A survey of preoperative surgical nutrition practices, opinions, and barriers across Canada

Author:

Bellafronte Natalia Tomborelli1ORCID,Nasser Roseann2,Gramlich Leah3ORCID,Carli Francesco4,Liberman Sender5,Santa Mina Daniel67ORCID,Schierbeck Geoff8,Ljungqvist Olle9,Gillis Chelsia145ORCID

Affiliation:

1. School of Human Nutrition, McGill University, Montreal, Canada

2. Clinical Nutrition Services, Saskatchewan Health Authority, Regina, SK, Canada

3. Faculty of Medicine, University of Alberta, Edmonton, AB, Canada

4. Department of Anesthesia, McGill University, Montreal, Canada

5. Department of Surgery, McGill University, Montreal, QC, Canada

6. Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada

7. Department of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada

8. Portfolio Liaison Surgery Doctors of BC, Vancouver, BC, Canada

9. Department of Surgery, School of Medical Sciences, Örebro University, Örebro, Sweden

Abstract

Malnutrition is prevalent among surgical candidates and associated with adverse outcomes. Despite being potentially modifiable, malnutrition risk screening is not a standard preoperative practice. We conducted a cross-sectional survey to understand healthcare professionals’ (HCPs) opinions and barriers regarding screening and treatment of malnutrition. HCPs working with adult surgical patients in Canada were invited to complete an online survey. Barriers to preoperative malnutrition screening were assessed using the Capability Opportunity Motivation-Behaviour model. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed using summative content analysis. Of the 225 HCPs surveyed ( n = 111 dietitians, n = 72 physicians, n = 42 allied HCPs), 96%–100% agreed that preoperative malnutrition is a modifiable risk factor associated with worse surgical outcomes and is a treatment priority. Yet, 65% ( n = 142/220; dietitians: 88% vs. physicians: 40%) reported screening for malnutrition, which mostly occured in the postoperative period ( n = 117) by dietitians ( n = 94). Just 42% (48/113) of non-dietitian respondents referred positively screened patients to a dietitian for further assessment and treatment. The most prevalent barriers for malnutrition screening were related to opportunity, including availability of resources (57%, n = 121/212), time (40%, n = 84/212) and support from others (38%, n = 80/212). In conclusion, there is a gap between opinion and practice among surgical HCPs pertaining to malnutrition. Although HCPs agreed malnutrition is a surgical priority, the opportunity to screen for nutrition risk was a great barrier.

Publisher

Canadian Science Publishing

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3