Mealtime assistance for older adults in hospital settings and rehabilitation units from the perspective of patients, families and healthcare professionals

Edwards, Deborah; Carrier, Judith; Hopkinson, Jane B.

doi:10.11124/jbisrir-2016-003100

Cited by 13 publications

(20 citation statements)

References 48 publications

(354 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This component was determined as a multidisciplinary nutritional intervention if more than one profession was involved in nutritional support [52]. The effectiveness of interprofessional food promoting culture was explicitly investigated in two systematic reviews [49,52]. One synthesis was that 'Mealtimes should be viewed as a high priority,' which was considered in multidisciplinary projects [49].…”

Section: Synthesis Of Results-components Of Effective Interventions T...mentioning

confidence: 99%

“…Patients' assistance was an intervention component examined in several studies. The included systematic reviews described that employed assistants effectively increased energy intake and nutritional status in older people in hospitals during mealtimes [49]. Abbott et al [47] integrated research on the effect of positive reinforcement, correct positioning or one-to-one feeding assistance leading to increased food intake.…”

Section: Synthesis Of Results-components Of Effective Interventions T...mentioning

confidence: 99%

See 1 more Smart Citation

Interventions to optimise nutrition in older people in hospitals and long‐term care: Umbrella review

Brunner

Mayer

Qin

et al. 2021

Scandinavian Caring Sciences

View full text Add to dashboard Cite

Background Inpatients have a high need for protein‐energy intake because of increased physical stress metabolism due to illnesses. Protein‐energy undernutrition in older patients increases the risk of complications such as falls, pressure ulcers and even death. An overview of effective interventions addressing this complex issue of malnutrition in older people is missing. Aims To give an overview of effective interventions to optimise nutrition in older people in hospitals and long‐term care. Design An umbrella review, according to the Joanna Briggs Institute and PRISMA statement, was conducted in April 2020. Methods A systematic search of publications from 2010 until 2020 was conducted in CINAHL, PubMed and Cochrane Database. Included were studies reporting nutrition interventions that involved nurses or the interprofessional team in optimising older hospitalised people's nutrition. Excluded were studies investigating the effects of parenteral nutrition, certain food supplements or tube feeding and research from intensive, community or palliative care. Components of interventions were classified according to the intervention Nutrition management: Patients’ assistance, patients’ instruction, foodservice, environment for meals and nutrient‐dense snacks. Findings Included were 13 reviews from 19 countries of the continents Asia, Australia, Europe and North America from hospitals and long‐term care settings. An interprofessional food promoting culture, including staff training as part of a multi‐component measure, has shown to be a successful element in implementing activities of Nutrition Management. Conclusion Several studies synthesised that optimising nutrition in older people in hospitals and long‐term care is achievable. Interventions were effective if—on a meta‐level—staff training was addressed as part of a multi‐component measure to reach an interprofessional food promoting culture. Implications for practice Interventions to optimise older people's nutrition have to consider an interprofessional food promoting culture, including staff training about the importance of nutrition, patients’ assistance and an appropriate environment for meals.

show abstract

Section: Synthesis Of Results-components Of Effective Interventions T...mentioning

confidence: 99%

Section: Synthesis Of Results-components Of Effective Interventions T...mentioning

confidence: 99%

Interventions to optimise nutrition in older people in hospitals and long‐term care: Umbrella review

Brunner

Mayer

Qin

et al. 2021

Scandinavian Caring Sciences

View full text Add to dashboard Cite

show abstract

“…Mealtime assistance is crucial, as it enhances nutritional intake, clinical outcomes, and the patient experience. 43…”

Section: Providing Familiar Foodmentioning

confidence: 99%

Understanding Patients’ Meal Experiences through Staff’s Role: Study on Malaysian Public Hospitals

Vijayakumaran¹,

Eves

Lumbers

2018

Hosp Pract Res

View full text Add to dashboard Cite

Background: One way to improve hospital food provision is certainly by understanding the management of hospital foodservices, but there is limited detailed information about staff roles in food provision in many hospitals around the world. Objective: The hospital meal experience of patients, a part of the services provided by hospitals, is becoming important. Therefore, the role of various hospital staff members was studied through their behavior, attitudes, and practices so as to understand how the foodservice system works to address patients' food consumption. Methods: This qualitative research used the convenient sampling method. Data was collected by interviewing twenty hospital employees with different job scopes (nurses, doctors, dietitians, foodservice managers, and directors of hospital foodservices) in 6 public hospitals. Results: Themes such as providing familiar food, food as the motivational factor for consumption, empathy shown by staff, and influences of the eating environment were identified using content analysis. Conclusion: The viewpoints and experiences of key stakeholders facilitated the understanding of various factors involved in the provision of hospital food which affect patients' decisions to accept and consume food.

show abstract

“… 14 While other studies investigated and reported findings on meal assistance or supportive interventions aimed at enhancing intake. 15 , 16 However, the review undertaken by Rasmussen et al, 17 specifically examined the effectiveness of multidisciplinary nutritional care, including nutritional support and dietary counseling in older hospitalized patients. It concluded that multidisciplinary nutritional support improves patients’ quality of life and has a positive effect on mortality.…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary Provision of Food and Nutritional Care to Hospitalized Adult In-Patients: A Scoping Review

Yinusa

Scammell

Murphy

et al. 2021

JMDH

View full text Add to dashboard Cite

Purpose Multidisciplinary approaches to nutritional care are increasingly emphasized and recommended. However, there is little evidence of how different disciplines work together collaboratively to deliver optimum quality care to adult in-patients. This scoping review aimed to describe the existing literature on multidisciplinary collaboration to identify the various disciplines involved and the features that influence collaborative working in implementing multidisciplinary food and nutritional care with adult in-patients. Methods Multiple databases were searched, including MEDLINE Complete, Embase, CINAHL Complete, HMIC, and Scopus, from their inception to December 2019. Data were retrieved from eligible studies. A narrative description of findings is reported with respect to the disciplines involved, the aspects of nutritional care explored, and the collaborative processes categorized using the input, process, and outcome framework. Results Thirty-one studies with heterogeneous study designs met the eligibility criteria. Studies were undertaken in six countries. Findings show a wide diversity of multidisciplinary collaborations in various aspects of nutritional care in all studies. Multidisciplinary nutritional care provision was facilitated by several processes, including training and development, communication and information sharing, and clinical leadership and management support. Outcomes were reported at the patient, team, and organizational levels. Conclusion This review reveals the significance of the interrelationship between different disciplines and their complementary contributions towards the delivery of optimal food and nutritional care. Key aspects include the involvement of different disciplines, the clarification of roles and multidisciplinary interrelationships, communication, information sharing, clinical leadership, and management support, all of which facilitated collaborative working. Our review uncovered that these features can significantly influence multidisciplinary working. This review is the first to present literature concerning the attributes that affect collaborative working. Further research is recommended specifically around multidisciplinary nutritional care processes and conditions that allow for better collaborative working.

show abstract

Mealtime assistance for older adults in hospital settings and rehabilitation units from the perspective of patients, families and healthcare professionals

Cited by 13 publications

References 48 publications

Interventions to optimise nutrition in older people in hospitals and long‐term care: Umbrella review

Interventions to optimise nutrition in older people in hospitals and long‐term care: Umbrella review

Understanding Patients’ Meal Experiences through Staff’s Role: Study on Malaysian Public Hospitals

Multidisciplinary Provision of Food and Nutritional Care to Hospitalized Adult In-Patients: A Scoping Review

Contact Info

Product

Resources

About