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dc.contributor.authorHestevik, Christine Hillestad
dc.contributor.authorMolin, Marianne
dc.contributor.authorDebesay, Jonas
dc.contributor.authorBergland, Astrid
dc.contributor.authorBye, Asta
dc.date.accessioned2019-11-26T09:34:52Z
dc.date.accessioned2019-11-27T08:14:02Z
dc.date.available2019-11-26T09:34:52Z
dc.date.available2019-11-27T08:14:02Z
dc.date.issued2019
dc.identifier.citationHestevik, C.H., Molin, M., Debesay, J., Bergland, A. & Bye, A. (2019). Healthcare professionals’ experiences of providing individualized nutritional care for older people in hospital and home care: a qualitative study . BMC Geriatrics,en
dc.identifier.issn1471-2318
dc.identifier.urihttps://hdl.handle.net/10642/7856
dc.description.abstractRecent studies indicate inadequate nutritional care practices in healthcare institutions and identify several barriers to perform individualized nutritional care to older persons. Organisation of care can become rigid and standardised, thus failing to be respectful of and responsive to each person’s needs and preferences. There is limited research exploring health professionals’ views on how structure of care allows them to individualize nutritional care to older persons. In this study we aim to explore how healthcare professionals’ experience providing individualised nutritional care within the organisational frames of acute geriatric hospital care and home care. Methods: Semi-structured interviews with 23 healthcare professionals from hospital acute geriatric care and home care. Interviews were analyzed using thematic analysis. Results: Two main themes and six sub-themes emerged from the material. Theme 1: ‘Meeting patients with complex nutritional problems’ with the sub-themes: ‘It is much more complex than just not eating’ and ‘seeing nutrition as a part of the whole’. Theme 2: ‘The structure of the nutritional care’, with the sub-themes: ‘Nutritional routines: Much ado, but for what?’, ‘lack of time to individualize nutritional care’, ‘lack of interdisciplinary collaboration in nutritional care’ and ‘meeting challenging situations with limited resources in home care’. Conclusions: The healthcare professionals described having a high focus on and priority of nutritional care when caring for older persons. They did however find it challenging to practice individualized nutritional care due to the complexity of the patients’ nutritional problems and constraints in the way nutritional care was organised. By describing the challenges the healthcare professionals face when trying to individualize the nutritional care, this study may provide important knowledge to health professionals and policy makers on how to decrease the gap between older patients’ preferences for care and nutritional care practice.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.ispartofseriesBMC Geriatrics;19, Article number: 317 (2019)
dc.rights© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectNutritional careen
dc.subjectOlder personsen
dc.subjectHealthcare professionalsen
dc.subjectHospitalsen
dc.subjectHome careen
dc.subjectCare organizationsen
dc.titleHealthcare professionals’ experiences of providing individualized nutritional care for older people in hospital and home care: A qualitative studyen
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2019-11-26T09:34:52Z
dc.description.versionpublishedVersionen
dc.identifier.doihttps://doi.org/10.1186/s12877-019-1339-0
dc.identifier.cristinID1752285
dc.source.issn1471-2318
dc.relation.journalBMC Geriatrics


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© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Except where otherwise noted, this item's license is described as © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.