“Assessment of Malnutrition Care Practices and Knowledge in Lebanese Hospitals

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dc.contributor.author Kawtharani, Fatima
dc.date.accessioned 2022-04-11T11:36:02Z
dc.date.available 2022-04-11T11:36:02Z
dc.date.copyright 2020 en_US
dc.date.issued 2020-08-19
dc.identifier.uri http://hdl.handle.net/10725/13470
dc.description.abstract Undernutrition is a debilitating and highly common condition in the acute hospital setting and it is associated with devastating adverse health and economic outcomes. Several guidelines aim to standardize and optimize hospital malnutrition care practices; however such practices are still insufficient in certain areas due to several barriers especially in developing countries like Lebanon. Data on the current situation of malnutrition care practices in Lebanese hospitals is still unavailable. Therefore, this study aims to describe the quality of malnutrition care in Lebanese hospitals and explore barriers and facilitators to these practices in order to ultimately implement potential strategies to achieve optimal practice. The study is of an observational cross-sectional design where data was collected online through validated questionnaires by the Malnutrition Quality Improvement Initiative MQii addressing actual malnutrition practices, malnutrition knowledge and awareness, as well as the hospitals’ readiness to implement initiatives pertinent to malnutrition care. In addition, semi-structured interviews were held with eight dietitians to acquire qualitative data mainly on the barriers and facilitators of proper malnutrition care. Fifty-eight out of 95 hospitals completed the practice questionnaire. Results showed that private hospitals scored better than governmental hospitals for the malnutrition practice questionnaire (80.4% of private hospitals scored in the “Good Practice” category versus 37.5% for governmental hospitals: P-value= 0.009) and that the presence of a documented malnutrition care protocol was significantly associated with this practice score (P-value = 0.045). Moreover, for malnutrition knowledge and awareness score, the mean average was 8.56 ± 3.22 out of 17 and it was significantly associated with the hospital academic affiliation (P-value = 0.016), location (P-value = 0.006), and size (P-value = 0.036). In addition, the most common barriers identified from the interviews were related to human and financial resources and potential facilitators were mostly related to inter-professional communication and protocol standardization. In conclusion, practice gaps and areas of development were identified in this study in order to serve as a first step for hospitals eager to apply a quality improvement initiative for their malnutrition management systems. en_US
dc.language.iso en en_US
dc.subject Hospitals -- Food service -- Management en_US
dc.subject Nutrition -- Evaluation en_US
dc.subject Malnutrition -- Statistics en_US
dc.subject Lebanese American University -- Dissertations en_US
dc.subject Dissertations, Academic en_US
dc.title “Assessment of Malnutrition Care Practices and Knowledge in Lebanese Hospitals en_US
dc.type Thesis en_US
dc.title.subtitle A Cross-sectional Study” en_US
dc.term.submitted Spring en_US
dc.author.degree MS in Nutrition en_US
dc.author.school SAS en_US
dc.author.idnumber 201404615 en_US
dc.author.commembers Fakih El Khoury, Cosette
dc.author.commembers Ouaijan, Krystel
dc.author.department Natural Sciences en_US
dc.description.physdesc 1 online resource (xi, 101 leaves) : ill. en_US
dc.author.advisor Mattar, Lama
dc.keywords Malnutrition Care Practice en_US
dc.keywords Malnutrition Knowledge en_US
dc.keywords Malnutrition Screening en_US
dc.keywords Facilitators en_US
dc.keywords Barriers en_US
dc.description.bibliographiccitations Includes bibliographical references (leaf 61-64) en_US
dc.author.email fatima.kawtharani@lau.edu en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php en_US
dc.publisher.institution Lebanese American University en_US
dc.author.affiliation Lebanese American University en_US

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