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Health Care Professionals' Usage and Documentation of a Swedish Quality Registry Regarding Preventive Nutritional Care

Johansson, Linda PhD, RN; Wijk, Helle PhD, RN; Christensson, Lennart PhD, RN

Quality Management in Health Care: January/March 2017 - Volume 26 - Issue 1 - p 15–21
doi: 10.1097/QMH.0000000000000116
Original Articles

Objectives: To describe health care staff members' usage and documentation in a Swedish quality registry focusing on a preventive care process regarding the risk area of malnutrition among persons with dementia. The preventive care process includes risk assessment, analysis of underlying causes, planning and performing interventions, as well as evaluating effects.

Methods: Data were collected from 2 Swedish quality registries, Senior Alert and the Swedish Dementia Register (Svedem). In total, 1929 people with dementia were assessed and 1432 registered as being at risk of malnutrition or malnourished.

Results: Performed nutritional interventions were registered in approximately 65% of cases. In more than 80% of registrations, the analyses of underlying causes were missing. Those who had registered underlying causes had significantly more interventions and the evaluation of the performed intervention was registered. The time between assessment and evaluation depended on care setting and ranged from 0 to 702 days.

Conclusions: Limitations in registration were noted; however, the register allows staff to focus on nutritional care and has resulted in many risk assessments. Rarely people were registered in all steps of the preventive care process. Large variances in when the performed interventions were evaluated makes it difficult to measure improvements.

School of Health and Welfare, Institute of Gerontology and Department of Nursing (Dr Johansson), and School of Health and Welfare, Department of Nursing (Dr Christensson), Jönköping University, Jönköping, Sweden; and Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden (Dr Wijk).

Correspondence: Linda Johansson, PhD, RN, School of Health and Welfare, Jönköping University, Box 1026, S-551 11 Jönköping, Sweden (linda.johansson@ju.se).

This study was supported by grants from the Swedish Research Council, dnr 521-2013-8689, and Futurum, the Academy for Health and Care Region Jönköping County, Sweden, dnr FUTURUM-421321.

The authors declare no conflicts of interest.

© 2017Wolters Kluwer Health | Lippincott Williams & Wilkins