Development of nutrition screening guideline content for use by healthcare staffs in older adults in health clinic setting: A scoping review

Hishamuddin, Siti Nur Amirah Sheikh; Hamirudin, Aliza Haslinda; Harith, Sakinah; Aris, Mohd Aznan; Aziz, Karimah Hanim Abd.; Azam, Iman Nabihah Noor; Rashid, Nurul Syaireen A

doi:10.31246/mjn-2020-0117

Cited by 1 publication

(3 citation statements)

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“…Besides, triangulation by non-participant observation has been conducted to further validate the interview findings. The detailed methodology and results for this phase have been reported elsewhere (18).…”

Section: Phase I: Needs Assessment Of Nutrition Screeningmentioning

confidence: 99%

“…The needs assessment was performed in Phase I. Time, patient factors, organisation factors, and nutrition screening knowledge were identified as barriers and opportunities to performing nutrition screening (18). The findings from this phase became the basis for the development of a nutrition screening guideline.…”

Section: Phase I: Needs Assessment For Nutrition Screeningmentioning

confidence: 99%

“…These include time constraints, organisational factors, lack of priority, and lack of knowledge (12,16,17). Therefore, an early phase of this present study (Phase I) was performed for needs assessment to identify barriers and opportunities for nutrition screening in the Malaysian health clinic setting (18). Based on the findings, the development of a comprehensive nutrition screening guideline is required to facilitate healthcare staff in performing nutrition screening.…”

Section: Introductionmentioning

confidence: 99%

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Development and Feasibility Assessment of a Nutrition Screening Guideline in Older Patients for Use by Healthcare Staff in Health Clinic Setting: An Action Research Study

Hishamuddin¹,

Hamirudin²,

Harith³

et al. 2023

MJMHS

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Introduction: Older persons are more susceptible to malnutrition. However, malnutrition identification through nutrition screening is not routinely performed in Malaysia’s health clinics due to no specific nutrition screening guideline and validated tool in this setting. This study aimed to develop a nutrition screening guideline for older patients and assess its feasibility for use by healthcare staff in health clinic setting. Methods: This study was conducted in three phases. In Phase I, needs assessment was conducted amongst healthcare staff. Development of nutrition screening guideline in Phase II involved scoping review and validation amongst six experts and twelve healthcare staff. In Phase III, twenty-two healthcare staff participated in feasibility assessment using in-depth interviews after completing nutrition screening in older patients. Interview data was analysed thematically using NVivo Software 12.0. Results: A Malay language version of nutrition screening guideline in A4-sized with 31 pages was developed and validated. Items with a content validity index ≥0.83 from experts review were retained, while <0.83 were revised accordingly. Validation amongst healthcare staff showed positive responses. The guideline was then assessed for feasibility, where 110 older patients (mean age= 68.7±6.1 years) were screened by healthcare staff using the newly developed nutrition screening guideline. Four themes emerged from in-depth interviews: 1) Ease of use; 2) Identification and management of malnutrition; 3) Acceptability; and 4) Implementation of nutrition screening. Conclusion: The newly developed and validated nutrition screening guideline is well-accepted and feasible for healthcare staff to screen older patients in health clinic setting for timely malnutrition identification and management.

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Section: Phase I: Needs Assessment Of Nutrition Screeningmentioning

confidence: 99%

Section: Phase I: Needs Assessment For Nutrition Screeningmentioning

confidence: 99%