The Organisation of nutritional support in hospitals
Keywords:
nutritional support, organisation, hospital, interdisciplinary teamAbstract
The aim of the clinical guidelines, standards and recommendations for nutritional support is to help health professionals correctly identify patients who need nutritional support, and enable them to choose and deliver the most appropriate nutritional support at the most appropriate time. For its successful implementation, people from different disciplines need to work together to achieve results. They should also have diverse skills and the knowledge of nutrition. A multi-professional nutritional support team (NST) is required to provide safe and cost-effective artificial nutritional support. Organised nutritional support services or teams are associated with improved patient outcomes, decreased length of hospitalisation and improved cost-effectiveness. Each member of the team needs to follow the standards of practice for their disciplines. An important principle of assuring the quality and improving the performance of an NST is establishing performance goals or aims that can be measured. The members of NSTs are includes in numerous services in the health care system and are the most appropriate organisational unit for providing specialised nutritional support.
References
Allison, S. P. and Stanga, Z. (2004). Organization of nutritional care. In: Sobotka, L. (ur.). Basics in clinical nutrition. Praga: GALEN, ESPEN, str. 135–139.
Kondrup, J. and Sorensen, J. M. (2009). The Magnitude of the Problem of Malnutrition in Europe. The Economic, Medical/Scientific and Regulatory Aspects of Clinical Nutrition Practice: What Impacts What?, 12, 1–14.
Mušič, D. (2006). Timsko delo v zdravstvu. Diplomsko delo. Koper: Univerza na Primorskem.
Najžer, E. B. (2013). Nada Rotovnik Kozjek: »Hrana je lahko tudi zdravilo«. Za srce, 22 št. 3–4, str. 6–9.
NICE National institute for health and clinical excellence. (2006). Nutrition support in adults: Oral nutrition support, enteral tube feeding and parenteral nutrition, Clinical guideline 32. London: NHS.
Powell-Tuck, J. (ur.) (2007). Organisation of Food and Nutritional Support in Hospitals. BAPEN. Pridobljeno dne 11. 10. 2013 s svetovnega spleta http://www.bapen.org.uk/ofnsh /OrganizationOfNutritionalSupportWithinHospitals.pdf.
Rotovnik-Kozjek, N. (ur.) in Miloševič, M. (ur.) (2008). Priporočila za prehransko obravnavo bolnikov v bolnišnicah in starostnikov v domovih za starejše občane. Ljubljana: Ministrstvo za zdravje.
Schneider, P. J. (2006). Nutrition Support Teams: An Evidence-Based Practice. Nutrition in Clinical Practice, št. 21, str. 62–67.
Sedej, I. in Janjoš, T. (2010). Ambulantna prehranska obravnava bolnika s sladkorno boleznijo tipa 2. V: Klavs, J. (ur.) in Žargaj, B. (ur.). Oskrba bolnika s sladkorno boleznijo na primarni ravni. Moravske Toplice: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Sekcija medicinskih sester in zdravstvenih tehnikov v endokrinologiji, str. 61–79.
Sedej, I., Koroušič-Seljak, B. in Mlakar-Mastnak, D. (2008). Praktikum jedilnikov zdravega prehranjevanja bolnikov v bolnišnicah in starostnikov v domovih za starejše občane. Ljubljana: Ministrstvo za zdravje.
Sedej, I., Kosec, L. in Špilek, B. (2011). Vloga medicinske sestre pri prepoznavi in obravnavi prehransko ogroženih bolnikov v bolnišnicah. Novo mesto: Visoka šola za zdravstvo Novo mesto.
Svet Evrope, O. m. (2004). Resolucija ResAP (2003) 3 o prehrani in prehranski oskrbi v bolnišnicah. Ministrstvo za zdravje.
Tappenden, K. A., Quatrara, B., Parkhurst, M. L., Malone, A. M., Fanjiang, G. and Ziegler, T. R. (2013). Critical Role of Nutrition in Improving Quality of Care: An Interdisciplinary Call to Action to Address Adult Hospital Malnutrition, Journal of the Academy of Nutrition and Dietetics, 113, št. 9, str. 1219–1237. Pridobljeno s svetovnega spleta: http://www.sciencedirect.com/science/article/
pii/S2212267213006412.
Ukleja, A., Freeman, K. L., Gilbert, K., Kochevar M., Kraft, M. D., Russell, M. K. idr. (2010). Standards for Specialized Nutrition Support: Adult Hospitalized Patient. Nutrition in clinical practice, 25, str. 403–413.
Resolucija o nacionalnem programu prehranske politike 2005–2010 (ReNPPP) (2005). Uradni list Republike Slovenije št. 39.
