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What factors promote or inhibit implementation of a new procedure for screening and treatment of malnutrition in community settings?: A prospective process evaluation of the Implementing Nutrition Screening in Community Care for Older People (INSCCOPe) project (UK)

What factors promote or inhibit implementation of a new procedure for screening and treatment of malnutrition in community settings?: A prospective process evaluation of the Implementing Nutrition Screening in Community Care for Older People (INSCCOPe) project (UK)
What factors promote or inhibit implementation of a new procedure for screening and treatment of malnutrition in community settings?: A prospective process evaluation of the Implementing Nutrition Screening in Community Care for Older People (INSCCOPe) project (UK)
Introduction: Malnutrition remains underdetected, undertreated and often overlooked by those working with older people in primary care in the UK. A new procedure for screening and treatment of malnutrition is currently being implemented by a large National Health Service (NHS) trust in England, incorporating a programme of training for staff working within Integrated Community Teams and Older People’s Mental Health teams. Running in parallel, the Implementing Nutrition Screening in Community Care for Older People process evaluation study explores factors that may promote or inhibit its implementation and longer term embedding in routine care, with the aim of optimising sustainability and scalability.

Methods and analysis: Implementation will be assessed through observation of staff within a single area of the trust, in addition to the procedure development and delivery group (PDDG). Data collection will occur at three observation points: prior to implementation of training, baseline (T0); 2 months following training (T1); and 8 months following training (T2). Observation points will consist of a survey and follow-up semistructured telephone interview with staff. Investigation of the PDDG will involve: observations of discussions around development of the procedure; semistructured telephone interviews prior to implementation, and at 6 months following implementation. Quantitative data will be described using frequency tables reporting by team type, healthcare provider role group, and total study sample (Wilcoxon rank-sum and Wilcoxon signed-rank tests may also be conducted if appropriate. Audio and transcription data will be analysed using Nomarlization Process Theory as a framework for deductive thematic analysis (using the NVIVO CAQDAS software package).

Ethics and dissemination: Ethical approval for the study has been granted through institutional ethical review (Bournemouth University); NHS Research Ethics committee approval was not required. Dissemination will occur through presentations to academic and practitioner audiences and publication results in peer-reviewed academic journals.
2044-6055
Bracher, Michael
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Murphy, Jane
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Steward, Katherine
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Wallis, Kathy
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May, Carl R.
17697f8d-98f6-40d3-9cc0-022f04009ae4
Bracher, Michael
e9e2fbd6-af5f-4f6e-8357-969aaf51c52e
Murphy, Jane
f035926b-6ce7-425a-8752-0bfc2fc81550
Steward, Katherine
8ac40e0a-e3a2-498b-b190-6f3263e4f21c
Wallis, Kathy
89f0afa3-3f12-4cc4-8a73-4d5b0dbabf1e
May, Carl R.
17697f8d-98f6-40d3-9cc0-022f04009ae4

Bracher, Michael, Murphy, Jane, Steward, Katherine, Wallis, Kathy and May, Carl R. (2019) What factors promote or inhibit implementation of a new procedure for screening and treatment of malnutrition in community settings?: A prospective process evaluation of the Implementing Nutrition Screening in Community Care for Older People (INSCCOPe) project (UK). BMJ Open, [e023362]. (doi:10.1136/bmjopen-2018-023362).

Record type: Article

Abstract

Introduction: Malnutrition remains underdetected, undertreated and often overlooked by those working with older people in primary care in the UK. A new procedure for screening and treatment of malnutrition is currently being implemented by a large National Health Service (NHS) trust in England, incorporating a programme of training for staff working within Integrated Community Teams and Older People’s Mental Health teams. Running in parallel, the Implementing Nutrition Screening in Community Care for Older People process evaluation study explores factors that may promote or inhibit its implementation and longer term embedding in routine care, with the aim of optimising sustainability and scalability.

Methods and analysis: Implementation will be assessed through observation of staff within a single area of the trust, in addition to the procedure development and delivery group (PDDG). Data collection will occur at three observation points: prior to implementation of training, baseline (T0); 2 months following training (T1); and 8 months following training (T2). Observation points will consist of a survey and follow-up semistructured telephone interview with staff. Investigation of the PDDG will involve: observations of discussions around development of the procedure; semistructured telephone interviews prior to implementation, and at 6 months following implementation. Quantitative data will be described using frequency tables reporting by team type, healthcare provider role group, and total study sample (Wilcoxon rank-sum and Wilcoxon signed-rank tests may also be conducted if appropriate. Audio and transcription data will be analysed using Nomarlization Process Theory as a framework for deductive thematic analysis (using the NVIVO CAQDAS software package).

Ethics and dissemination: Ethical approval for the study has been granted through institutional ethical review (Bournemouth University); NHS Research Ethics committee approval was not required. Dissemination will occur through presentations to academic and practitioner audiences and publication results in peer-reviewed academic journals.

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Accepted/In Press date: 5 December 2018
Published date: 24 February 2019

Identifiers

Local EPrints ID: 432978
URI: http://eprints.soton.ac.uk/id/eprint/432978
ISSN: 2044-6055
PURE UUID: 6889537d-157b-4f2c-8484-8fb94f7af4b6
ORCID for Michael Bracher: ORCID iD orcid.org/0000-0001-5861-2657
ORCID for Carl R. May: ORCID iD orcid.org/0000-0002-0451-2690

Catalogue record

Date deposited: 05 Aug 2019 16:30
Last modified: 17 Dec 2019 01:41

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