Healthcare professionals’ experiences of providing individualized nutritional care for older people in hospital and home care: A qualitative study
dc.contributor.author | Hestevik, Christine Hillestad | |
dc.contributor.author | Molin, Marianne | |
dc.contributor.author | Debesay, Jonas | |
dc.contributor.author | Bergland, Astrid | |
dc.contributor.author | Bye, Asta | |
dc.date.accessioned | 2019-11-26T09:34:52Z | |
dc.date.accessioned | 2019-11-27T08:14:02Z | |
dc.date.available | 2019-11-26T09:34:52Z | |
dc.date.available | 2019-11-27T08:14:02Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Hestevik, C.H., Molin, M., Debesay, J., Bergland, A. & Bye, A. (2019). Healthcare professionals’ experiences of providing individualized nutritional care for older people in hospital and home care: a qualitative study . BMC Geriatrics, | en |
dc.identifier.issn | 1471-2318 | |
dc.identifier.issn | 1471-2318 | |
dc.identifier.uri | https://hdl.handle.net/10642/7856 | |
dc.description.abstract | Recent studies indicate inadequate nutritional care practices in healthcare institutions and identify several barriers to perform individualized nutritional care to older persons. Organisation of care can become rigid and standardised, thus failing to be respectful of and responsive to each person’s needs and preferences. There is limited research exploring health professionals’ views on how structure of care allows them to individualize nutritional care to older persons. In this study we aim to explore how healthcare professionals’ experience providing individualised nutritional care within the organisational frames of acute geriatric hospital care and home care. Methods: Semi-structured interviews with 23 healthcare professionals from hospital acute geriatric care and home care. Interviews were analyzed using thematic analysis. Results: Two main themes and six sub-themes emerged from the material. Theme 1: ‘Meeting patients with complex nutritional problems’ with the sub-themes: ‘It is much more complex than just not eating’ and ‘seeing nutrition as a part of the whole’. Theme 2: ‘The structure of the nutritional care’, with the sub-themes: ‘Nutritional routines: Much ado, but for what?’, ‘lack of time to individualize nutritional care’, ‘lack of interdisciplinary collaboration in nutritional care’ and ‘meeting challenging situations with limited resources in home care’. Conclusions: The healthcare professionals described having a high focus on and priority of nutritional care when caring for older persons. They did however find it challenging to practice individualized nutritional care due to the complexity of the patients’ nutritional problems and constraints in the way nutritional care was organised. By describing the challenges the healthcare professionals face when trying to individualize the nutritional care, this study may provide important knowledge to health professionals and policy makers on how to decrease the gap between older patients’ preferences for care and nutritional care practice. | en |
dc.language.iso | en | en |
dc.publisher | BioMed Central | en |
dc.relation.ispartofseries | BMC Geriatrics;19, Article number: 317 (2019) | |
dc.rights | © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Nutritional care | en |
dc.subject | Older persons | en |
dc.subject | Healthcare professionals | en |
dc.subject | Hospitals | en |
dc.subject | Home care | en |
dc.subject | Care organizations | en |
dc.title | Healthcare professionals’ experiences of providing individualized nutritional care for older people in hospital and home care: A qualitative study | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2019-11-26T09:34:52Z | |
dc.description.version | publishedVersion | en |
dc.identifier.doi | https://doi.org/10.1186/s12877-019-1339-0 | |
dc.identifier.cristin | 1752285 | |
dc.source.journal | BMC Geriatrics |
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HV - Institutt for fysioterapi (GAMMEL) [336]
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Med mindre annet er angitt, så er denne innførselen lisensiert som © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.