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Mealtime Assistance ... From Chaos to Calm: A Collaborative Best Practice Implementation Project.
Pamela Sykes1, Ian Norris, Megan Cook
1Joanna Briggs Institute, Adelaide, Australia (Ms Sykes and Dr Walsh); Centre for Education & Research (Mss Sykes, Cook, and Chilcott), Food Services (Messrs Norris and Woods), and General Medicine Respiratory (Ms Boughton), Royal Hobart Hospital, Tasmania, Australia; and Tasmanian Health Service and School of Health Sciences, University of Tasmania, Australia (Dr Walsh).
Hospitalized patients received better mealtime assistance after implementing a multidisciplinary care model. This project improved nutritional support through staff engagement and a protected mealtime system.
Area of Science:
- Healthcare management
- Patient nutrition
- Clinical practice improvement
Background:
- Optimizing patient nutritional care requires a multidisciplinary approach to mealtime assistance.
- Anecdotal evidence suggested inadequate and/or delayed mealtime support for patients.
Purpose of the Study:
- To improve the adequacy and timeliness of mealtime assistance for hospitalized patients.
- To implement a best practice strategy for enhancing nutritional care.
Main Methods:
- A best practice implementation project utilizing audit, feedback, and reaudit cycles.
- Interventions included staff engagement, care model redesign, role clarification, protected mealtimes, and a tiered tray system.
Main Results:
- Significant improvements in mealtime assistance were observed.
- Key interventions led to enhanced patient support during mealtimes.
- The project successfully addressed issues of inadequate and untimely meal assistance.
Conclusions:
- The implemented strategies for improving mealtime assistance are replicable.
- The project's success suggests sustainability across hospital settings.
- The model offers a scalable solution for enhancing inpatient nutritional care.
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