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Cited by 46Nutrition and Health in AgingGeriatric Care and Nursing HomesClinical Nutrition and Gastroenterology

Older patients’ and their family caregivers’ perceptions of food, meals and nutritional care in the transition between hospital and home care: a qualitative study

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Hestevik, Christine Hillestad, Molin, Marianne, Debesay, Jonas, Bergland, Astrid, Bye, Asta·2020·BMC Nutrition
DOI 10.1186/s40795-020-00335-wPMC PMC7079473
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Abstract

Background: Older people have varying degrees of unmet nutritional needs following discharge from hospital. Inadequate involvement of the older person and his or her family caregivers in care and care planning, and inadequate support of self-management in the discharge process and follow-up care at home, negatively affects the quality of care. Research on older patients’ and their family caregivers’ experiences with nutritional care in hospital and home care and in the transition between these settings is limited. Thus, the aim of this study was to explore older patients’ and their family caregivers’ perceptions regarding the food, meals and nutritional care provided in the transition between hospital and home care services, focusing on the first 30 days at home. The overall aim of this study is to produce knowledge that can inform policy and clinical practice about how to optimise the care provided to older persons that are malnourished or at risk of malnutrition. Methods: Using a qualitative interpretive descriptive design, we carried out face-to-face semi-structured interviews with 15 older patients, with documented risk of malnutrition or malnourishment (Mini Nutritional Assessment [MNA]), two and five weeks after hospital discharge. In addition, we interviewed nine family caregivers once during this five week period. The questions focused on perceptions of food, meals and nutritional care in hospital and home care and in the transition between these settings. We analysed the data thematically. Results: Four overarching themes emerged from the material: 1) the need for a comprehensive approach to nutritional care, 2) non-individualised nutritional care at home, 3) lack of mutual comprehension and shared decision making and 4) the role of family caregivers. Conclusion: The organisation of nutritional care and food provision to older people, depending on care, lack consideration for the individual’s values, needs and preferences. Older patients’ and their family caregivers’ needs and preferences should guide how nutritional care is provided.

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  • A hospital food service organization based on systematic between-meals snacks (three meals and three snacks: 7:30 am, 10 am, noon, 3 pm, 7 pm, 10 pm) reaches the objective of preventing nocturnal starving in people aged 70 or more.

    “A hospital food service organization based on systematic between-meals snacks 620 (three meals and three snacks: 7:30 am, 10 am, noon, 3 pm, 7 pm, 10 pm) reaches this objective 621 [49, 50].”

    From ESPEN guideline on hospital nutrition (2021) · cites this paper as [50]

    The Results section (‘Non-individualised nutritional care at home’; page unavailable) says poorly timed home-care meals could leave patients without food for many hours. Our copy does not address a hospital schedule of three meals and three snacks or whether it prevents overnight fasting in people aged 70 or more; searches for the schedule, snacks, and nocturnal fasting found no such passage. (LLM, conf=0.76)

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Cited by

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Authors
Hestevik, C. H., Molin, M., Debesay, J., Bergland, A., & Bye, A.
Affiliations
  • OsloMet – Oslo Metropolitan University (NO)
  • Oslo University Hospital (NO)
Corresponding author
Hestevik, Christine Hillestad
ORCID
Venue
BMC Nutrition
Publisher
Springer Science and Business Media LLC
Published
2020-03-18
Volume
6
Issue
1
Pages
11-11
ISSN
2055-0928 (ISSN-L)
DOI
10.1186/s40795-020-00335-w
PMC
PMC7079473
OpenAlex
W3012742547
Cited by
46
References
4
Citations by year
2026: 9 · 2025: 3 · 2024: 10 · 2023: 8 · 2022: 5 · 2021: 11
FWCI
3.61
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Nutrition (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
Funders
This study was funded by The Research Council of Norway (256644/H10)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Keywords
older adults, malnutrition, dietary management, hospital discharge, home care, care transitions, family caregivers, patient perspectives, meal provision, shared decision-making, self-management, care planning, post-discharge follow-up

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