Evaluation of nutritional literacy among undergraduate nursing students

Kelli D. Whittington, Dawn C. Null
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Abstract

Background/Objective: It is difficult to describe or quantify the extensiveness and importance of the nurses’ role in direct patient care. Although Registered Dietitian Nutritionists (RDN) are available, it is often the nurse who is tasked with monitoring a patient’s nutritional status and carrying out nutrition interventions to optimize oral intake such as providing meals and oral supplements, as well as administering enteral and parenteral nutrition. Therefore, it is critical that nurses have an understanding of nutrition to promote good health. Although fundamental nursing courses stress the nurse’s role in promoting healthy nutrition as a means to prevent disease and assist patients in sustaining wellness, there is no standardized nursing curriculum enforcing an independent nutrition course within nursing programs.Methods: A quantitative methodology was used to explore the level of nutritional awareness as measured by the Nutritional Literacy Assessment Instrument (NLit) among BSN nursing students in a public, 4-year institution in the Mid-West of the United States. Nutritional literacy, as defined by Gibbs et al., students’ knowledge of food and associated impact on nutrition was evaluated. Results: The data indicated that 70% of participants had completed an undergraduate nutrition course, with the highest performance on the Nutritional Literacy Survey within the understanding of food groups.  Over 80% of respondents were found to have a likelihood of good nutrition literacy. Although no statistical significance was found between a pre-requisite Nutrition course and/or an integrated Nursing Nutrition course and Nutritional Literacy, statistical significance was found when examining student classification (sophomores versus seniors) impact on Nutritional Literacy scores.Conclusions: Promoting the integration of nutrition concepts across a variety of courses within the nursing curriculum will assist the student to utilize clinical judgment in the application and synthesis of nutritional concepts in relation to patient health and wellness.
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护理本科生营养知识评估
背景/目的:很难描述或量化护士在直接护理病人方面所起作用的广泛性和重要性。虽然有注册营养师(RDN),但通常还是由护士负责监测病人的营养状况,并采取营养干预措施来优化口服摄入量,如提供膳食和口服营养补充剂,以及实施肠内和肠外营养。因此,护士对营养的了解对促进健康至关重要。尽管基础护理课程强调护士在促进健康营养方面的作用,将其作为预防疾病和帮助患者保持健康的一种手段,但目前还没有标准化的护理课程来强制要求护理专业开设独立的营养课程:方法:采用定量方法,通过营养素养评估工具(NLit)对美国中西部一所公立四年制院校的本科护理专业学生的营养意识水平进行了调查。根据 Gibbs 等人的定义,对学生的营养素养、食物知识以及对营养的相关影响进行了评估。结果显示数据显示,70%的参与者完成了本科营养课程,在营养素养调查中,对食物种类的了解程度最高。 超过 80% 的受访者可能具有良好的营养素养。虽然在先修营养课程和/或综合护理营养课程与营养素养之间没有发现统计学意义,但在研究学生分类(大二学生与大四学生)对营养素养得分的影响时发现了统计学意义:促进护理课程中各种课程营养概念的整合将有助于学生利用临床判断应用和综合与患者健康和保健相关的营养概念。
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