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Nutrition and dementia care: developing an evidence-based model for nutritional care in nursing homes

Nutrition and dementia care: developing an evidence-based model for nutritional care in nursing homes
Nutrition and dementia care: developing an evidence-based model for nutritional care in nursing homes
Background: There is a growing volume of research to offer improvements in nutritional care for people with
dementia living in nursing homes. Whilst a number of interventions have been identified to support food and
drink intake, there has been no systematic research to understand the factors for improving nutritional care from
the perspectives of all those delivering care in nursing homes. The aim of this study was to develop a research
informed model for understanding the complex nutritional problems associated with eating and drinking for
people with dementia.
Methods: We conducted nine focus groups and five semi-structured interviews with those involved or who have
a level of responsibility for providing food and drink and nutritional care in nursing homes (nurses, care workers,
catering assistants, dietitians, speech and language therapists) and family carers. The resulting conceptual model
was developed by eliciting care-related processes, thus supporting credibility from the perspective of the end-users.
Results: The seven identified domain areas were person-centred nutritional care (the overarching theme);
availability of food and drink; tools, resources and environment; relationship to others when eating and drinking;
participation in activities; consistency of care and provision of information.
Conclusions: This collaboratively developed, person-centred model can support the design of new education and
training tools and be readily translated into existing programmes. Further research is needed to evaluate whether
these evidence-informed approaches have been implemented successfully and adopted into practice and policy
contexts and can demonstrate effectiveness for people living with dementia.
1471-2318
Murphy, Jane L.
08f50810-accd-44d1-a983-5c3b1d001ee3
Holmes, Joanne
e7824f9e-5c2e-4837-ba1b-7ddb73985c84
Brooks, Cindy
8a2fcddf-44b1-4f74-a14f-d877dddf58bd
Murphy, Jane L.
08f50810-accd-44d1-a983-5c3b1d001ee3
Holmes, Joanne
e7824f9e-5c2e-4837-ba1b-7ddb73985c84
Brooks, Cindy
8a2fcddf-44b1-4f74-a14f-d877dddf58bd

Murphy, Jane L., Holmes, Joanne and Brooks, Cindy (2017) Nutrition and dementia care: developing an evidence-based model for nutritional care in nursing homes. BMC Geriatrics, 17 (55). (doi:10.1186/s12877-017-0443-2).

Record type: Article

Abstract

Background: There is a growing volume of research to offer improvements in nutritional care for people with
dementia living in nursing homes. Whilst a number of interventions have been identified to support food and
drink intake, there has been no systematic research to understand the factors for improving nutritional care from
the perspectives of all those delivering care in nursing homes. The aim of this study was to develop a research
informed model for understanding the complex nutritional problems associated with eating and drinking for
people with dementia.
Methods: We conducted nine focus groups and five semi-structured interviews with those involved or who have
a level of responsibility for providing food and drink and nutritional care in nursing homes (nurses, care workers,
catering assistants, dietitians, speech and language therapists) and family carers. The resulting conceptual model
was developed by eliciting care-related processes, thus supporting credibility from the perspective of the end-users.
Results: The seven identified domain areas were person-centred nutritional care (the overarching theme);
availability of food and drink; tools, resources and environment; relationship to others when eating and drinking;
participation in activities; consistency of care and provision of information.
Conclusions: This collaboratively developed, person-centred model can support the design of new education and
training tools and be readily translated into existing programmes. Further research is needed to evaluate whether
these evidence-informed approaches have been implemented successfully and adopted into practice and policy
contexts and can demonstrate effectiveness for people living with dementia.

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More information

Accepted/In Press date: 7 February 2017
e-pub ahead of print date: 14 February 2017
Organisations: Centre for Innovation & Leadership

Identifiers

Local EPrints ID: 406466
URI: http://eprints.soton.ac.uk/id/eprint/406466
ISSN: 1471-2318
PURE UUID: dd7b297e-b672-422b-bb13-6f7de8d0e7da

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Date deposited: 18 Mar 2017 02:04
Last modified: 15 Mar 2024 12:49

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Contributors

Author: Jane L. Murphy
Author: Joanne Holmes
Author: Cindy Brooks

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