Sykes Pamela, Norris Ian, Cook Megan, Woods Aaron, Boughton Rachel, Chilcott Kylie, Walsh Kenneth
Joanna 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).
J Nurs Care Qual. 2019 Jan/Mar;34(1):80-85. doi: 10.1097/NCQ.0000000000000352.
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.
There was anecdotal evidence at the study hospital that patients did not receive adequate and/or timely assistance at mealtimes.
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.
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.
Success of the project is considered to be replicable and sustainable hospitalwide and more broadly.
为住院患者提供适当且及时的用餐协助应成为优化患者营养护理计划的多方面、多学科方法的一部分。
研究医院有传闻证据表明患者在用餐时未得到充分和/或及时的协助。
一个最佳实践实施项目采用了经过验证的审核、反馈和重新审核策略，以在急性普通内科病房实现实践变革。
通过员工参与、重新设计护理模式以重新确定用餐时活动的优先级、明确营养护理角色和职责、引入受保护的用餐时间和新颖的两层彩色餐盘系统以及实施宣传和教育计划等综合干预措施，用餐协助有了显著改善。
该项目的成功被认为可在全院及更广泛范围内复制和持续。
