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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).
Background:
Providing appropriate and timely mealtime assistance to hospitalized patients should be part of a multifaceted and multidisciplinary approach to optimizing a patient's nutritional care plan.
Problem:
There was anecdotal evidence at the study hospital that patients did not receive adequate and/or timely assistance at mealtimes.
Approach:
A best practice implementation project, using a proven strategy of audit, feedback, and reaudit, was used to effect practice change on an acute general medical ward.
Outcomes:
The combined interventions of staff engagement, redesigning the model of care to reprioritize activities at mealtimes, clarifying nutritional care roles and responsibilities, introducing a protected mealtime and a novel 2-tiered colored tray system, and implementing an awareness and education program have resulted in significant improvements in mealtime assistance.
Conclusions:
Success of the project is considered to be replicable and sustainable hospitalwide and more broadly.
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