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Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel group
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Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Jan 17, 2016

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Mervin Miles
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Page 1: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Measuring progresses in“Frontline staff in all care settings

must receive appropriate training on the importance of good nutritional

care

Spain Israel group

Page 2: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Frontline staff in all care settings?

• Hospital Managers • Senior and junior physicians + medical students• Nurses + students• Dieticians• Pharmacists• Kitchen• Physicians, nurses in community, home care

Page 3: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Appropriate training in the importance of good nutritional care

• Comprehensive education for MDs (14 hrs)• Comprehensive education for RNs• Short education (4 h) LLL like• Inspired by BCLS or blood transfusion education:• Tutorial computerized education during the free

time of the health professional is preferred to cover all the professionals

• You tube?• Teaching chefs

Page 4: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

IMPROVED MEAL PRESENTATION INCREASES FOOD INTAKE AT A HOSPITAL SETTING

D. Abigail Navarro Msc, RDMay 15th,2014

Page 5: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Chef Haim Eshkol decorating meals

Page 6: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Food in the hospital

Current New

Page 7: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Evaluation tools- Digital Imaging Method

Control Experimental

Page 8: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Evaluation tools – nutritionDay questionnaire

Page 9: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

ResultsMost common reasons for eating less during hospitalization

p < 0.05 p <

0.05p < 0.05

Page 10: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

ResultsWas the meal tasty?

p < 0.05

Page 11: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Readmission rate in %

Control group n=92Experimental n=101** p<0.02**

Page 12: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

How to test

• Community to be explored through ND 6 month outcome in the GNC patient or the malnourished

• Hospital: Health professionnals• Pre and post course test • Number of health professionals assessed and tested every

year• Quality of nutritional care assessed by

– How many patients are screening– Malnutrition diagnosis mentioned in the chart– Number of calls for nutrition consults, EN and PN days– Therapy prescribed and administered– Nutrition Day (Belgium model strongly suggesting and

financially supported within Nutrition Team)

Page 13: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Accreditation process

Page 14: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.
Page 15: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Tool box

Page 16: Measuring progresses in “Frontline staff in all care settings must receive appropriate training on the importance of good nutritional care Spain Israel.

Fight against malnutrition