Assisted or Protected Mealtimes? Exploring the impact of hospital mealtime practices on meal intake

Young, Adrienne, Allia, Amy, Jolliffe, Lisa, de Jersey, Susie, Mudge, Alison, McRae, Prue and Banks, Merrilyn (2016) Assisted or Protected Mealtimes? Exploring the impact of hospital mealtime practices on meal intake. Journal of Advanced Nursing, 72 7: 1616-1625. doi:10.1111/jan.12940

Author Young, Adrienne
Allia, Amy
Jolliffe, Lisa
de Jersey, Susie
Mudge, Alison
McRae, Prue
Banks, Merrilyn
Title Assisted or Protected Mealtimes? Exploring the impact of hospital mealtime practices on meal intake
Journal name Journal of Advanced Nursing   Check publisher's open access policy
ISSN 1365-2648
Publication date 2016-03-21
Year available 2016
Sub-type Article (original research)
DOI 10.1111/jan.12940
Open Access Status Not yet assessed
Volume 72
Issue 7
Start page 1616
End page 1625
Total pages 10
Place of publication West Sussex, United Kingdom
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Aims. To evaluate the impact of mealtime practices (meal time preparation,assistance and interruptions) on meal intake of inpatients in acute hospital wards.Background. It is common for patients to eat poorly while in hospital, related topatient and illness factors and possibly mealtime practices. Few studies havequantified the impact of mealtime practices on the meal intake of hospitalpatients.

Design. Cross-sectional study.

Methods. Structured observations were conducted at 601 meals across fourwards (oncology, medical and orthopaedic and vascular surgical) during 2013.Each ward was observed by two dietitians and/or nurses for two breakfasts,lunches and dinners over 2 weeks. Data were collected on patient positioning,mealtime assistance, interruptions and meal intake (visual estimate of platewaste). Associations between mealtime practices and ‘good’ intake (prospectivelydefined as ≥75% of meal) were identified using chi-squared tests.

Results. Sitting up for the meal was associated with good intake, compared withlying in bed. Timely mealtime assistance (within 10 minutes) was associated withgood intake, compared with delayed or no assistance. Mealtime interruptions hadno impact on intake. Forty percent of patients (n = 241) ate half or less of theirmeal, with 10% (n = 61) eating none of the meal provided.

Conclusion. Timely mealtime assistance and positioning for the meal may beimportant factors that facilitate intake among hospital patients, while mealtimeinterruptions appeared to have no impact on intake. To improve intake of olderinpatients, mealtime programmes should focus on ‘assisted mealtimes’ rather thanonly Protected Mealtimes.
Keyword Eating problems
Mealtime assistance
Protected Mealtimes
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
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Created: Thu, 22 Sep 2016, 19:53:41 EST by Kristen Gibbons on behalf of Learning and Research Services (UQ Library)