Physician Perspectives on Malnutrition Screening, Diagnosis, and Management: A Qualitative Analysis

被引:1
作者
van Zanten, Daniel Veldhuijzen [1 ]
Vantomme, Erik [2 ]
Ford, Katherine [3 ]
Cahill, Leah [4 ]
Jin, Jennifer [1 ]
Keller, Heather [3 ]
Nasser, Roseann [5 ]
Lagendyk, Laura [6 ]
Strickland, Tina [7 ]
Macdonald, Brenda [7 ]
Boudreau, Sonya [7 ]
Gramlich, Leah [1 ]
机构
[1] Univ Alberta, Dept Med, Div Gastroenterol, Edmonton, AB T6G 2R3, Canada
[2] Univ Saskatchewan, Dept Med, Regina, SK S4P 2H8, Canada
[3] Univ Waterloo, Dept Kinesiol & Hlth Sci, Waterloo, ON N2L 3G1, Canada
[4] Dalhousie Univ, Dept Med, Halifax, NS B3J 1V7, Canada
[5] Saskatchewan Hlth Author, Regina, SK S4P 1C4, Canada
[6] QuotesWork, Diamond Valley, AB T0L 2A0, Canada
[7] Nova Scotia Hlth Author, Halifax, NS, Canada
关键词
malnutrition; nutrition risk screening; qualitative analysis; malnutrition care and barriers; FOOD INSECURITY; CONSOLIDATED FRAMEWORK; NUTRITION EDUCATION; PERCEPTIONS; IMPLEMENTATION;
D O I
10.3390/nu16142215
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Malnutrition is an important clinical entity that is frequently underdiagnosed and undertreated, in part due to a lack of education and different perceptions by healthcare providers on its value in medical practice. Given this void, the purpose of this qualitative study was to explore physicians' clinical perspectives on malnutrition care, including its prevalence in their practice, and potential barriers that might preclude the delivery of malnutrition care. Using a directed content qualitative analysis approach, a total of 22 general and subspecialist physicians across three Canadian provinces were interviewed using a series of standardized questions developed by a multidisciplinary research team. Responses were transcribed and then analyzed using NVivo Version 14 software. While physicians recognized the importance of malnutrition screening and treatment, they did not view themselves as the primary drivers and often deferred this responsibility to dietitians. Lack of standard malnutrition screening, education amongst allied healthcare providers, time, personnel, and referral processes to have patients assessed and managed for malnutrition were also identified as contributing factors. For physicians, malnutrition education, standard malnutrition screening during patient encounters, and access to the necessary tools to manage malnutrition using a more centralized approach and standard referral process were viewed as strategies with the potential to improve the ability of the physician to identify and manage disease-related malnutrition and its negative consequences.
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页数:14
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