Systematised, Interdisciplinary Malnutrition Program for impLementation and Evaluation delivers improved hospital nutrition care processes and patient reported experiences – An implementation study.
Aim: Models of hospital malnutrition care reliant on dietitians can be inefficient and of limited effectiveness. This study evaluated whether implementing the Systematised, Interdisciplinary Malnutrition Program for impLementation and Evaluation (SIMPLE) improved hospital nutrition care processes an...
| Publicado en: | Nutrition & Dietetics Vol. 78; no. 5; pp. 466 - 476 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153480595&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153480595 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14466368 QMK jtl: Nutrition & Dietetics issn: 14466368 maglogo: Y pubinfo: dt: Nov2021 vid: 78 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 153480595 149628932 153480595 153480595 10.1111/1747-0080.12663 153480595 ppf: 466 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Systematised, Interdisciplinary Malnutrition Program for impLementation and Evaluation delivers improved hospital nutrition care processes and patient reported experiences – An implementation study. aug: au: Bell, Jack J. Young, Adrienne M. Hill, Jan M. Banks, Merrilyn D. Comans, Tracy A. Barnes, Rhiannon Keller, Heather H. affil: Allied Health, The Prince Charles Hospital, Metro North HHS, Brisbane Queensland,, Australia sug: subj: Malnutrition Prevention and Control Nutritional Assessment Program Implementation Nutritional Support Patient Attitudes Program Evaluation Hospital Programs Multidisciplinary Care Team Human Comparative Studies Multicenter Studies Prospective Studies Purposive Sample Male Female Descriptive Statistics Documentation Implementation Science Male Female ab: Aim: Models of hospital malnutrition care reliant on dietitians can be inefficient and of limited effectiveness. This study evaluated whether implementing the Systematised, Interdisciplinary Malnutrition Program for impLementation and Evaluation (SIMPLE) improved hospital nutrition care processes and patientreported experiences compared with traditional practice. Methods: A multi‐site (five hospitals) prospective, pre‐post study evaluated the facilitated implementation of SIMPLE, a malnutrition care pathway promoting proactive nutrition support delivered from time of malnutrition screening by the interdisciplinary team, without need for prior dietetic assessment. Implementation was tailored to local site needs and resources. Nutrition care processes delivered to inpatients who were malnourished or at‐risk of malnutrition were identified across diagnosis, intervention, and monitoring domains using standardised audits from medical records, foodservice systems and patient‐reported nutrition experience measures. Results: Pre‐implementation (n = 365) and post‐implementation (n = 397) cohorts were similar for age (74 vs 73 years), gender (47.1% vs 48.6% female), and nutrition risk status (46.6% vs 45.3% at‐risk). Post‐implementation, at‐risk participants were more likely to receive enhanced food and fluids (68.5% vs 83.9%; P <.01), nutrition information (30.9% vs 47.2%; P <.01), mealtime assistance where required (61.4% vs 77.9% P =.04), nutrition monitoring (25.2% vs 46.3%; P <.01) and care planning (17.8% vs 27.7%; P =.01). Patient‐reported nutrition experience measures confirmed improved nutrition care. There was no difference in dietetic occasions of service per patient (1.51 vs 1.25; P =.83). Conclusions: Tailored SIMPLE implementation improves nutrition care processes and patient reported nutrition experience measures for at‐risk inpatients within existing dietetic resources. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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