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Improving adherence to a care plan generated from the Malnutrition Universal Screening Tool
C Cooper1, E R Brierley, S T Burden
1Department of Nutrition and Dietetics, Central Manchester University Hospital NHS Foundation Trust, Manchester, UK.
European Journal of Clinical Nutrition
|December 13, 2012
Summary
Improving hospital nutrition care plans significantly increased basic nutritional support actions for at-risk patients. Re-designing care plans with staff input enhanced documentation and support delivery, though ongoing training is essential.
Area of Science:
- Clinical Nutrition
- Healthcare Management
- Patient Care Improvement
Background:
- Hospital patient screening for malnutrition is recommended.
- Care plans should align with identified malnutrition risk levels.
- Current ward-level adherence to nutrition care plans needs investigation.
Purpose of the Study:
- Investigate adherence to nutrition care plans.
- Improve nutritional support actions by modifying care plans.
- Evaluate changes in practice after care plan re-design.
Main Methods:
- Nutrition care plans of 100 patients were assessed using pro formas.
- Focus groups with 30 ward staff and 6 dietitians explored barriers and facilitators.
- Care plans were re-designed, and a second pro forma assessment was conducted on 103 patients.
Main Results:
- Barriers identified included duplication, time pressures, and training needs.
- Nutritional support actions increased from 9% to 52% for at-risk patients post-re-design (P=0.033).
Conclusions:
- Focus groups facilitated care plan re-design and improved staff engagement.
- Re-designed care plans enhanced basic nutritional support and documentation.
- Continued training and strategic approaches are necessary for sustained improvement.
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