The aim of this study was to provide case examples of how four Canadian medical units that were involved in the More-2-Eat (M2E) Implementation study that saw the implementation of INPAC, improved these two nutrition care activities using different behavior change strategies.
Impact of Facilitated Behavior Change Strategies on Food Intake Monitoring and Body Weight Measurements in Acute Care: Case Examples From the More‐2‐Eat Study.
The aim of this secondary data analysis of the More-2-Eat (M2E) study was to determine if simple functional measures, handgrip (HGS) and 5-meter walk (5m), are associated with malnutrition and should be added to clinical nutrition assessments.
Handgrip strength, but not 5-meter walk, adds value to a clinical nutrition assessment
This study examined the relationship between a patient’s quantifiable measure of food intake with a comprehensive set of factors, including objective measures of individuals socioeconomic and demographic characteristics, institutional factors and clinical strategies in a large (n=1129) and diverse sample of medical patients.
Low food intake in hospital: patient, institutional, and clinical factors
An aim of this paper is to describe the change in rates of detection and triaging of care for malnourished patients, and to demonstrate if these improvements in care can be sustained in the short-term. A second intention of the manuscript is to demonstrate that following the algorithm leads to an improved detection of malnutrition that ultimately leads to enhanced nutrition treatment that mitigates malnutrition.
Multi-site implementation of nutrition screening and diagnosis in medical care units: Success of the More-2-Eat project
The purpose of this exploratory analysis was to learn what nutrition care strategies patients reported using 30 days after discharge, as well to determine the characteristics of the people who follow these strategies.
Nutrition care after discharge from hospital: An exploratory analysis from the More-2-Eat study
The aim of this report is to highlight the updated version of INPAC and to describe the modifications to INPAC that resulted from M2E.
Update on the Integrated Nutrition Pathway for Acute Care (INPAC): post implementation tailoring and toolkit to support practice improvements
The purpose of this paper is to describe the protocol for the More-2-Eat study (M2E). This paper outlines the data collection and key implementation steps, along with the justification for these methods.
More-2-Eat: evaluation protocol of a multi-site implementation of the Integrated Nutrition Pathway for Acute Care.
The purpose of this paper is to demonstrate gaps in care with respect to INPAC activities prior to implementation of INPAC in 2016.
Need for the Integrated Nutrition Pathway for Acute Care (INPAC): gaps in current nutrition care in five Canadian hospitals.
Before implementation of INPAC, this study was conducted to understand how hospital staff think INPAC should be implemented, as well as their thoughts about the components required to improve nutrition care processes.
Changing nutrition care practices in hospital: a thematic analysis of hospital perspectives.
The More-2-Eat project enlisted five diverse Canadian hospitals in 2016 to implement INPAC (Integrated Nutrition Pathway for Acute Care) in one medical unit. Prior to commencement of the study, baseline data were collected, including a KAP survey of unit staff. The survey was repeated one year after implementation of INPAC.
Comparing hospital staff nutrition knowledge, attitude, and practices before and 1 year after improving nutrition care: results from the More-2-Eat Implementation Project
Understanding the knowledge, attitudes, and practices (KAP) of hospital staff is needed to improve nutrition care processes for detecting, preventing, and treating malnutrition. The purpose of this study was to develop (study 1) and assess the administration and potential (study 2) of using a KAP measure with acute care staff.
Quality nutrition care: measuring hospital staff’s knowledge, attitudes, and practices
Improving Nutrition Care in Hospitalized Patients
Poster created by Alberta Health Services, Nutrition and Food Services
Do you have questions, ideas, or thoughts about changes you want to make? Do you want to learn and share with others? Join the INPAC Community of Practice so we can all learn together.
Contact firstname.lastname@example.org if you would like to join the Community of Practice.