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


Sykes, P and Norris, I and Cook, M and Woods, A and Boughton, R and Chilcott, K and Walsh, K, Mealtime assistance... from chaos to calm: A collaborative best practice implementation project, Journal of Nursing Care Quality pp. 1-6. ISSN 1057-3631 (2018) [Refereed Article]

Copyright Statement

Copyright © 2018 Wolters Kluwer Health, Inc

DOI: doi:10.1097/NCQ.0000000000000352


Background: Providing appropriate and timely mealtime assistance to hospitalized patients should be part of a multifaceted and multidisciplinary approach to optimizing a patientís 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 Details

Item Type:Refereed Article
Keywords:audit and feedback, best practice implementation project, Joanna Briggs Institute Model for Evidence-Based Health Care, mealtime assistance, nursing, nutritional care plan
Research Division:Health Sciences
Research Group:Nursing
Research Field:Acute care
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Walsh, K (Professor Kenneth Walsh)
ID Code:129030
Year Published:2018
Web of Science® Times Cited:2
Deposited By:Health Sciences
Deposited On:2018-11-02
Last Modified:2018-12-12

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