Nutrition care quality indicators in hospitals and nursing homes: A systematic literature review and critical appraisal of current evidence

Moick, S.; Simon, Judit; Hiesmayr, Michael

doi:10.1016/j.clnu.2019.07.025

Cited by 12 publications

(5 citation statements)

References 77 publications

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“…The study was conducted in LTCFs, where most residents had a complex medical condition and were in a poor cognitive state, and therefore unable to respond to questionnaires. Furthermore, the nutrition literature is equivocal in recommending clinical outcome measures to evaluate nutritional care in LTCFs ( Moick et al, 2020 ). However, as improving quality of life is the primary objective of caring for the elderly, and as oral health and nutrition play a significant role in this, future research should consider developing measures of quality of care linked to older adults’ psychosocial outcomes ( Rasheed and Woods, 2013 ; Porter et al, 2015 ; Joling et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

The paradoxical effects of professional stereotypes on the quality of care by interprofessional teams: The contingent effects of team faultlines, team stereotypes, and championship behaviors

Hilel

Drach‐Zahavy²,

Endevelt³

2023

Front. Psychol.

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BackgroundDespite calls for interprofessional teamwork to ensure quality care in healthcare settings, interprofessional teams do not always perform effectively. There is evidence that professional stereotypes inhibit effective interprofessional teamwork, but they haven’t been explored as a phenomenon that impacts team’s performance and quality of care.ObjectivesTo focus on professional stereotypes emerging in interprofessional teams and examine the contingency effects of interprofessional team’s faultlines, professional stereotypes, and leader’s championship behaviors on team’s quality of care.MethodsA cross-sectional nested sample of 59 interprofessional teams and 284 professionals, working in geriatric long-term-care facilities in Israel. Additionally, five to seven of the residents of each facility were randomly sampled to obtain the outcome variable. Data collection employed a multisource (interprofessional team members), multimethod (validated questionnaires and data from residents’ health records) strategy.ResultsThe results indicated that faultlines are not directly harmful to team’s quality of care; instead, they are likely to impact quality of care only when team stereotypes emerge. Furthermore, whereas teams typified by high professional stereotypes require person-oriented championship leadership, for teams typified by low team stereotypes, championship leadership harms the quality of care they provide.ConclusionThese findings have implications for handling interprofessional teams. Practically, leaders must be well-educated to better analyze team members’ needs and maintain the appropriate leadership style.

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Section: Discussionmentioning

confidence: 99%

The paradoxical effects of professional stereotypes on the quality of care by interprofessional teams: The contingent effects of team faultlines, team stereotypes, and championship behaviors

Hilel

Drach‐Zahavy²,

Endevelt³

2023

Front. Psychol.

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“…Studies have reported improved health outcomes when patients with poor nutritional status receive nutritional interventions. In fact, quality improvement programs can be used across the continuum of care to enhance outcomes for people who have evidence of poor nutritional status in home-care settings, in residential nursing care [12], and during hospital admission [13][14][15][16][17]. An early review by Tappendan et al found that hospital care with a focus on nutrition can reduce complication rates, length of hospital stays, readmission rates, and mortality [17].…”

Section: Introductionmentioning

confidence: 99%

Economic Evaluation of Individualized Nutritional Support for Hospitalized Patients with Chronic Heart Failure

