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Open AccessArticle

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

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School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
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The Need for Nutrition Education/Innovation Programme, c/o MRC Elsie Widdowson Laboratory, University of Cambridge, Cambridge CB1 9NL, UK
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Department of Clinical Nutrition, Grand River Hospital, Kitchener, ON N2G 1G3, Canada
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Schlegel-University of Waterloo Research Institute for Aging, Waterloo, ON N2J 0E2, Canada
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Department of Kinesiology, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
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Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Healthcare 2016, 4(4), 79; https://doi.org/10.3390/healthcare4040079
Received: 25 July 2016 / Revised: 29 September 2016 / Accepted: 10 October 2016 / Published: 20 October 2016
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
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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