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PURPOSE To determine the applicability of the Nursing Outcomes Classification (NOC) after nutritional counseling intervention in malnourished patients. METHODS Prospective, randomized, open‐label study in 106 hospital patients with malnutrition. The NOC indicators evaluated were 162202 and 180201. FINDINGS The intervention group significantly increased both NOC indicator scores compared with the control group, these indicators significantly correlated with body mass index, Malnutrition Universal Screening Tool, and Barthel's Index. CONCLUSION The NOC indicators are sensitive to patients’ changes in clinical practice, and correlate well with other indicators in this context. IMPLICATIONS FOR NURSING PRACTICE The NOC can be used to assess malnourished patients in the clinical setting.

Background: Patients with advanced cancer, receiving at-home palliative care, are subject to numerous symptoms that are changeable and often require attention, a stressful situation that also impacts on the family caregiver. It has been suggested that music therapy may benefit both the patient and the caregiver. We propose a study to analyse the efficacy and cost utility of a music intervention programme, applied as complementary therapy, for cancer patients in palliative care and for their at-home caregivers, compared to usual treatment. Method: A randomised, double-blind, multicentre clinical trial will be performed in cancer patients in at-home palliative care and their family caregivers. The study population will include two samples of 40 patients and two samples of 41 caregivers. Participants will be randomly assigned either to the intervention group or to the control group. The intervention group will receive a seven-day programme including music sessions, while the control group will receive seven sessions of (spoken word) therapeutic education. In this study, the primary outcome measure is the assessment of patients' symptoms, according to the Edmonton Symptom Assessment System, and of the overload experienced by family caregivers, measured by the Caregiver Strain Index. The secondary outcomes considered will be the participants' health-related quality of life, their satisfaction with the intervention, and an economic valuation.

According to the World Health Organization (WHO, 2018), patient safety is a major public health problem worldwide. There is a 1 in 300 chance that a patient will be injured while receiving health care (WHO, 2018). Using conservative estimates, recent data show that patient harm is the fourteenth main cause of morbidity and mortality worldwide (Jha et al., 2013). Although patient harm during hospital admissions is the most widely studied situation, recent literature reviews have observed that medical errors in primary care occur between 5 and 80 times per 100,000 consultations (Sandars & Esmail, 2003). Safety lapses in primary and ambulatory care are, therefore, common and in many cases avoidable. It has been estimated that in developed and developing countries, up to 20% or 25%, respectively, of the general population experience harm in the health care setting

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the prevalence of frailty syndrome in patients with diabetes was higher compared with those in general population over 65 years of age. Frailty was related to lower systolic blood pressure, higher triglycerides concentrations, poorer nutritional status, and lower independency to perform instrumental activities of daily living and poorer balance.

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