title: Short-term effects of a computer-based nutritional nursing training program for inpatient hospital care.
abstract: BACKGROUND
  This study aimed to explore whether a computer-based training in eating and nutrition for hospital nursing staff can influence the precision in nutritional treatment and care.
  
  
  METHODS
  A pre-intervention and post-intervention study was conducted with a cross-sectional design at each time point. The settings were one intervention (IH) and two control hospitals (CH1 and CH2). Hospital inpatients >18 years old at baseline (2012; n = 409) and follow-up (2014; n = 456) were included. The computer-based training was implemented during a period of 3 months in the IH with 297 (84%) participating registered nurses and nurse assistants. Nutritional risk was screened for using the Minimal Eating Observation and Nutrition Form. Nutritional treatment and care was recorded using a standardized protocol
  
  
  RESULTS
  In the IH, there was an increase in the share of patients at UN risk that received energy-dense food (+16.7%) and dietician consultations (+17.3%) between baseline and follow-up, while fewer received feeding assistance (-16.2%). There was an increase in the share of patients at UN risk that received energy-dense food (+19.5%), a decrease in oral nutritional supplements (-30.5%) and food-registrations (-30.6%) in CH1, whereas there were no changes in CH2. 'Overtreatment' (providing nutritional treatment to those not at UN risk) was significantly higher in CH2 (52.7%) than in CH1 (14.3%) and in the IH (25.2%) at follow-up.
  
  
  CONCLUSIONS
  The computer-based training seemed to increase the probability for patients at UN risk in the IH to receive nutritional treatment without increasing overtreatment.
authors.affiliation: The PRO-CARE Group, School of Health and Society, Kristianstad University, Kristianstad, Sweden. Albert.Westergren@hkr.se.
authors.forename: Albert
authors.initials: A
authors.lastname: Westergren
authors.affiliation: The PRO-CARE Group, School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Ellinor
authors.initials: E
authors.lastname: Edfors
authors.affiliation: Central Hospital Kristianstad, Kristianstad, Sweden.
authors.forename: Erika
authors.initials: E
authors.lastname: Norberg
authors.affiliation: The County Council of Skåne, Lund, Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Stubbendorff
authors.affiliation: The PRO-CARE Group, School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Gita
authors.initials: G
authors.lastname: Hedin
authors.affiliation: School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Martin
authors.initials: M
authors.lastname: Wetterstrand
authors.affiliation: The PRO-CARE Group, School of Health and Society, Kristianstad University, Kristianstad, Sweden.
authors.forename: Peter
authors.initials: P
authors.lastname: Hagell
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003194:Computer-Assisted Instruction; D003430:Cross-Sectional Studies; D004506:Education, Nursing / Q000379:methods*; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D015596:Nutrition Assessment; D009748:Nutrition Disorders / Q000517:prevention & control*; D015397:Program Evaluation
keywords: MEONF-II; education; health informatics; intervention; nursing; nutritional treatment