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Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project

1
Department of Physiotherapy, Faculty of Health Sciences, OsloMet—Oslo Metropolitan University, 0130 Oslo, Norway
2
Bjørknes University College, 0456 Oslo, Norway
3
Cathinka Guldberg Centre, 0456 Oslo, Norway
4
Lovisenberg Diaconal University College, 0456 Oslo, Norway
5
Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet—Oslo Metropolitan University, Norway and Bjørknes University College, 0456 Oslo, Norway
*
Author to whom correspondence should be addressed.
Geriatrics 2019, 4(1), 29; https://doi.org/10.3390/geriatrics4010029
Received: 16 February 2019 / Revised: 11 March 2019 / Accepted: 16 March 2019 / Published: 20 March 2019
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Abstract

Background: Nursing home patients at nutritional risk are often not identified, nor given entitled nutritional treatment. One approach proven suitable to facilitate change in clinical practise is participatory action research (PAR). This is a process which involves research participants in reflection, planning, action, observation, assessing and re-planning, targeted to bring about change. The aim of the present study was to evaluate whether a PAR project resulted in improved documentation of nutritional care in a nursing home ward. Method and sample: A quantitative evaluation. Documentation of the nutritional information was collected from medical records of residents in a nursing home ward at baseline and five months into the project period. Results: Increased documentation of individual nutritional treatment measures was found from baseline to the follow-up. The number of residents with a nutritional care plan (NCP) also increased significantly. On the other hand, the study identified a significant decrease in the proportion of residents with documented weight and nutritional status. Conclusion: The evaluation found several improvements in the documentation of nutritional care practice in the nursing home ward as a result of the PAR project, indicating that a PAR approach is suitable to bring about change in practice. View Full-Text
Keywords: nursing home; nutrition; older people; participatory action research; documentation; evaluation nursing home; nutrition; older people; participatory action research; documentation; evaluation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Hestevik, C.H.; Heyerdahl, E.; Lysne Garaas, B.; Sellevold, G.S.; Molin, M. Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project. Geriatrics 2019, 4, 29.

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