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Becoming Food Aware in Hospital: A Narrative Review to Advance the Culture of Nutrition Care in Hospitals

Applied Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada
Canadian Nutrition Society, Ottawa, ON K1C 6A8, Canada
Schlegel-University of Waterloo Research Institute for Aging, Waterloo, ON N2J 0E2, Canada
Author to whom correspondence should be addressed.
Academic Editors: Samir Samman and Ian Darnton-Hill
Healthcare 2015, 3(2), 393-407;
Received: 10 March 2015 / Revised: 16 May 2015 / Accepted: 22 May 2015 / Published: 1 June 2015
(This article belongs to the Special Issue The Close Relationship: Health and Nutrition)
The Nutrition Care in Canadian Hospitals (2010–2013) study identified the prevalence of malnutrition on admission to medical and surgical wards as 45%. Nutrition practices in the eighteen hospitals, including diagnosis, treatment and monitoring of malnourished patients, were ad hoc. This lack of a systematic approach has demonstrated the need for the development of improved processes and knowledge translation of practices aimed to advance the culture of nutrition care in hospitals. A narrative review was conducted to identify literature that focused on improved care processes and strategies to promote the nutrition care culture. The key finding was that a multi-level approach is needed to address this complex issue. The organization, staff, patients and their families need to be part of the solution to hospital malnutrition. A variety of strategies to promote the change in nutrition culture have been proposed in the literature, and these are summarized as examples for others to consider. Examples of strategies at the organizational level include developing policies to support change, use of a screening tool, protecting mealtimes, investing in food and additional personnel (healthcare aides, practical nurses and/or diet technicians) to assist patients at mealtimes. Training for hospital staff raises awareness of the issue, but also helps them to identify their role and how it can be modified to improve nutrition care. Patients and families need to be aware of the importance of food to their recovery and how they can advocate for their needs while in hospital, as well as post-hospitalization. It is anticipated that a multi-level approach that promotes being “food aware” for all involved will help hospitals to achieve patient-centred care with respect to nutrition. View Full-Text
Keywords: malnutrition; best practice; hospital; older adults; education; training malnutrition; best practice; hospital; older adults; education; training
MDPI and ACS Style

Laur, C.; McCullough, J.; Davidson, B.; Keller, H. Becoming Food Aware in Hospital: A Narrative Review to Advance the Culture of Nutrition Care in Hospitals. Healthcare 2015, 3, 393-407.

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