Insufficient nutritional knowledge among health care workers?

Background & aims: Though a great interest and willingness to nutrition therapy, there is an insufficient practice compared to the proposed ESPEN guidelines for nutrition therapy. The aim of this questionnaire was to study doctors and nurses' self-reported knowledge in nutritional practice, with focus on ESPEN's guidelines in nutritional screening, assessment and treatment. Methods: A questionnaire about different aspects of nutritional practice was answered by 4512 doctors and nurses in Denmark, Sweden and Norway. Results: The most common cause for insufficient nutritional practice was lack of nutritional knowledge. Twenty-five percent found it difficult to identify patient in need of nutritional therapy, 39% tacked techniques for identifying malnourished patients, and 53% found it difficult to calculate the patients' energy requirement and 66% tacked national guidelines for clinical nutrition. Twenty-eight percent answered that insufficient nutrition practice could Lead to complications and prolonged hospital stay. Those that answered that their nutritional knowledge was good had also a better nutritional practice. Conclusion: The self-reported nutritional knowledge was inadequate among Scandinavian doctors and nurses. Increased nutritional knowledge seems to improve the nutritional practice. A combination of an integrated nutrition curriculum during the education, together with postgraduated education for both physicians and nurses should be established. (c) 2008 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.