Nursing Minimum Data Sets for documenting nutritional care for adults in primary healthcare: a scoping review

Håkonsen, Sasja Jul; Pedersen, Preben Ulrich; Bjerrum, Merete; Bygholm, Ann; Peters, Micah D J

doi:10.11124/jbisrir-2017-003386

Cited by 7 publications

(12 citation statements)

References 45 publications

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“…First, a systematic scoping review using The Joanna Briggs Institute's approach for the conduct of systematic scoping reviews was utilized to map the available evidence underpinning the development of an MDS. 51,52 Second, the data included from the scoping review were analysed using the content analysis approach [53][54][55] (see Figure 1).…”

Section: Designmentioning

confidence: 99%

Speaking the same language: Development of a Nutrition Minimum Data Set for healthcare professionals in primary healthcare

Håkonsen

Pedersen

Bygholm

et al. 2019

Health Informatics J

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Providing the best possible nutritional care requires accurate and precise communication between healthcare professionals. Developing a Nutrition Minimum Data Set will inform professionals in primary healthcare of which core elements should be documented and facilitate a standardized approach to the documentation of nutritional care. A two-step methodological approach was utilized in this study: (1) a systematic scoping review was conducted to map evidence underpinning the development of a Minimum Data Set and (2) the datasources were categorized using the inductive content analysis approach. A total of 32 items were identified in the datasources. Five categories were inductively derived from the data: (1) physiologic measurements, (2) ability to eat, (3) intake, (4) stress factors and (5) factors which indirectly affect intake and needs. Organizing the documentation following the structure presented in this Minimum Data Set will contribute to a standardized terminology, which may lead to increased quality of documentation, increased continuity of care and improved health outcomes.

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Section: Designmentioning

confidence: 99%

Speaking the same language: Development of a Nutrition Minimum Data Set for healthcare professionals in primary healthcare

Håkonsen

Pedersen

Bygholm

et al. 2019

Health Informatics J

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“… 13 Cooperation and communication among healthcare providers are important to ensure that patients receive proper and coordinated nutritional treatment and care. 14 Individualised care acknowledges the uniqueness of the individual, and may improve the quality of nutritional care in cases of complex nutritional problems. One randomised controlled trial (RCT) study indicated that individualised nutritional treatment improves energy intake and the activities of daily living (ADLs) of older patients who had an acute stroke with malnutrition risk, as compared with a standard care group.…”

Section: Introductionmentioning

confidence: 99%

“… 18–20 However, lack of continuity in care and poor communication have been identified as important risk factors for malnutrition. 14 21 22 …”

Section: Introductionmentioning

confidence: 99%

Effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and up to 3 months post-discharge: a systematic scoping review

et al. 2020

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ObjectivesThe prevalence of malnutrition after hospitalisation is reported to be 20%–45%, which may lead to adverse outcomes, as malnutrition increases the risk of complications, morbidity, mortality and loss of function. Improving the quality of nutritional treatment in hospitals and post-discharge is necessary, as hospital stays tend to be short. We aimed to identify and map studies that assess the effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and for the first 3 months post-discharge.DesignThis was a systematic scoping review.MethodsWe systematically searched for all types of studies in the following databases: EMBASE, MEDLINE via PubMed, and the Cumulative Index to Nursing and Allied Health Literature, with no restriction on data or publication language. We also reviewed the reference lists of the included studies. The abstracts and full articles were simultaneously screened by two independent reviewers. Differences of opinion were discussed among the two investigators, and a third reviewer assisted with the discussion until consensus was reached. Studies in which the patients received an individual nutritional care plan related to their hospital stay and were followed up post-discharge were included. We then conducted a thematic content analysis of the extracted literature.ResultsNine randomised controlled trial studies met the inclusion criteria: six were conducted in Scandinavian countries. All studies were mainly conducted among elderly patients (mean ages varied from 75 to 88 years). The review studies measured 10 different outcomes; the most common outcomes were nutritional status and readmission. Six studies reported one or more significant positive intervention effect. Inconsistent results were identified for four outcome variables.ConclusionsIndividualised nutritional care plans and follow-up home visits might improve patients’ nutritional status. However, there is need for a systematic review that assesses study quality and extends the time to 6 months post-discharge.

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“…Nutritional issues or malnutrition neither occur nor are solved overnight. Communication and collaboration among different healthcare providers are of utmost importance to ensure that patients receive coherent and coordinated nutritional care and treatment 13…”

Section: Introductionmentioning

confidence: 99%

“…With shorter hospital stays, there will be an increased need for nutrition services after discharge to support improvements in nutritional status to prevent complications and re-admission 16–18. However, lack of communication and continuity in care has been identified in several studies as a major risk factor for malnutrition 13 19 20…”

Section: Introductionmentioning

confidence: 99%

Scoping review protocol: effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and up to 3 months after discharge

et al. 2019

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IntroductionMore than 20% of patients are malnourished after hospitalisation. Malnutrition may negatively impact patients’ outcomes as it increases the risk of complications, morbidity, mortality and loss of function. However, hospital-initiated transitional care can improve some outcomes in hospitalised adult patients. The objective of this scoping review is to map the literature that assesses the effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and for the first 3 months after discharge.Methods and analysisThis protocol is based on the framework outlined by Arksey and O’Malley. The search strategy was developed by a medical librarian. We will search for relevant literature from the following databases: MEDLINE via PubMed, Cumulative Index to Nursing and Allied Health Literature, and Embase. We will also search the reference lists of included studies. Two independent reviewers will screen abstracts and full articles in parallel, from the included studies using specific inclusion and exclusion criteria. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols checklist facilitated the preparation of this research protocol. The scoping review will provide a narrative account of the findings from the existing literature through thematic content analysis of the extracted literature.Ethics and disseminationSince all data will be obtained from publicly available materials, research ethics approval is not required for this scoping review. The research findings will be submitted for publication in a relevant open-access peer-reviewed journal and presented at relevant conferences.

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Nursing Minimum Data Sets for documenting nutritional care for adults in primary healthcare: a scoping review

Cited by 7 publications

References 45 publications

Speaking the same language: Development of a Nutrition Minimum Data Set for healthcare professionals in primary healthcare

Speaking the same language: Development of a Nutrition Minimum Data Set for healthcare professionals in primary healthcare

Effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and up to 3 months post-discharge: a systematic scoping review

Scoping review protocol: effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and up to 3 months after discharge

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