Dickinson Angela, Welch Carol, Ager Laurie
Centre for Research in Primary & Community Care, University of Hertfordshire, College Lane Campus, Hatfield, UK.
J Clin Nurs. 2008 Jun;17(11):1492-502. doi: 10.1111/j.1365-2702.2007.02063.x. Epub 2007 Nov 30.
This study aimed to improve the mealtime experience of older people in a hospital setting through helping staff to make changes to their clinical practice and the ward environment.
Poor nutritional care has been a persistent and seemingly intractable problem for many years.
We used an action research design for the study, drawing on techniques from practice development to support the action phase of the work, including action learning, role modelling good practice and reflection. The ward context was explored at the beginning and end of the study using focus groups, interviews, observation and benchmarking.
Ward staff made a number of changes to their nursing practice. The most significant was that all staff became engaged with, prioritized and were involved in the mealtime, ensuring that there was sufficient time and expertise available to assist patients with eating.
This study demonstrates that it is possible to change nursing practice at mealtimes and that this change leads to improvements in patients' experience through ensuring they receive the help they need. Relevance to clinical practice. Although hospital mealtimes are frequently viewed as problematic, we have shown that nurses can be enabled to make changes to their practice that have a positive impact on both the mealtime experience and wider patient care.
本研究旨在通过帮助工作人员改变临床实践和病房环境，改善医院环境中老年人的用餐体验。
多年来，不良的营养护理一直是一个持续存在且似乎难以解决的问题。
我们采用行动研究设计进行本研究，借鉴实践发展中的技术来支持工作的行动阶段，包括行动学习、树立良好实践榜样和反思。在研究开始和结束时，通过焦点小组、访谈、观察和基准测试对病房情况进行了探索。
病房工作人员对其护理实践做出了一些改变。最显著的是，所有工作人员都参与到用餐时间，将其作为优先事项并积极投入其中，确保有足够的时间和专业知识来协助患者进食。
本研究表明，用餐时间的护理实践是可以改变的，并且这种改变通过确保患者得到所需帮助，从而改善患者体验。与临床实践的相关性。尽管医院用餐时间常常被视为存在问题，但我们已经表明，可以使护士改变其实践，这对用餐体验和更广泛的患者护理都有积极影响。
