Aktuelle Ernährungsmedizin 2017; 42(03): 241-272
DOI: 10.1055/s-0037-1603278
Poster
Georg Thieme Verlag KG Stuttgart · New York

THE ME-NU STUDY – DOES MULTIFACETED NUTRITIONAL EDUCATION IMPROVE MALNUTRITION MANAGEMENT IN HOSPITALS?

E Aubry
1   Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, and University of Bern, Bern
,
P Cadisch
2   Division of Clinical Pharmacy and Epidemiology and Hospital Pharmacy, University of Basel, Basel, Switzerland
,
C Aeberhard
1   Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, and University of Bern, Bern
,
S Mühlebach
2   Division of Clinical Pharmacy and Epidemiology and Hospital Pharmacy, University of Basel, Basel, Switzerland
,
Z Stanga
1   Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, and University of Bern, Bern
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
20. Juni 2017 (online)

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    Introduction:

    Disease-related malnutrition (DRM) is a condition that results from a lack of sufficient uptake or intake of energy and nutrients. It leads to altered body composition with diminished function and a negative clinical outcome. DRM is a worldwide problem that is highly prevalent (20 – 50% of the admitted patients in hospitals). It has negative effects on health and is often associated with an increased risk of complications, including increased morbidity and mortality rates with concomitant economic impact. Nutritional education of physicians is vital in treating and preventing DRM. The physicians' initial knowledge about the management of malnutrition is poor, due to little emphasis laid on clinical nutrition in medical education and training. However, knowledge is an eminent factor to ameliorate malnutrition management in hospitals. It is important to clearly define the responsibilities and to develop optimized processes to compensate lack of time to manage malnutrition in hospitals.

    Objectives:

    The aim of the master thesis was to design and plan the ME-NU study (Medical Education – Nutrition), that examines the effect of multifaceted nutritional education for resident and senior physicians on their knowledge and its translation to clinical practice. This study will be conducted in January 2018.

    Methods:

    The required documents for the Ethics Committee were prepared, reviewed in various expert rounds and submitted. Two educational tools (interactive case presentation and online case vignettes) were developed and tested with medical students to evaluate the performance.

    Results:

    The documents submitted were analyzed by the Ethics Committee and considered not needing approval. In the evaluation trials, interactive case presentation and online case vignettes improved the students' knowledge by 10.7% (n = 7, p = 0.061) and 1.2% (n = 27, p = 0.691), respectively. Both strategies increased the awareness of clinical nutrition to the students and were rated as instructive. Physicians are interested in clinical nutrition, but the lack of knowledge, time pressure, and unclear responsibility negatively impact the issue.

    Conclusion:

    The interactive case presentation represents an appropriate method to educate students. The contribution of the online case vignettes can be further improved by including a personal introduction to the topic, incorporating additional exercises and spending more time on the theory blocks. Additionally, during the online education, focus on the education needs to be guaranteed.

    Disclosure of Interest:

    None declared.


     

    Die Autoren geben an, dass kein Interessenkonflikt besteht.