The Relationship between Nurse Nutrition Knowledge and Unintentional Weight Loss in Nursing Home Residents

Persistent Link:
http://hdl.handle.net/10150/194310
Title:
The Relationship between Nurse Nutrition Knowledge and Unintentional Weight Loss in Nursing Home Residents
Author:
Penland, Kimberly Sue
Issue Date:
2010
Publisher:
The University of Arizona.
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Abstract:
Unintentional weight loss is a common and significant problem among nursing home residents and an important indicator of malnutrition. Nursing home residents who lose more than 5% of their body weight in one month or 10% of body weight in six months are at increased risk for morbidity and mortality. Licensed nurses, who are responsible for maintaining the health and well-being of nursing home residents, have been shown to be deficient in nutrition knowledge. Little is known about the relationship between nurse nutrition knowledge and unintentional weight loss in nursing home residents.The purpose of this study was to revise a nurse nutrition questionnaire to reduce respondent burden and to examine the psychometric properties of the revised instrument. The revised instrument was then used to describe the relationship between nurse nutrition knowledge and unintentional weight loss in nursing homes across Northeast Indiana.A descriptive, correlational, and non-experimental design was used to describe the relationship between nurse nutrition knowledge and unintentional weight loss (UWL) in nursing home residents in Northeast Indiana. Licensed nurses (N = 101) from nine nursing homes were recruited for this study. Nurse nutrition knowledge was measured using a revised nutrition questionnaire (NKQ-R) and weight loss data was obtained from the Nursing Home Compare Database.Content validity of the NKQ-R was acceptable. Item analysis demonstrated six items below the acceptable point biserial of .15, and one question demonstrated a very high P value of 98 and had a nonfunctioning distracter response. Four of these problematic items were in subscale `3' (nutritional deficiencies of institutionalized older adults). Consistent with findings from previous studies, nurses scored below average on the nurse nutrition questionnaire, however relationships between nurse nutrition knowledge and unintentional weight loss were not supported. Level of nurse education was positively correlated with NKQ-R scores. Nursing home ownership type was significantly related to NKQ-R scores and unintentional weight loss; nurses working in not-for-profit nursing homes scored higher on the NKQ-R than nurses working in not-for-profit nursing homes, and not-for-profit nursing homes had a lower incidence of UWL than the for-profit nursing homes in this study.
Type:
text; Electronic Dissertation
Keywords:
Elderly; Nurse nutrition knowledge; Nursing home; Unintentional weight loss
Degree Name:
Ph.D.
Degree Level:
doctoral
Degree Program:
Nursing; Graduate College
Degree Grantor:
University of Arizona
Advisor:
Crogan, Neva
Committee Chair:
Crogan, Neva

Full metadata record

DC FieldValue Language
dc.language.isoenen_US
dc.titleThe Relationship between Nurse Nutrition Knowledge and Unintentional Weight Loss in Nursing Home Residentsen_US
dc.creatorPenland, Kimberly Sueen_US
dc.contributor.authorPenland, Kimberly Sueen_US
dc.date.issued2010en_US
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.description.abstractUnintentional weight loss is a common and significant problem among nursing home residents and an important indicator of malnutrition. Nursing home residents who lose more than 5% of their body weight in one month or 10% of body weight in six months are at increased risk for morbidity and mortality. Licensed nurses, who are responsible for maintaining the health and well-being of nursing home residents, have been shown to be deficient in nutrition knowledge. Little is known about the relationship between nurse nutrition knowledge and unintentional weight loss in nursing home residents.The purpose of this study was to revise a nurse nutrition questionnaire to reduce respondent burden and to examine the psychometric properties of the revised instrument. The revised instrument was then used to describe the relationship between nurse nutrition knowledge and unintentional weight loss in nursing homes across Northeast Indiana.A descriptive, correlational, and non-experimental design was used to describe the relationship between nurse nutrition knowledge and unintentional weight loss (UWL) in nursing home residents in Northeast Indiana. Licensed nurses (N = 101) from nine nursing homes were recruited for this study. Nurse nutrition knowledge was measured using a revised nutrition questionnaire (NKQ-R) and weight loss data was obtained from the Nursing Home Compare Database.Content validity of the NKQ-R was acceptable. Item analysis demonstrated six items below the acceptable point biserial of .15, and one question demonstrated a very high P value of 98 and had a nonfunctioning distracter response. Four of these problematic items were in subscale `3' (nutritional deficiencies of institutionalized older adults). Consistent with findings from previous studies, nurses scored below average on the nurse nutrition questionnaire, however relationships between nurse nutrition knowledge and unintentional weight loss were not supported. Level of nurse education was positively correlated with NKQ-R scores. Nursing home ownership type was significantly related to NKQ-R scores and unintentional weight loss; nurses working in not-for-profit nursing homes scored higher on the NKQ-R than nurses working in not-for-profit nursing homes, and not-for-profit nursing homes had a lower incidence of UWL than the for-profit nursing homes in this study.en_US
dc.typetexten_US
dc.typeElectronic Dissertationen_US
dc.subjectElderlyen_US
dc.subjectNurse nutrition knowledgeen_US
dc.subjectNursing homeen_US
dc.subjectUnintentional weight lossen_US
thesis.degree.namePh.D.en_US
thesis.degree.leveldoctoralen_US
thesis.degree.disciplineNursingen_US
thesis.degree.disciplineGraduate Collegeen_US
thesis.degree.grantorUniversity of Arizonaen_US
dc.contributor.advisorCrogan, Nevaen_US
dc.contributor.chairCrogan, Nevaen_US
dc.contributor.committeememberVelasquez, Donnaen_US
dc.contributor.committeememberCrist, Janiceen_US
dc.identifier.proquest11211en_US
dc.identifier.oclc752261057en_US
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