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Mealtime assistance... from chaos to calm: A collaborative best practice implementation project

Sykes, P, Norris, I, Cook, M, Woods, A, Boughton, R, Chilcott, K and Walsh, K ORCID: 0000-0002-6314-7443 2018 , 'Mealtime assistance... from chaos to calm: A collaborative best practice implementation project' , Journal of Nursing Care Quality , pp. 1-6 , doi: 10.1097/NCQ.0000000000000352.

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Abstract

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.

Item Type: Article
Authors/Creators:Sykes, P and Norris, I and Cook, M and Woods, A and Boughton, R and Chilcott, K and Walsh, K
Keywords: audit and feedback, best practice implementation project, Joanna Briggs Institute Model for Evidence-Based Health Care, mealtime assistance, nursing, nutritional care plan
Journal or Publication Title: Journal of Nursing Care Quality
Publisher: Lippincott Williams & Wilkins
ISSN: 1057-3631
DOI / ID Number: 10.1097/NCQ.0000000000000352
Copyright Information:

Copyright © 2018 Wolters Kluwer Health, Inc

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