Sustained benefits of a community dietetics intervention designed to improve oral nutritional supplement prescribing practices

Kennelly, S.; Kennedy, Noel; Corish, Clare; Flanagan-Rughoobur, G.; Glennon-Slattery, C.; Sugrue, S.

doi:10.1111/j.1365-277x.2011.01197.x

Cited by 20 publications

(22 citation statements)

References 13 publications

(34 reference statements)

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“…These studies were conducted in the US (20, 21, 48), Ireland (44, 45), and Ethiopia (46). In all six studies, nutrition and general counseling skills of health workers improved after nutrition training.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven pre–post-intervention studies on nutrition training of health workers were conducted in Australia (37), South Africa (38), Gambia (39), UK (40, 41), Sweden (42), Denmark (43), Ireland (44, 45), Ethiopia (46), US, and Zambia (24). In all these studies, management practices and competence of health workers improved after the intervention compared to pre-nutrition training intervention levels.…”

Section: Resultsmentioning

confidence: 99%

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Nutrition Training Improves Health Workers’ Nutrition Knowledge and Competence to Manage Child Undernutrition: A Systematic Review

Sunguya¹,

Poudel²,

Mlunde³

et al. 2013

Front. Public Health

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Background: Medical and nursing education lack adequate practical nutrition training to fit the clinical reality that health workers face in their practices. Such a deficit creates health workers with poor nutrition knowledge and child undernutrition management practices. In-service nutrition training can help to fill this gap. However, no systematic review has examined its collective effectiveness. We thus conducted this study to examine the effectiveness of in-service nutrition training on health workers’ nutrition knowledge, counseling skills, and child undernutrition management practices.Methods: We conducted a literature search on nutrition interventions from PubMed/MEDLINE, CINAHL, EMBASE, ISI Web of Knowledge, and World Health Organization regional databases. The outcome variables were nutrition knowledge, nutrition-counseling skills, and undernutrition management practices of health workers. Due to heterogeneity, we conducted only descriptive analyses.Results: Out of 3910 retrieved articles, 25 were selected as eligible for the final analysis. A total of 18 studies evaluated health workers’ nutrition knowledge and showed improvement after training. A total of 12 studies with nutrition counseling as the outcome variable also showed improvement among the trained health workers. Sixteen studies evaluated health workers’ child undernutrition management practices. In all such studies, child undernutrition management practices and competence of health workers improved after the nutrition training intervention.Conclusion: In-service nutrition training improves quality of health workers by rendering them more knowledge and competence to manage nutrition-related conditions, especially child undernutrition. In-service nutrition training interventions can help to fill the gap created by the lack of adequate nutrition training in the existing medical and nursing education system. In this way, steps can be taken toward improving the overall nutritional status of the child population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Nutrition Training Improves Health Workers’ Nutrition Knowledge and Competence to Manage Child Undernutrition: A Systematic Review

Sunguya¹,

Poudel²,

Mlunde³

et al. 2013

Front. Public Health

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“…Interventions to improve nutritional status in long-term care facilities have included education programs [13,14], provision of snacks and/or oral supplements [15-20], and improvement of mealtime ambience and assistance [21-23]. Relatively little attention, however, has been paid to the food provided, although nutritional analysis has shown that such food is typically high in saturated fat, salt, and added sugars, with low levels of starchy carbohydrate and fiber [24-27].…”

Section: Introductionmentioning

confidence: 99%

Implementing nutrition guidelines for older people in residential care homes: a qualitative study using Normalization Process Theory

et al. 2012

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BackgroundOptimizing the dietary intake of older people can prevent nutritional deficiencies and diet-related diseases, thereby improving quality of life. However, there is evidence that the nutritional intake of older people living in care homes is suboptimal, with high levels of saturated fat, salt, and added sugars. The UK Food Standards Agency therefore developed nutrient- and food-based guidance for residential care homes. The acceptability of these guidelines and their feasibility in practice is unknown. This study used the Normalization Process Theory (NPT) to understand the barriers and facilitators to implementing the guidelines and inform future implementation.MethodsWe conducted a process evaluation in five care homes in the north of England using qualitative methods (observation and interviews) to explore the views of managers, care staff, catering staff, and domestic staff. Data were analyzed thematically and discussed in data workshops; emerging themes were then mapped to the constructs of NPT.ResultsMany staff perceived the guidelines as unnecessarily restrictive and irrelevant to older people. In terms of NPT, the guidelines simply did not make sense (coherence), and as a result, relatively few staff invested in the guidelines (cognitive participation). Even where staff supported the guidelines, implementation was hampered by a lack of nutritional knowledge and institutional support (collective action). Finally, the absence of observable benefits to clients confirmed the negative preconceptions of many staff, with limited evidence of reappraisal following implementation (reflexive monitoring).ConclusionsThe successful implementation of the nutrition guidelines requires that the fundamental issues relating to their perceived value and fit with other priorities and goals be addressed. Specialist support is needed to equip staff with the technical knowledge and skills required for menu analysis and development and to devise ways of evaluating the outcomes of modified menus. NPT proved useful in conceptualizing barriers to implementation; robust links with behavior-change theories would further increase the practical utility of NPT.

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“…In Ireland, Kennelly et al (37,38) also found a positive effect on nutritional care practices in a study where fiftythree community nurses and twenty private nursing home staff nurses were trained to screen patients using the Malnutrition Universal Screening Tool and to manage malnutrition. Six months after the educational programme, changes to practice included weighing patients more frequently, providing simple dietary advice to people at malnutrition risk, and clinical justification for the use of oral nutritional supplements (37,38) .…”

Section: Addressing Unmet Educational Needsmentioning

confidence: 99%

“…Six months after the educational programme, changes to practice included weighing patients more frequently, providing simple dietary advice to people at malnutrition risk, and clinical justification for the use of oral nutritional supplements (37,38) . In Denmark, Pedersen et al (24) investigated outcomes of nurse nutrition education not only on nursing practice, but also on patient experience and knowledge.…”

Section: Addressing Unmet Educational Needsmentioning

confidence: 99%

The nursing contribution to nutritional care in cancer cachexia

Hopkinson

2015

Proc. Nutr. Soc.

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Sustained benefits of a community dietetics intervention designed to improve oral nutritional supplement prescribing practices

Abstract: The community dietetics intervention improved ONS prescribing practices by GPs and nurses, in accordance with best practice guidelines, without increasing expenditure on ONS during the year after intervention.

Cited by 20 publications

References 13 publications

Nutrition Training Improves Health Workers’ Nutrition Knowledge and Competence to Manage Child Undernutrition: A Systematic Review

Nutrition Training Improves Health Workers’ Nutrition Knowledge and Competence to Manage Child Undernutrition: A Systematic Review

Implementing nutrition guidelines for older people in residential care homes: a qualitative study using Normalization Process Theory

The nursing contribution to nutritional care in cancer cachexia

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