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Healthcare 2016, 4(4), 79; doi:10.3390/healthcare4040079

Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices

1
School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
2
The Need for Nutrition Education/Innovation Programme, c/o MRC Elsie Widdowson Laboratory, University of Cambridge, Cambridge CB1 9NL, UK
3
Department of Clinical Nutrition, Grand River Hospital, Kitchener, ON N2G 1G3, Canada
4
Schlegel-University of Waterloo Research Institute for Aging, Waterloo, ON N2J 0E2, Canada
5
Department of Kinesiology, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 25 July 2016 / Revised: 29 September 2016 / Accepted: 10 October 2016 / Published: 20 October 2016
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Abstract

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. View Full-Text
Keywords: measurement; knowledge, attitudes and practices; hospital staff; nutrition care measurement; knowledge, attitudes and practices; hospital staff; nutrition care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Laur, C.; Marcus, H.; Ray, S.; Keller, H. Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices. Healthcare 2016, 4, 79.

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