A systematic review to determine the effect of organisational level interventions on nutritional, clinical and patient-centred outcomes

Abstract

12/12 FRCs ward A (13/15 ward B) were incomplete. Mid-morning drink (4/ 12) and evening meal (4/12) were most frequently omitted on ward A, whereas, milk/cream at breakfast (11/15) followed by mid-morning snack (6/15) and evening meal (6/15) were omitted from ward B. 'Portion eaten' was frequently omitted from FRCs on both wards despite consumption being observed (8/12 FRCs ward A; 5/15 FRCs ward B) this mostly for lunch. Discrepancies also existed between food items documented on FRCs to those observed and weighed, for example, 4/12 FRCs misclassified the type of spread and 3/15 misclassified drinks. These findings support the need for further development of FRCs and training of staff to ensure appropriate completion and thus accurate estimation of intakes to better inform nutritional care.