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The expert's guide to mealtime interventions - A Delphi method survey.

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  • 1Royal Prince Alfred Hospital, Nutrition & Dietetics, Sydney, Australia.

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Summary
This summary is machine-generated.

Improving hospital patient mealtime experiences requires addressing malnutrition barriers. This study developed an eight-step framework to guide effective mealtime interventions for clinicians and researchers.

Keywords:
Acute careAssistanceDelphi methodInterruptionsMalnutritionMealtimes

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Area of Science:

  • Healthcare Management
  • Clinical Nutrition
  • Patient Experience

Background:

  • Malnutrition is prevalent in hospitalized patients, with many facing barriers to adequate oral intake.
  • Improving the patient mealtime experience is crucial and requires further investigation and investment.

Purpose of the Study:

  • To explore barriers and enablers for effective hospital mealtime interventions.
  • To develop a process framework for guiding clinicians and researchers in implementing these interventions.

Main Methods:

  • Experts in Australasian hospital mealtime interventions were identified through publications.
  • A modified Delphi method was used to survey 19 expert participants (dietitians, nurses, doctors).
  • Thematic analysis was employed to collate and code survey results.

Main Results:

  • Nineteen experts provided insights into barriers to oral intake and suggested interventions.
  • An eight-step framework for guiding hospital mealtime interventions was developed from the survey findings.
  • Participants highlighted the complexity of mealtime interventions and the need for tailored approaches.

Conclusions:

  • Hospital mealtime interventions are complex and require context-specific, tailored strategies.
  • Clear roles and responsibilities for nutrition care are essential for successful implementation.
  • Sustained interventions necessitate implementation planning, executive support, and staff engagement.