Dataset Information

Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project.

ABSTRACT:

Background

Nursing home patients at nutritional risk are often not identified, nor given entitled nutritional treatment. One approach proven suitable to facilitate change in clinical practise is participatory action research (PAR). This is a process which involves research participants in reflection, planning, action, observation, assessing and re-planning, targeted to bring about change. The aim of the present study was to evaluate whether a PAR project resulted in improved documentation of nutritional care in a nursing home ward. Method and sample: A quantitative evaluation. Documentation of the nutritional information was collected from medical records of residents in a nursing home ward at baseline and five months into the project period.

Results

Increased documentation of individual nutritional treatment measures was found from baseline to the follow-up. The number of residents with a nutritional care plan (NCP) also increased significantly. On the other hand, the study identified a significant decrease in the proportion of residents with documented weight and nutritional status.

Conclusion

The evaluation found several improvements in the documentation of nutritional care practice in the nursing home ward as a result of the PAR project, indicating that a PAR approach is suitable to bring about change in practice.

SUBMITTER: Hestevik CH

PROVIDER: S-EPMC6473428 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project.

Hestevik Christine Hillestad CH Heyerdahl Ella E Lysne Garaas Bjørg B Sellevold Gerd Sylvi GS Molin Marianne M

Geriatrics (Basel, Switzerland) 20190320 1

<h4>Background</h4>Nursing home patients at nutritional risk are often not identified, nor given entitled nutritional treatment. One approach proven suitable to facilitate change in clinical practise is participatory action research (PAR). This is a process which involves research participants in reflection, planning, action, observation, assessing and re-planning, targeted to bring about change. The aim of the present study was to evaluate whether a PAR project resulted in improved documentatio ...[more]

PMID: 30897707

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Project description:OBJECTIVE:To develop a collaborative, person-centred model of clinical pharmacy support for community nurses and their medication management clients. DESIGN:Co-creation and participatory action research, based on reflection, data collection, interaction and feedback from participants and other stakeholders. SETTING:A large, non-profit home nursing service in Melbourne, Australia. PARTICIPANTS:Older people referred to the home nursing service for medication management, their carers, community nurses, general practitioners (GPs) and pharmacists, a multidisciplinary stakeholder reference group (including consumer representation) and the project team. DATA COLLECTION AND ANALYSIS:Feedback and reflections from minutes, notes and transcripts from: project team meetings, clinical pharmacists' reflective diaries and interviews, meetings with community nurses, reference group meetings and interviews and focus groups with 27 older people, 18 carers, 53 nurses, 15 GPs and seven community pharmacists. RESULTS:The model was based on best practice medication management standards and designed to address key medication management issues raised by stakeholders. Pharmacist roles included direct client care and indirect care. Direct care included home visits, medication reconciliation, medication review, medication regimen simplification, preparation of medication lists for clients and nurses, liaison and information sharing with prescribers and pharmacies and patient/carer education. Indirect care included providing medicines information and education for nurses and assisting with review and implementation of organisational medication policies and procedures. The model allowed nurses to refer directly to the pharmacist, enabling timely resolution of medication issues. Direct care was provided to 84 older people over a 15-month implementation period. Ongoing feedback and consultation, in line with participatory action research principles, informed the development and refinement of the model and identification of enablers and challenges. CONCLUSIONS:A collaborative, person-centred clinical pharmacy model that addressed the needs of clients, carers, nurses and other stakeholders was successfully developed. The model is likely to have applicability to home nursing services nationally and internationally.

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Dataset Information

Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project.

Background

Results

Conclusion

Publications

Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project.

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