{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T05:48:55Z","timestamp":1791524935095,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Daily nutritional care is often nurse\u2010led, with clinical dietitians involved only upon referral. This study explored the effects of integrating clinical dietitians into daily nutritional care through reallocation of nutritional care tasks at a medical pulmonary ward, focusing on nutritional risk screening practices, patient nutritional intake, and professional perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multimethod study included three substudies: (1) a retrospective cohort analysis of nutritional risk screening practices, (2) a quasi\u2010experimental comparison of nutritional intake between a historical control group and the intervention group, and (3) qualitative interviews with nurses and clinical dietitians following completion of the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In substudy 1, 1678 admissions were analysed. During clinical dietitian\u2010led nutritional care, 55% of patients were screened within 24\u2009h of admission and 76% overall, compared to 29% and 43% during nurse\u2010led care. In substudy 2, a greater proportion of patients in the intervention group achieved \u2265\u200975% of their energy requirements than in the control group (79% vs. 57%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023), whereas differences in protein intake were not statistically significant (50% vs. 35%). In substudy 3, both professions reported improved nutritional care and collaboration. Nurses described relief but reduced awareness of patients' nutrition, while clinical dietitians found the new tasks meaningful but challenging. Coordination and dialogue were important in adapting to changed routines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reallocating nutritional care tasks from nurses to clinical dietitians was associated with improved nutritional risk screening, higher energy coverage, and stronger interdisciplinary collaboration, particularly when supported by close coordination and dialogue between clinical dietitians and nursing staff.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70363","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:49:58Z","timestamp":1791521398000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Nurse\u2010Led to Clinical Dietitian\u2010Led Nutritional Care in Hospital Practice: Changes in Nutritional Risk Screening Rates, Patient Nutritional Intake and Professional Perspectives"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7307-7215","authenticated-orcid":false,"given":"Marianne Boll","family":"Kristensen","sequence":"first","affiliation":[{"name":"Department of Nutrition G\u00f8dstrup Hospital Herning Denmark"},{"name":"NIDO, Centre for Research and Education G\u00f8dstrup Hospital Herning Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2530-6098","authenticated-orcid":false,"given":"Ingeborg Krarup","family":"Rask","sequence":"additional","affiliation":[{"name":"Department of Nutrition G\u00f8dstrup Hospital Herning Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1690-0122","authenticated-orcid":false,"given":"Lene Nissen M\u00f8ller","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Medicine G\u00f8dstrup Hospital Herning Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5340-892X","authenticated-orcid":false,"given":"Kirstine Guld","family":"Frederiksen","sequence":"additional","affiliation":[{"name":"Department of Nutrition G\u00f8dstrup Hospital Herning Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6144-2087","authenticated-orcid":false,"given":"Alexander","family":"Erichsen","sequence":"additional","affiliation":[{"name":"Department of Nutrition G\u00f8dstrup Hospital Herning Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2162-4085","authenticated-orcid":false,"given":"Lone","family":"Viggers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2015.06.007"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2023.07.016"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2008.03.012"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0261-5614(03)00098-0"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.09.039"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(18)32776-4"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2020.10.019"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.13025"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1339-0"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12011"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12562"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14020"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.20935\/AcadNutr8269"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(07)61602-x"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.94.3.361"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0261-5614(02)00214-5"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2023.12.015"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-8223(03)00971-4"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs.2009.037895"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.4.12.370"},{"key":"e_1_2_11_23_1","volume-title":"Underern\u00e6ring: Opsporing, behandling og opf\u00f8lgning af borgere og patienter i ern\u00e6ringsrisiko. 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