Influencing factors on nutritional knowledge, attitudes, and practices among nursing assistants in nursing homes.

IF 3.1 2区 医学 Q1 NURSING
Ping Lu, Shihan Yang, Yushuang Shi, Na Wang, Beijing Ding, Weijie Liu, Pei Zhang, Lan Rong, Dongsheng Bian
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引用次数: 0

Abstract

Background: The nutritional status of older adults requires focused attention. In Chinese nursing homes, nursing assistants are often the primary caregivers responsible for the daily care of older adults, and their knowledge and attitudes toward nutrition play a fundamental role in providing adequate nutritional care. However, research on the knowledge and attitudes of nursing assistants is limited, despite the fact that these factors play a fundamental role in providing adequate nutritional practices.

Objective: The aim of this study is to investigate the knowledge, attitudes, and practices (KAP) of nursing assistants in nursing homes and to analyze the influencing factors.

Method: This cross-sectional study was conducted from January to September 2023, involving 692 nursing assistants from 76 nursing homes in Shanghai. We used validated Nutrition Knowledge, Attitude, and Practice Questionnaire for nursing assistants.

Results: The findings indicated that the mean scores for nutritional knowledge, attitudes, and practices were 45.07 ± 16.18, 76.22 ± 10.03, and 69.94 ± 21.46, respectively. Notably, the mean score for nutritional knowledge was the lowest, with 66.04% of nursing assistants scored below 50% accuracy. A significant negative correlation was observed between nutritional knowledge and practices (r=-0.194, p < 0.001), while a positive correlation was found between attitudes and practices (r = 0.422, p < 0.001). Key predictors of higher nutritional knowledge included education level (B = 3.907, p < 0.001), whereas skill deficiency (B=-3.714, p = 0.006), years of caring (B=-2.789, p < 0.001) and regular supervision (B=-3.422, p = 0.018) were negatively associated. Positive nutritional attitudes were associated with higher education (B = 2.453, p < 0.001), years of caring (B = 1.177, p < 0.001), and participation in nutrition training (B = 4.138, p < 0.001). Nutritional practices were positively influenced by age (B = 3.068, p = 0.002), participation in nutrition training (B = 11.474, p < 0.001) and regular supervision (B = 14.597, p < 0.001), but negatively affected by insufficient income (B=-3.189, p = 0.030).

Conclusion: This study reveals a significant deficiency in nutritional knowledge among nursing assistants in Shanghai's nursing homes, which adversely impacts their nutritional practices. The findings underscore the urgent need for enhanced training programs and to improve the nutritional competencies of nursing assistants. By addressing these gaps through targeted education and consistent supervision, the quality of nutritional care provided to older adults in nursing homes can be substantially improved.

疗养院护理员营养知识、态度及行为的影响因素
背景:老年人的营养状况需要关注。在中国的养老院中,护理员往往是负责老年人日常护理的主要照顾者,他们对营养的知识和态度在提供充足的营养护理方面起着至关重要的作用。然而,关于护理助理的知识和态度的研究是有限的,尽管这些因素在提供适当的营养实践中起着重要作用。目的:了解养老院护理员的知识、态度和行为,并分析其影响因素。方法:本研究于2023年1 - 9月对上海市76家养老院的692名护工进行横断面研究。我们使用了经过验证的护理助理营养知识、态度和实践问卷。结果:小学生营养知识、营养态度和营养实践得分分别为45.07±16.18分、76.22±10.03分和69.94±21.46分。值得注意的是,营养知识的平均得分最低,66.04%的护理员得分低于50%。结论:本研究揭示了上海市养老院护理员在营养知识方面存在显著不足,这对其营养实践产生了不利影响。研究结果强调,迫切需要加强培训计划,提高护理助理的营养能力。通过有针对性的教育和持续的监督来解决这些差距,可以大大提高养老院为老年人提供的营养护理的质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Nursing
BMC Nursing Nursing-General Nursing
CiteScore
3.90
自引率
6.20%
发文量
317
审稿时长
30 weeks
期刊介绍: BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
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