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Related Experiment Video

Updated: Feb 7, 2026

Improving IV Insulin Administration in a Community Hospital
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[Undernourished in hospital].

Cora F Jonkers1, Maarten R Soeters2,3

  • 1Amsterdam UMC, afd. Diëtetiek, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|July 25, 2018
PubMed
Summary

Improving hospital meal services can enhance patient protein and energy intake, but challenges like anorexia and poor staff awareness persist. Optimal nutrition requires a multidisciplinary approach and improved meal services for hospitalized patients.

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Area of Science:

  • Clinical Nutrition
  • Hospital Patient Care
  • Healthcare Management

Background:

  • Undernutrition in hospitalized patients is linked to longer stays, increased complications, and higher costs.
  • Existing in-hospital meal services face challenges in improving patient food intake.
  • Factors contributing to poor nutritional intake include illness-induced anorexia, limited healthcare professional awareness, and lack of financial incentives.

Purpose of the Study:

  • To evaluate the impact of a novel in-hospital meal service on patient protein and energy intake.
  • To assess patient satisfaction with the implemented meal service.
  • To identify persistent challenges in optimizing nutritional intake for hospitalized patients.

Main Methods:

  • Implementation of a novel in-hospital meal service.
  • Monitoring of patient protein and energy intake.
  • Assessment of patient satisfaction levels.

Main Results:

  • The novel meal service led to improvements in protein and energy intake.
  • Patient satisfaction was maintained and, in some cases, improved.
  • Despite improvements, only 24% of patients achieved adequate protein intake, highlighting ongoing difficulties.

Conclusions:

  • Improving in-hospital meal services is a step towards better patient nutrition, but significant challenges remain.
  • Optimal nutrition requires a comprehensive strategy involving nutritional assistants, dietitians, nurses, and physicians.
  • Further research and systemic changes are needed to overcome barriers to optimal nutrition in underfed patients.