Hydration and nutrition care practices in stroke : findings from the UK and Australia
Journal article
Miller, Colette, Jones, Stephanie, Bangee, Munirah, Martinez, Cintia Mayel, Brady, Marian, Cadilhac, Dominique, Dale, Simeon, McInnes, Elizabeth Catherine, Middleton, Sandra Jane, Watkins, Caroline and Lightbody, Catherine. (2023). Hydration and nutrition care practices in stroke : findings from the UK and Australia. BMC Nursing. 22(1), pp. 1-10. https://doi.org/10.1186/s12912-023-01575-4
Authors | Miller, Colette, Jones, Stephanie, Bangee, Munirah, Martinez, Cintia Mayel, Brady, Marian, Cadilhac, Dominique, Dale, Simeon, McInnes, Elizabeth Catherine, Middleton, Sandra Jane, Watkins, Caroline and Lightbody, Catherine |
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Abstract | Background: Dehydration and malnutrition are common in hospitalised patients following stroke leading to poor outcomes including increased mortality. Little is known about hydration and nutrition care practices in hospital to avoid dehydration or malnutrition, and how these practices vary in different countries. This study sought to capture how the hydration and nutrition needs of patients’ post-stroke are assessed and managed in the United Kingdom (UK) and Australia (AUS). Aim: To examine and compare current in-hospital hydration and nutrition care practice for patients with stroke in the UK and Australia. Methods: A cross-sectional survey was conducted between April and November 2019. Questionnaires were mailed to stroke specialist nurses in UK and Australian hospitals providing post-stroke inpatient acute care or rehabilitation. Non-respondents were contacted up to five times. Results: We received 150/174 (86%) completed surveys from hospitals in the UK, and 120/162 (74%) in Australia. Of the 270 responding hospitals, 96% reported undertaking assessment of hydration status during an admission, with nurses most likely to complete assessments (85%). The most common methods of admission assessment were visual assessment of the patient (UK 62%; AUS 58%), weight (UK 52%; AUS 52%), and body mass index (UK 47%; AUS 42%). Almost all (99%) sites reported that nutrition status was assessed at some point during admission, and these were mainly completed by nurses (91%). Use of standardised nutrition screening tools were more common in the UK (91%) than Australia (60%). Similar proportions of hydration management decisions were made by physicians (UK 84%; AUS 83%), and nutrition management decisions by dietitians (UK 98%; AUS 97%). Conclusion: Despite broadly similar hydration and nutrition care practices after stroke in the UK and Australia, some variability was identified. Although nutrition assessment was more often informed by structured screening tools, the routine assessment of hydration was generally not. Nurses were responsible for assessment and monitoring, while dietitians and physicians undertook decision-making regarding management. Hydration care could be improved through the development of standardised assessment tools. This study highlights the need for increased implementation and use of evidence-based protocols in stroke hydration and nutrition care to improve patient outcomes. |
Keywords | Nursing; Hydration; Nutrition; Protocol; Survey; Stroke; United Kingdom; Australia; Cross-sectional study |
Year | 01 Jan 2023 |
Journal | BMC Nursing |
Journal citation | 22 (1), pp. 1-10 |
Publisher | Springer Nature |
ISSN | 1472-6955 |
Digital Object Identifier (DOI) | https://doi.org/10.1186/s12912-023-01575-4 |
Web address (URL) | https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-023-01575-4 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 1-10 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 27 Oct 2023 |
Publication process dates | |
Accepted | 22 Oct 2023 |
Deposited | 19 Mar 2024 |
Supplemental file | License File Access Level Open |
Supplemental file | License File Access Level Open |
Additional information | © The Author(s) 2023. |
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/90490/hydration-and-nutrition-care-practices-in-stroke-findings-from-the-uk-and-australia
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