Development and implementation of a multifaceted strategy to reduce excessive fasting in an acute surgical setting using the behavior change wheel framework.
Background: Excessive fasting for tests and procedures within the hospital setting remains commonplace, despite clear evidence of the benefits related to reduced fasting. There is minimal research addressing the issue of prolonged preoperative fasting. The aim of this study was to undertake a pre/po...
| Publicado en: | Nutrition in Clinical Practice Vol. 40; no. 6; pp. 1457 - 1465 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2025
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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=189132302&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189132302 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08845336 IKQ jtl: Nutrition in Clinical Practice issn: 08845336 maglogo: N pubinfo: dt: Dec2025 vid: 40 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 189132302 187547411 189132302 189132302 10.1002/ncp.70024 189132302 ppf: 1457 ppct: 8 formats: tig: atl: Development and implementation of a multifaceted strategy to reduce excessive fasting in an acute surgical setting using the behavior change wheel framework. aug: au: Carey, Sharon Hardy, Rachel Waller, Kiah affil: Department of Nutrition and Dietetics, Royal Prince Alfred Hospital, Sydney New South Wales,, Australia sug: subj: Fasting Implementation Science Behavioral Changes Acute Care Surgery Australia Preoperative Care Program Development Human Funding Source Australia Female Male Adult Middle Age Aged Aged, 80 and Over Prospective Studies Multimethod Studies Interviews Questionnaires Descriptive Statistics Data Analysis Software Convenience Sample Kruskal-Wallis Test Conceptual Framework Time Factors Practice Guidelines Confidence Patient-Reported Outcomes Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Female Male ab: Background: Excessive fasting for tests and procedures within the hospital setting remains commonplace, despite clear evidence of the benefits related to reduced fasting. There is minimal research addressing the issue of prolonged preoperative fasting. The aim of this study was to undertake a pre/post implementation study using multifaceted interventions to reduce excessive fasting on acute surgical wards within a quaternary hospital in Sydney, Australia, using the behavior change wheel (BCW) framework. Methods: The BCW was used to identify key strategies to address barriers to implementing evidence‐based fasting guidelines. A pre/post implementation study using multifaceted interventions to reduce excessive fasting on acute surgical wards was implemented over a 3‐month period. The primary outcome was preoperative fasting time in hours. Clinician interviews were conducted to assess the benefit of each of the interventions within the study. Results: On completion of preimplementation data collection, strategies were implemented including ward education, guideline promotion, patient stories, patient‐facing flyers, and audit and feedback. There was no significant difference between fasting times pre and post intervention. Clinician interviews showed increased awareness and increased confidence. Conclusion: This pre/post implementation study was unable to significantly reduce fasting times, but did show increased clinician awareness and a trend towards improved patient‐reported outcomes. Future research needs to ensure a larger sample size, as well as incorporating emerging strategies such as "sip‐to‐send" or "think‐drink." pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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