Factors influencing the delivery of nutritional care by nurses for hospitalised medical patients with malnutrition; a qualitative study

Berg, G; Vermeulen, Hester; Conroy, Tiffany; Noort, Harm H J van; Schueren, Marian A.E. de van der; Waal, Getty Huisman–de

doi:10.1111/jocn.16614

Cited by 5 publications

(6 citation statements)

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“…The results showed that patients experienced the protein-enriched ice cream differently due to personal preferences of taste and texture and based on health status. As individuals have different perceptions of their needs and how they can best be met, a responsibility is placed on the nurse to help the patients to express their desires and feelings, which is described as one of the basic needs for achieving health and recovery [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Ice cream can thus contribute to improved food intake and moreover that intake of food is perceived as more satisfactory [ 13 ]. As a nurse, it is important to see to the patient's individual needs and to help and support patients who have an insufficient nutritional intake [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…In health care, malnutrition is assessed based on whether the patient has lost weight involuntarily or if the patient has eating difficulties and if the patient is underweight according to the Body Mass Index (BMI). If an individual is unable to satisfy his or her basic need to get enough fluids and food, it is essential that someone else take on this responsibility, such as a nurse who is, among other things, responsible for the patient's basic need to eat and drink [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Experience and the nutritional relevance of protein-enriched ice cream in patients with heart failure - A pilot study

Gagnemo Persson,

Drevenhorn,

Rosén

2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Experience and the nutritional relevance of protein-enriched ice cream in patients with heart failure - A pilot study

Gagnemo Persson,

Drevenhorn,

Rosén

2024

Heliyon

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“…When patients are empowered in awareness of malnutrition risk factors and have their role in (for example) monitoring food intake, they will be better equipped to improve their nutritional status actively. However, nurses also wonder whether it is feasible when the patient is frail or very ill ( Van Den Berg et al ). The role of the patient in hospital nutritional care and their perception about malnutrition and outcomes is hardly described in the literature ( Sladdin et al, 2017 ; Vaillancourt et al, 2014 ; Weimann et al, 2021 ).…”

Section: Review Of Literaturementioning

confidence: 99%

Opportunities for Patient Participation in Perioperative Malnutrition Care: A Qualitative Study

Berg,

Schueren,

Vermeulen

et al. 2023

SAGE Open Nursing

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Introduction In the perioperative period of hospitalization, barriers to food intake are common due to special nutritional needs, compromised nutritional status, and metabolic stress. Good nutritional care call for an interdisciplinary approach. And patients themselves may also play an essential role in managing nutritional care. Objective This study aimed to explore how patients with malnutrition experience nutritional care, their perspectives on patient participation, and their own role in malnutrition care in the perioperative period of hospitalization. Methods A qualitative study was conducted using an interpretive phenomenological approach. To follow patients’ experiences, in-depth longitudinal interviews were undertaken before, during, and after hospitalization. Interview transcripts were analyzed thematically using open, axial, and selective coding and interpreted in an iterative process. Results Fifty-six interviews were undertaken with 26 patients with malnutrition scheduled for surgery and during the perioperative period of hospitalization. Four themes were identified: (1) unawareness and stigmata about being malnourished, (2) feasibility of optimal nutritional care, (3) needs and expectations for self-management, and (4) barriers and facilitators of taking own responsibilities in nutritional care. Conclusion Awareness and responsiveness to patients’ perspectives, motivation, and compliance are prerequisites for patient participation in malnutrition care. This requires good communication between healthcare professionals and patients in all phases of hospitalization.

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“…However, several studies reported that ward nurses lacked nutritional knowledge and assessment (Bollo et al, 2019; Forss et al, 2018; Noort et al, 2020; Van Den Berg et al, 2023), and seldom shared nutritional information with nurses of other facilities when older adult patients were transferred (Halvorsen et al, 2016). Hence, it is imperative to improve the practical abilities of ward nurses, such as nutritional knowledge, assessment, and sharing of nutritional information for older adult patients with other healthcare organizations.…”

Section: Introductionmentioning

confidence: 99%

Development of the ward nurses' discharge‐oriented dietary support scale for older adult patients in Japan

Miyabe

Doi

Kanoya

2023

Japan Journal Nursing Sci

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AimThis study aimed to develop a ward nurses' dietary support scale, including physical, psychological, and social background factors in preparation for older adult patients' life after discharge.MethodsWe conducted a cross‐sectional study using a self‐reported questionnaire. Scale items were created based on a conceptual analysis, and refined by a Delphi survey. In total, 696 nurses across 16 acute care hospitals in Japan were eligible to participate. The questionnaire comprised 51 items that used a five‐point Likert‐type scale. These items were evaluated using exploratory factor analysis. Reliability was evaluated using Cronbach's alpha and intraclass correlation coefficients (ICC). Pearson's correlation coefficients were calculated to determine concurrent validity, and construct validity was analyzed using confirmatory factor analysis.ResultsAltogether, 241 surveys were included in the data analysis; 236 nurses participated in both the test and the retest. The exploratory factor analysis identified 20 items from three factors as follows: “Assessment for healthy eating behavior,” “Adjustment of the living environment, including family and caregiver, together with other professions,” and “Continual frailty assessment.” In the confirmatory factor analysis, the fitness indices supported these results. Cronbach's alpha was 0.932 and ICC was 0.867 for the overall scale. In the concurrent validity, the three factors had a moderate correlation (r = 0.295–0.537, P < .01 and r = 0.254–0.648, P < .01), except for one subscale.ConclusionsWe developed a ward nurses' dietary support scale, including physical, psychological, and social background factors in preparation for older adult patients' life after discharge. Its reliability and validity were confirmed.

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Factors influencing the delivery of nutritional care by nurses for hospitalised medical patients with malnutrition; a qualitative study

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 5 publications

References 42 publications

Experience and the nutritional relevance of protein-enriched ice cream in patients with heart failure - A pilot study

Experience and the nutritional relevance of protein-enriched ice cream in patients with heart failure - A pilot study

Opportunities for Patient Participation in Perioperative Malnutrition Care: A Qualitative Study

Development of the ward nurses' discharge‐oriented dietary support scale for older adult patients in Japan

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