Table 4 Nurses’ performance objectives, determinants and change objectives
Program goal: Nursing staff at anaesthesia outpatient clinics support patients in achieving an adequate nutritional intake, leading to an improvement or maintenance in patients’ nutritional status. | ||||
|---|---|---|---|---|
Performance objectives | Important and changeable determinants and the related change objectives | |||
Knowledge | Self-efficacy and skills | Attitude | Outcome expectation | |
Nurses offer patients the intervention map at the outpatient clinic. | K1.The nurse knows that the intervention map has to be offered to the patient during the outpatient clinic visit. | SE1.The nurse states to be convinced that she is able to offer the intervention map to the patient during the outpatient clinic visit. | A1.The nurse states to be convinced that he/she is able to offer patients the intervention map. | OE1.The nurse expects to improve patients’ knowledge and attitude when this intervention map is handed out to every patient. |
Nurses actively invite patients to think about possible causes of their undernutrition. | K2.1.The nurse knows why it is important to let the patient think about the cause of undernutrition. K2.2. The nurse knows which factors may lead to undernutrition. | SE2.The nurse is convinced that she is able to actively invite the patient to discuss possible causes of undernutrition. SE2. The nurse is convinced that she is able to discuss possible causes of undernutrition. | A2.The nurse states that it is important to invite the patient to tell what a possible cause might be of undernutrition. | OE2. The nurse expects that the patient understand the personal causes of undernutrition. |
Nurses inform and advice about the causes of undernutrition and energy- and protein rich food | K3. The nurse knows the causes and consequences of undernutrition and know the benefit of and what energy- and protein-rich food is. | SE3. The nurse states to be able to advise the patients about how to deal with underlying cause (s) and energy- and protein-rich food. | A3. The nurse is convinced that it is important to support the patient to have an good nutritional intake and status, and that she as a vital role in it. | OE3. The nurse expects that the patient know how to improve nutritional intake and status. |
Nurses will instruct the patients to record nutritional intake in a food diary. | K4.1. The nurse knows the content of the food diary. K4.2. The nurse knows the procedure of recording the nutritional intake and how to help the patient with it. | SE4. The nurse states to be able to instruct the patient to record nutritional intake. | A4. The nurse states that it is important to instruct the patient to record nutritional intake. | OE4. The nurse expects the patient to be able to adequalty record his/her nutritional intake for 2 days. |