Identifying patients at nutritional risk and determining clinical productivity: Essentials for an effective nutrition care program

Empowering patients to participate in nutrition care during hospitalisation may improve their dietary intakes and associated outcomes. This study tested the acceptability and feasibility of a technology-based intervention to engage hospital patients in nutrition care at a tertiary teaching hospital in Australia. The hospital used an electronic foodservice system (EFS), by which patients ordered meals via bedside computers. Adults at nutritional risk received the nutrition technology (NUTRI-TEC) intervention, involving nutrition assessment, education on nutrition requirements and training on using the EFS to enter food intakes and monitor nutrition goals. Acceptability was assessed using patient satisfaction and engagement surveys. Feasibility was assessed by evaluating the intervention delivery/fidelity and patient recruitment/retention. Patients’ dietary intakes were observed daily to indicate the intervention’s effects and assess the accuracy of the patient-recorded intakes. Descriptive and inferential statistics were used to analyse the data. Of the 71 patients recruited, 49 completed the study (55% male; median (IQR) age 71 (65–78) years; length of stay 10 (7–14) days). Patient satisfaction with NUTRI-TEC was high. Intervention delivery and fidelity targets were met but recruitment (≥50%) and retention (≥75%) targets were not; only 31% of patients agreed to participate and 69% completed the study (mostly due to unexpected/early discharge). Patient- and researcher-recorded dietary intakes correlated strongly, indicating patients can record food intakes accurately using technology. This study highlights the important role technology is likely to play in facilitating patient engagement and improving care during hospitalisation.

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Process evaluation of a national elderly nutrition care program in Iran: Perspectives of clients and providers

10.21203/rs.3.rs-15641/v1 ◽

2020 ◽

Author(s):

Sorayya Kheirouri ◽

Mohammad Alizadeh ◽

Elaheh Foroumandi ◽

Rahim Khodayari-zarnaq

Keyword(s):

Health Care ◽

Process Evaluation ◽

Group Process ◽

Implementation Process ◽

Care Program ◽

Monitoring And Evaluation ◽

Evaluation Study ◽

Nutrition Care ◽

East Azerbaijan ◽

Health Care Centers

Abstract Background The rapid growth of Iran elderly population highlights the importance of more attention to nutritional needs of this age group. Process evaluation study on the nutritional part of the national Elderly-Integrated Care Program was conducted to examine degree of exposure and satisfaction of the targets with the program components, and assess the reach, delivery, fidelity, and external contexts of the program.Methods To evaluate perspectives of clients on elderly integrated nutrition care program (EINCP) implementation process, a self-administrated questionnaire was constructed, validated, and applied to 256 individuals with the age of above 60 years attending the program at 57 health care centers of Tabriz metropolitan area of East Azerbaijan province in Iran using convenience sampling method. Another valid questionnaire was also applied to investigate viewpoint of the perceptions of 76 staffs of these health care centers as the program providers around the EINCP.Results The reach rate of the clients was reported 20.0%. Delivery of the educational components to entire program providers was accomplished (100.0%); however, the delivery of some parts of the program to the clients had some main weaknesses. The fidelity of the program tools was considered inadequate from perspectives of both clients and providers. 77.5% of the clients had exposure to the program. Clients’ satisfaction rate was varied from 4.2 to 34.7% with various available services, but 42.8% of the clients had high satisfaction with overall parts of the EINCP. The program also suffered from some external contexts such as the lack of financial support of program providers.Conclusion The format of the EINCP and strategies related to recruitment of the clients should be improved in order to minimize the barriers highlighted in this study. The providers should focus on raising the compliance of clients to receive a higher reach rate. It is suggested that program planners add periodic monitoring and evaluation of the program.

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Descriptive and process evaluation of a shared primary care program

Internet Journal of Allied Health Sciences and Practice ◽

10.46743/1540-580x/2007.1171 ◽

2007 ◽

Author(s):

Evelyn Vingilis ◽

Jann Paquette-Warren ◽

Nick Kates ◽

Anne-Marie Crustolo ◽

Jaimi Greenslade ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Process Evaluation ◽

Care Program ◽

Shared Care ◽

Team Members ◽

Care Services ◽

Health And Nutrition ◽

Nutrition Care ◽

Patient Database

Purpose: This study involved the conduct of a descriptive and process evaluation to examine the implementation and maintenance of an existing local shared care program: The Hamilton Health Service Organization Mental Health and Nutrition Program located in Hamilton, Ontario, Canada. The program was organized to strengthen links between mental health, nutrition, and primary care services, to improve access to mental health and nutrition care, and to realize the benefits of improved communication, collaboration and mutual support among multiple practitioners, increased continuity of care, and increased family physicians’ comfort and skill in handling more complex problems. Method: A mixed-method, multi-measures evaluation design was used. Data were gathered from the program’s central patient database and by conducting focus groups. Results: Teams of practitioners provide comprehensive primary mental health and nutrition care. Collaboration and education opportunities are extensive although time constraints are an issue. Patients with a range of problems were assessed, treated, and referred among team members. There appears to be a decreased burden on external services. Conclusions & Discussion: This evaluation suggests that implementation and maintenance of shared care programs are possible within community practices.

