Focus on Feeding! Evaluation of a framework for maximizing mealtime in aged care facilities
Article first published online: 22 APR 2014
© 2014 Wiley Publishing Asia Pty Ltd
International Journal of Nursing Practice
How to Cite
Chang, E., Brownhill, S., Bidewell, J., Johnson, A. and Ratnayake, S. (2014), Focus on Feeding! Evaluation of a framework for maximizing mealtime in aged care facilities. International Journal of Nursing Practice. doi: 10.1111/ijn.12260
EC—study design and manuscript; SB—qualitative data analysis, model design and development, and manuscript; JB—study design, statistical analysis and manuscript; AJ—study design and manuscript; SR—data collection and manuscript.
- Article first published online: 22 APR 2014
- Manuscript Accepted: JUN 2013
- University of Western Sydney
- aged care;
- concept formation;
- nursing staff;
- weight loss
Unintentional weight loss is a health risk for residents of aged care facilities, a concern for families and places demands on nursing staff. An existing weight loss framework to assess and manage residents' weight developed by a multidisciplinary team was implemented and evaluated with nurses and residents in aged care facilities within an area health service of Sydney, Australia. Thematic analysis generated seven binary concepts relating to relational, procedural, behavioural, physical, psychological, environmental and temporal aspects of feeding assistance provided by nurses to residents. Theoretical sampling was applied to the literature confirming those concepts which were organized as a model of feeding assistance labelled the Focus on Feeding! Decision Model.
Nurses can play a pivotal role in the assessment of feeding difficulty and implementation of innovative mealtime programs. The Model aims to promote nurses' critical thinking and decision-making to improve nutritional intake of residents and avoid preventable weight loss.