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dc.contributor.authorHopper, M
dc.contributor.authorRoberts, S
dc.contributor.authorWenke, R
dc.contributor.authorHopper, Z
dc.contributor.authorBromiley, L
dc.contributor.authorWhillans, C
dc.contributor.authorMarshall, AP
dc.date.accessioned2021-05-25T01:57:02Z
dc.date.available2021-05-25T01:57:02Z
dc.date.issued2021
dc.identifier.issn0179-051X
dc.identifier.doi10.1007/s00455-021-10294-4
dc.identifier.urihttp://hdl.handle.net/10072/404644
dc.description.abstractEnsuring inpatients with dysphagia receive and consume the correct texture-modified diet and thickened fluid prescriptions is challenging, and errors can result in significant complications for patients and increased costs to hospitals. The aim of this study was to investigate underlying factors that help or hinder receipt and consumption of correct dietary prescriptions for people with dysphagia in the hospital setting then implement and evaluate a range of strategies to address identified issues. A mixed-methods study design, using an integrated knowledge translation approach, was conducted in three phases. In Phase 1, clinical incident data (i.e., documented incidents of diet/fluid errors, with errors defined as the provision or consumption of any food/fluid not appropriate for a patient’s dietary prescription) were analyzed, and staff, patients, and family members were interviewed using the Theoretical Domains Framework to identify factors contributing to errors. In Phase 2, health professionals assisted with the development and implementation of interventions targeted at micro (patient/family), meso (staff), and macro (organizational) levels to address factors identified in Phase 1. In Phase 3, outcomes including the change in number of dietary clinical incidents pre- to post-intervention, meal accuracy error rates from mealtime audits post-intervention, and follow-up interviews were evaluated using quantitative and qualitative measures. Post-intervention, there was a 50% reduction in clinical incidents, and a 2.3% meal accuracy error rate was observed. Staff reported most interventions were acceptable and feasible within their workload, although some interventions were not well embedded in everyday practice. This study highlights the value in using an integrated knowledge translation approach to inform tailored interventions targeting improved dietary accuracy in the hospital setting.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofjournalDysphagia
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode1103
dc.subject.keywordsDysphagia
dc.subject.keywordsIntegrated knowledge translation
dc.subject.keywordsTexture-modified diets
dc.subject.keywordsThickened fluids
dc.titleImproving Accuracy of Texture-Modified Diets and Thickened Fluids Provision in the Hospital: Evidence in Action
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationHopper, M; Roberts, S; Wenke, R; Hopper, Z; Bromiley, L; Whillans, C; Marshall, AP, Improving Accuracy of Texture-Modified Diets and Thickened Fluids Provision in the Hospital: Evidence in Action, Dysphagia, 2021
dcterms.dateAccepted2021-03-25
dc.date.updated2021-05-25T01:51:14Z
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.hasfulltextNo Full Text
gro.griffith.authorRoberts, Shelley J.
gro.griffith.authorWenke, Rachel
gro.griffith.authorMarshall, Andrea


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