A haemodialysis nutritional screening tool for nurses : a pilot study

Bennett, P., Breugelmans, L., Meade, A. and Parkhurst, D. 2005, A haemodialysis nutritional screening tool for nurses : a pilot study, EDTNA/ERCA journal, vol. 31, no. 3, July-September, pp. 143-146.

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Title A haemodialysis nutritional screening tool for nurses : a pilot study
Author(s) Bennett, P.
Breugelmans, L.
Meade, A.
Parkhurst, D.
Journal name EDTNA/ERCA journal
Volume number 31
Issue number 3
Season July-September
Start page 143
End page 146
Publisher European Dialysis & Transplant Nurses Association
Place of publication Paris, France
Publication date 2005-07
ISSN 1755-6678
1755-6686
Keyword(s) nutrition
screening tool
dialysis
nursing
Summary The purpose of the study was to pilot a nurse-performed nutritional screening tool (NST) for dialysis patients in order to identify nutritionally at-risk patients. Haemodialysis (HD) patients are at risk of nutritional-related problems. Nutritional screening by nurses may assist in the early recognition of and response to these problems. An NST was developed using 9 screening parameters. (BMI, weight change, poor appetite, GI symptoms, albumin, pre-dialysis urea, K+, PO4++, HbA1c). The NST was compared with Standard Dietitian Assessment (SDA). 44 HD patients were screened with the NST and then with SDA. The tool showed sensitivity of 0.7 (95%CI+/- 0.21) and a specificity of 0.77 (95%CI+/-0.16). Reliability was low (alpha = .18). Alpha increased to 0.32 if pre-dialysis urea was removed from the tool and increased to 0.48 if weight loss, appetite, K+ and PO4++ were used alone. The pilot study showed a low reliability of the NST compared with SDA. With further analysis and modifications, the NST has the potential to assist nutritional screening by nurses in dialysis centres that have limited dietetic access.
Language eng
Field of Research 110312 Nephrology and Urology
Socio Economic Objective 920199 Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2005, Wiley-Blackwell
Persistent URL http://hdl.handle.net/10536/DRO/DU:30033136

Document type: Journal Article
Collection: School of Nursing and Midwifery
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