in study 2 was high and suggestions to improve administration were identified. The KAP mean score was 93.6/128 (range 51–124) with higher scores indicating more knowledge, better attitudes and positive practices. Profession and years of practice were associated with KAP scores. The KAP questionnaire is a valid and reliable measure that can be used in needs assessments to inform improvements to nutrition care in hospital. |
topic |
measurement knowledge, attitudes and practices hospital staff nutrition care |
url |
http://www.mdpi.com/2227-9032/4/4/79 |
work_keys_str_mv |
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