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Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Usage and awareness of nutritional screening tools by nurses caring for pediatric patients in Yozgat province
Aims: Malnutrition is a significant health issue in children and is closely related to prolonged hospital stays, increased complications, and mortality risk in hospitalized children. Effective use of nutritional screening tools is crucial for early detection of malnutrition. In this context, the active use of nutritional screening tools, the skill to use these tools, and the level of awareness about these tools among nurses who closely care for pediatric patients are vital factors that can potentially improve pediatric patients' health. Our study examines the usage and awareness of nutritional screening tools among nurses caring for pediatric patients in Yozgat province, a region with unique healthcare challenges and opportunities.
Methods: The study was planned as a prospective, descriptive, and cross-sectional design. Ninety-four nurses caring for pediatric patients in Yozgat province and its districts were administered an online questionnaire of 22 questions, which was designed to assess their knowledge, skills, and attitudes towards nutritional screening tools. The questionnaire was distributed through a secure online platform and included both closed-ended and open-ended questions. Data were evaluated using descriptive statistics with SPSS version 27.0.
Results: Of the participants, 78.7% were female and 21.3% were male. 60.6% of the participants were in the age range of 25-34 years, 62.8% had a bachelor's degree, 66% worked at state university hospitals, 30.9% had 6-10 years of professional experience, 74.5% were service nurses, and 39.4% had been involved with pediatric patients for 0-1 years. The most frequently cared age group was 3-6 years (19.9%) and 1-3 years (18.1%). 27.7% of the participants assessed nutrition risk status using visual assessment, 25.5% through anthropometric measurements, and 34% reported referring the physician and dietitian for intervention in risk detection. 47.9% indicated the presence of a screening scale in their institution, 57.1% used the form, 25.5% did not know the name of the screening scale, and 6.4% used the StrongKids scale.
Conclusion: Our study determined that nurses caring for pediatric patients often consider the screening scale as a secondary option for identifying the nutrition risk status, predominantly performing visual and anthropometric evaluations, and did not demonstrate sufficient proficiency or importance regarding screening scales. Although the determination of risk status varies according to the scale used, the significance of screening scales in detecting malnutrition is substantial. Therefore, our study recommends that necessary training be provided to pediatric nurses to use these tools more effectively and that current practices be reviewed. This will not only enable better assessment of the nutritional status of pediatric patients but also instill hope for the implementation of steps to prevent malnutrition.


1. Litchford A, Wengreen H, Savoie-Roskos MR. Tools available to screen for child feeding dysfunction: a systematic review. Appetite. 2021;167:105611. doi:10.1016/j.appet.2021.105611
2. Lovell AL, Laughton S, Wood A, Pugh G. Nutrition screening, assessment, and intervention practices for children with cancer in Aotearoa, New Zealand. Nutrition. 2023;116:112218. doi:10.1016/j.nut.2023.112218
3. Oksuz Esen C, Arusoglu G. Nutritional screening tools used in pediatric malnutrition. TJFMPC. 2023;17(1):195-206 doi:10.21763/tjfmpc.1067603
4. Becker PJ, Brunet-Wood MK. Pediatric malnutrition screening and assessment tools: analyzing the gaps. Nutr Clin Prac. 2022;37(5):1088-1104. doi:10.1002/ncp.10793
5. Zeybek C, Özkaya V. Pediatrik hastalarda beslenme durumunun taranması ve değerlendirilmesinde kullanılan ölçekler. Sağlık ve Yaşam Bilimleri Dergisi. 2023;5(3):170-179.
6. Örnek SH. (Tez) Strong kids (bozulmuş beslenme durumu ve büyüme riski için (tarama aracı) nöroloji servisinde yatan 5 ay-18 yaş grubu hastalara uygulanması. Aycan Ünalp (Danışman) 2018, S.B.Ü İzmir Dr. Behçet Uz Çocuk Hastaliklari Ve Cerrahisi Eğitim Ve Araştirma Hastanesi.
7. Becker PJ, Bellini SG, Vega MW, et al. Validity and reliability of pediatric nutrition screening tools for hospital, outpatient, and community settings: a 2018 evidence analysis center systematic review. Academy of nutrition and dietetics. J Acad Nutr Diet. 2020;120(2):288-318. doi:10.1016/J.Jand. 2019.06.257
8. Oruçoğlu B. Hastanede yatan çocuklarda STRONGkids tarama aracı ile malnutrisyon riskinin belirlenmesi. Tez, Danışman Noğay NH, 2016, Kayseri. Erciyes Üni Sağlık Bilimleri Enst., Beslenme ve Diyetetik AD.
9. White M, Lawson K, Ramsey R, et al. Simple nutrition screening tool for pediatric inpatients.JPEN J Parenter Enteral Nutr. 2016;40(3):392-398. doi: 10.1177/0148607114544321
10. Lestari NE, Nurhaeni N, Wanda D. The pediatric Yorkhill malnutrition score ıs a reliable malnutrition screening tool.Compr Child Adolesc Nurs. 2017;40(sup1):62-68. doi:10.1080/24694193.2017.1386972
11. Hulst JM, Huysentruyt K, Joosten KF. Pediatric screening tools for malnutrition: an update.Curr Opin Clin Nutr Metab Care. 2020;23(3):203-209. doi:10.1097/MCO.0000000000000644
12. Carter LE, Shoyele G, Southon S, et al. Screening for pediatric malnutrition at hospital admission: which screening tool ıs best?.Nutr Clin Pract. 2020;35(5):951-958. doi:10.1002/ncp.10367
13. Huysentruyt K, Alliet P, Muyshont L, et al. The STRONG(kids) nutritional screening tool in hospitalized children: a validation study.Nutrition. 2013;29(11-12):1356-1361. doi:10.1016/j.nut.2013.05.008
14. Castro JDS, Santos CAD, Rosa COB, Firmino HH, Ribeiro AQ. STRONGkids nutrition screening tool in pediatrics: An analysis of cutoff points in Brazil.Nutr Clin Pract. 2022;37(5):1225-1232. doi:10.1002/ncp. 10807
15. Yalcin N, Cihan A, Gundogdu H, Ocakci A. Nutrition knowledge level of nurses. Health Sci J. 2013;7(1):99-108
16. Lane C, Wedlake LJ, Dougherty L, Shaw C. Attitudes towards and knowledge of nutrition support amongst health care professionals on London intensive care units.J Hum Nutr Diet. 2014;27(Suppl 2):339-351. doi:10.1111/jhn.12152?
17. Fjeldstad SH, Thoresen L, Mowé M, Irtun Ø. Changes in nutritional care after implementing national guidelines-a 10-year follow-up study.Eur J Clin Nutr. 2018;72(7):1000-1006. doi:10.1038/s41430-017-0050-5
18. Chapman C, Barker M, Lawrence W. Improving nutritional care: innovation and good practice.J Adv Nurs. 2015;71(4):881-894. doi:10.1111/jan.12571
Volume 2, Issue 1, 2025
Page : 11-16
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