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Emily Vautour Dietetic Intern, 2007-2008
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Emily Vautour Dietetic Intern, 2007-2008. Introduction Procedures and Methods Results Discussion Limitations to the Study Conclusion References.

Dec 22, 2015

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Page 1: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

Emily Vautour Dietetic Intern, 2007-2008

Page 2: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

Introduction Procedures and

Methods Results Discussion Limitations to the

Study Conclusion References

Page 3: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

The Cornwall Community Hospital (CCH)◦ 170 bed acute care hospital◦ Foodservice department of approx. 24 FTE◦ Non-selective one-week cycle menu

Page 4: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

Providing patients with a means to communicate food preferences to foodservices has been associated with increased patient satisfaction with regards to food and foodservices

- Folio et al. 2002; Stein 2000; Oyarzun et al. 2000; Schwartz & Gudzin 2000

Relationship between availability of a food preference form and food wastage

- Unpublished study conducted by 2006-2007 dietetic intern at CCH

Page 5: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

To evaluate the possibility of improving patient satisfaction through food preferences for a non-selective hospital menu

Page 6: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

Comparing patient satisfaction survey results from 2 groups:◦ Group 1 – did not get a

chance to communicate food preferences

◦ Group 2 – were offered a chance to communicate food preferences through a Food Preferences Form

Page 7: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

Day 1Tue

Day2We

Day3Thu

Day4Fri

Day5Sat

Day6Sun

Day7Mo

Day8Tue

Day9We

Day10

Thu

Day11

Fri

Day12

Sat

Day13

Sun

Day14

Mo

Patient Satisfaction

Survey Distribution

Food Preference Form Distribution

Patient Satisfaction Survey Distribution

GROUP 1

GROUP 2

Page 8: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.
Page 9: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

GROUP 1 GROUP 2Appearance of

the mealFlavor and taste

of the foodAppearance of

the mealFlavor and taste

of the food

Greatly exceeded expectations 29.03 10.71 55.56 55.56

Exceeded expectations 22.58 35.71 11.11 11.11

Met expectations 48.39 50 22.22 22.22

Did not meet expectations 0 3.57 11.11 11.11

*Results are presented by the percentage of the total number of respondents for each variable and group

Page 10: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

GROUP 1 GROUP 2Food

temperatureChoices available

Food temperature

Choices available

Greatly exceeded expectations 23.33 25 66.67 55.56

Exceeded expectations 50 20.83 22.22 0

Met expectations 26.67 41.67 11.11 33.33

Did not meet expectations 0 12.5 0 11.11

*Results are presented by the percentage of the total number of respondents for each variable and group

Page 11: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

GROUP 1 GROUP 2

Did you receive what was ordered

Courtesy of the person delivering the food

Quality of the food

Did you receive

what was ordered

Courtesy of the person delivering the food

Quality of the food

Greatly exceeded expectations 25 43.33 23.33 57.14 77.78 55.56

Exceeded expectations 25 40 30 0 22.22 11.11

Met expectations 33.33 16.67 46.67 14.29 0 22.22Did not meet expectations 16.67 0 0 28.57 0 11.11

*Results are presented by the percentage of the total number of respondents for each variable and group

Page 12: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.
Page 13: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

The importance of patient satisfaction◦ Role in achieving overall facility goals◦ Influencing patients’ nutritional status

Barriers in achieving patient satisfaction◦ Negative, stereotypical attitude◦ Perception of hospital food influenced by illness

and medications◦ Repetitiveness of the non-selective seven-day

cycle menu

Page 14: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

Non-selective menu vs. patient-focused foodservice system ◦ Deciding factors for keeping the non-selective

menu system for the study Limited time frame Cost associated with the transition Lots of planning

◦ Addition of a Food Preference form was more practical in terms of time and cost

Page 15: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

Small sample size of Group 2 Appropriateness of Patient

Satisfaction Survey Some patients from Group 1

seen by RD for food preferences prior to start of study

Page 16: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

Upward trend observed, however not statistically significant

Existing barriers to achieving patient satisfaction

Other possible benefits of having the Food Preference Form◦ Faster response to patients’ requests◦ Less of RD’s time used for dealing with food

preferences

Page 17: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.

Bélanger MC & Dubé L. The emotional experience of hospitalization: Its moderators and its role in patient satisfaction with foodservices. Journal of the American Dietetic Association. 1996:96:354-360 

Cardello AV, Bell R, & Kramer FM. Attitudes of consumers toward military and other institutional foods. Food Quality and Preference. 1996:7(1):7-20 

Donini LM, Castellaneta E, De Guglielmi S et al. Improvement in the quality of the catering service of a rehabilitation hospital. Clinical Nutrition. 2008:27(1):105-114. 

Folio D, O’Sullivan-Maillet J & Touger-Decker R. The spoken menu concept of patient foodservice delivery systems increases overall patient satisfaction, therapeutic and tray accuracy, and is cost neutral for food and labor. Journal of the American Dietetic Association. 2002:102(4):546-548. 

Huang HC & Shanklin CW. An integrated model to measure service management and physical constraints’ effect on food consumption in assisted-living facilities. Journal of the American Dietetic Association. 2008:108:785-792. 

Lafferty L & Dowling RA. Position of The American Dietetic Association: management of health care food and nutrition services. Journal of the American Dietetic Association. 1997:97(12):1427-1430.

Oyarzun VE, Lafferty LJ, Gregoire, MB et al. Evaluation of efficiency and effectiveness measurements of a foodservice system that included a spoken menu. Journal of the American Dietetic Association. 2000:100(4):460-463.

Petnicki PJ, Jatho GJ & McNamee CK. Benefits of a just-in-time spoken patient menu.Journal of the American Dietetic Association. 1998:98(9):(Suppl.1)

Pronsky ZM. Food-Medication Interactions, 14th ed. Birchrunville: Food-Medication Interactions, 2006. Schwartz DB & Gudzin D. Preadmission nutrition screening: Expanding hospital-based nutrition services by

implementing earlier nutrition intervention. Journal of the American Dietetic Association. 2000:100(1):81-87.Smith KR. How to satisfy preferences of rehab residents in a nonselect menu facility. Health Care Food & Nutrition

Focus. 2003:20(6):8-9.Sridhar MK & Lean MEJ. Nutritional consequences of disease. Medicine. 2006:34(12):530-532.Stanga Z, Zurflüh Y, Roselli M et al. Hospital Food: a survey of patients’ perceptions. Clinical Nutrition.

2003:23(3):241-246Stein K. Diet office redesign to enhance satisfaction and reduce costs. Journal of the American Dietetic

Association. 2000:100(5):512. Williams R, Virtue K, & Adkins A. Room service improves patient food intake and satisfaction with hospital food.

Journal of Pediatric Oncology Nursing. 1998:15(3):183-9.

Page 18: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.
Page 19: Emily Vautour Dietetic Intern, 2007-2008.  Introduction  Procedures and Methods  Results  Discussion  Limitations to the Study  Conclusion  References.