The validation of a nursing nutritional assessment tool for use on acute elderly wards

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
R McCall, E Cotton

Abstract

Elderly people are at great risk of poor nutritional status. Identifying those at nutritional risk is complex owing to its multifactorial nature and highlights the need for an easily administered nutritional screening tool. To test the robustness of a tool used to identify those patients who require further dietetic assessment. The tool was tested on an 'acute elderly' ward to assess its statistical robustness, i.e. test-retest reliability, inter-rater reliability, internal consistency and factor structure, concurrent and construct validity. The research was carried out by a dietitian and two nurses on an overall sample of 185 consecutive admissions. Test-retest results reflect that the tool is capable of yielding consistent assessments over time. Inter-rater reliability results revealed that when comparisons of agreement between nurses and dietitians were examined there was consistent disagreement. Internal consistency was found to be low but the rotated factor analysis suggested a relationship between the items in the tool. Concurrent validity was exhibited with body mass index, albumin and American Nutrition Risk Index only. Construct validity was not sufficiently exhibited with any of the measures used. The tool has not dem...Continue Reading

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Citations

Sep 6, 2003·Journal of Advanced Nursing·Sue JordanAnne Williams
May 5, 2006·Journal of Advanced Nursing·Sue M Green, Roger Watson
Aug 28, 2010·Oncology Nursing Forum·Rina GabisonFreda Dekeyser Ganz
Nov 14, 2006·Medical Care Research and Review : MCRR·Nancy McCallPeter Braun
Oct 11, 2013·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Su Lin LimLynne Daniels
Aug 7, 2008·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Cinda S ChimaSusan Kushner-Benson
Dec 13, 2007·British Journal of Nursing : BJN·Chris BeechLouise McInnes
Apr 16, 2002·Current Opinion in Clinical Nutrition and Metabolic Care·James S Powers
Sep 27, 2019·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Pei Chien TahHazreen Abdul Majid

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