et al. 2022

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Background Malnutrition is a highly prevalent risk factor in hospitalized patients with chronic heart failure (CHF). A recent randomized trial found lower mortality and improved health outcomes when CHF patients with nutritional risk received individualized nutritional treatment. Objective To estimate the cost-effectiveness of individualized nutritional support in hospitalized patients with CHF. Methods This analysis used data from CHF patients at risk of malnutrition (N = 645) who were part of the Effect of Early Nutritional Therapy on Frailty, Functional Outcomes and Recovery of Undernourished Medical Inpatients Trial (EFFORT). Study patients with CHF were randomized into (i) an intervention group (individualized nutritional support to reach energy, protein, and micronutrient goals) or (ii) a control group (receiving standard hospital food). We used a Markov model with daily cycles (over a 6-month interval) to estimate hospital costs and health outcomes in the comparator groups, thus modeling cost-effectiveness ratios of nutritional interventions. Results With nutritional support, the modeled total additional cost over the 6-month interval was 15,159 Swiss Francs (SF). With an additional 5.77 life days, the overall incremental cost-effectiveness ratio for nutritional support vs. no nutritional support was 2625 SF per life day gained. In terms of complications, patients receiving nutritional support had a cost savings of 6214 SF and an additional 4.11 life days without complications, yielding an incremental cost-effectiveness ratio for avoided complications of 1513 SF per life day gained. Conclusions On the basis of a Markov model, this economic analysis found that in-hospital nutritional support for CHF patients increased life expectancy at an acceptable incremental cost-effectiveness ratio.

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“…Existen numerosos indicadores de calidad relacionados con el seguimiento nutricional en residencias 5 . El objetivo de este estudio fue proponer y describir un nuevo DQIns para valorar la calidad de los menús ofertados en las residencias de personas mayores.…”

Section: Introductionunclassified

Descripción de un indicador de calidad de la dieta para su aplicación en residencias de ancianos: Quality Index For Nutrition In Nursing Homes – QUINN

Hernández‐Ruiz

López-Trigo²,

Muñoz-Ruiz

et al. 2022

Rev Esp Nutr Hum Diet

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Introducción: Los indicadores de calidad de la dieta (Diet Quality Indicators, DQIns) son herramientas para evaluar las características de patrones de dieta basados en el conocimiento de la relación entre los factores dietéticos, los estilos de vida y resultados de salud. El objetivo de este artículo fue proponer un nuevo índice de calidad de la dieta utilizando un enfoque a priori para su aplicación en residencias de ancianos, Quality Index for Nutrition in Nursing Homes, índice QUINN. Metodología: La elección de los componentes se basó en una revisión rápida realizada sobre índices previamente publicados y los principales grupos de alimentos relacionados con la prevención de síndromes geriátricos y de las enfermedades crónicas de alta prevalencia en población geriátrica. El índice QUINN se basó en 15 componentes dietéticos-alimentos, 12 de los cuales se referían a alimentos básicos de una dieta saludable (verduras, frutas, legumbres, aceite de oliva – preferiblemente virgen extra-, cereales, lácteos, pescados blancos y mariscos, carnes blancas y huevos, componentes positivos); otras grasas, carnes rojas y procesadas y dulces, componentes negativos), junto con otros 3 componentes adicionales positivos (variedad de verduras y frutas, pescado azul y cereales integrales). Cada componente se clasificó en 4 categorías (0, 1, 2 o 3 puntos), con un rango final de 0 a 45 puntos. Conclusiones: Desde nuestro conocimiento el índice QUINN es el primer índice de calidad de la dieta a priori desarrollado específicamente para evaluar los menús ofertados en las residencias de ancianos. Esta herramienta proporcionará información sobre la calidad de la dieta para el diseño de los menús. El índice QUINN podría ser un instrumento útil para implementar estrategias de intervención para mejorar de forma sencilla la dieta ofertada en las instituciones y que redundar en mejora del estado nutricional y la salud de la población geriátrica institucionalizada.

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Nutrition care quality indicators in hospitals and nursing homes: A systematic literature review and critical appraisal of current evidence

Cited by 12 publications

References 77 publications

The paradoxical effects of professional stereotypes on the quality of care by interprofessional teams: The contingent effects of team faultlines, team stereotypes, and championship behaviors

The paradoxical effects of professional stereotypes on the quality of care by interprofessional teams: The contingent effects of team faultlines, team stereotypes, and championship behaviors

Economic Evaluation of Individualized Nutritional Support for Hospitalized Patients with Chronic Heart Failure

Descripción de un indicador de calidad de la dieta para su aplicación en residencias de ancianos: Quality Index For Nutrition In Nursing Homes – QUINN

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