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Penerapan algoritma proses asuhan gizi terstandar berbasis skrining gizi

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.18880 ◽

2014 ◽

Vol 11 (1) ◽

pp. 20

Author(s):

Susetyowati Susetyowati ◽

Hamam Hadi ◽

Ahmad Husein Asdie ◽

Mohammad Hakimi

Keyword(s):

Protein Intake ◽

Nutrient Intake ◽

Screening Tool ◽

Nutritional Risk ◽

Care Process ◽

Nutrition Screening ◽

Nutrition Care ◽

Average Intake ◽

Nutrition Care Process ◽

Nutrition Screening Tool

Background: Malnutrition is one common problem for hospitalized patient, estimated between 20-60%. American Dietetic Association (ADA) recommends a standardized Nutrition Care Process (SNCP) that ensures services and outcomes in the quality management of nutrition care to all patients based on an individual basis and scientific facts. In Indonesia was developed nutrition screening tool, namely the Simple Nutrition Screening Tool (SNST) which was valid and reliable.Objective: The study was to determine the effect of SNCP based on screening to improve nutrient intake and nutritional status.Method: The method using a 2x2 factorial design, with 4 groups which are: screened with Nutritional Risk Screening (NRS) and get hospital-based SNCP (A1B1); screened with NRS and algorithm SNCP (A1B2); screened with SNST and get hospital-based SNCP (A2B1); screened with the SNST and get algorithm SNCP (A2B2).Results: Nutritional screening interventions using NRS and SNST method can increase the energy and protein intake also Mid-Upper Arm Circumference (MUAC). There is no relationship between algorithm SNCP with nutrient intake and nutritional status, although the average intake of energy, protein, MUAC and albumin was better in the algorithm SNCP than in hospital-based SNCP. The interaction between the SNST and algorithm SNCP have better mean intake of energy, protein and MUAC changes than other groups. The size of the effect of energy intake, protein intake, and MUAC was 129 kcal; 4.6 g; and 0.35 cm, respectively.Conclusion: Interaction between an SNST and algorithm SNCP have a better average intake of energy, protein, and MUAC compared with other groups.

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Diabetics at Risk for Malnutrition: Improving Hospitalization Rates through a Comprehensive Nutrition Care Program

Journal of the Academy of Nutrition and Dietetics ◽

10.1016/j.jand.2019.06.075 ◽

2019 ◽

Vol 119 (9) ◽

pp. A20

Author(s):

S. Sulo ◽

S. Kozmic ◽

J. Partridge ◽

W. Landow ◽

G. VanDerBosch ◽

...

Keyword(s):

At Risk ◽

Care Program ◽

Nutrition Care ◽

Hospitalization Rates

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The Analysis of Lamongan Toddler Nutrition Care (PELITA LA) Program in Dradah Health Center Lamongan

Journal of Public Health for Tropical and Coastal Region ◽

10.14710/jphtcr.v4i1.9577 ◽

2021 ◽

Vol 4 (1) ◽

pp. 1-8

Author(s):

Aulia Firda Rahmawati ◽

Besar Tirto Husodo ◽

Novia Handayani

Keyword(s):

Health Center ◽

Program Implementation ◽

Health Workers ◽

Care Program ◽

Descriptive Research ◽

Nutrition Care ◽

Depth Interview ◽

Implementation Guidelines ◽

The Village ◽

Village Health

Introduction: The prevalence of stunting in Lamongan is reaching 35,5%, so the efforts to reduce the prevalence of stunting in Lamongan was implementing the Lamongan Toddler Nutrition Care program. There is no evidence of the successes of that program. The purpose of this study is to analyze the process of the Lamongan Toddler Nutrition Care (PELITA LA) program on stunting in Lamongan, East Java.Methods: This research uses qualitative methods with in-depth interview data collection techniques and includes descriptive research. The sample of this research is 5 respondents who are selected using purposive sampling. This research has been approved as ethical by the ethics committee. The process of data analysis in this study starts by collecting data from the interview results and then reducing the data that has been generated. After that, the data are presented and concluded.Result: The results showed that not all the the village health workers had received training, the infrastructure was insufficient and there were no program implementation guidelines so can influence prevalence stunting. However, the process of management like planning, organizing, actuating, and controlling have been good. In another statement about the successes of the program is decreasing the prevalence of the stunting and increasing the participants’ knowledge but the participants are not measured with certainty to find out their knowledge.Conclusion: The conclusion is the nutrition care program for Lamongan toddlers at the Lamongan Health Center has not been running optimally because the input and output aspects have not been going well

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