TY  - JOUR
T1  - Barriers and Facilitators to Implementing Nutrition Intervention for Older Adults Living in Nursing Homes:  A Scoping Review
AU  - Kantaris, Marios
AU  - Wolfe, Kayon
PY  - 2024
DA  - December
Y2  - 2024
DO  - 10.51819/jaltc.2024.1509004
JF  - Journal of Aging and Long-Term Care
JO  - J Aging Long Term Care
PB  - Ulusal Sosyal ve Uygulamalı Gerontoloji Derneği
WT  - DergiPark
SN  - 2619-9017
SP  - 127
EP  - 150
VL  - 7
IS  - 3
LA  - en
AB  - In North America, the rate of malnutrition among older people is increasing, especially in care facilities. This is mainly associated with increased mortality rates, prolonged hospitalization, and other health problems. Despite the potential benefits of nutritional interventions, there are knowledge gaps in the implementation of nutritional interventions in care homes. A scoping review was conducted to identify the factors and barriers to implementing nutrition interventions for older adults who are malnourished or at risk of malnutrition and living in nursing homes. The review included information on adults aged 60 and over and nursing home staff but excluded hospitals and community settings. A search of four electronic databases yielded 16.290 citations, of which 25 studies were eligible for the review. Seventeen themes emerged, which were categorized into six main domains: Organization, staff, intervention, environment, residents, and support. Barriers identified included inadequate education and training, staff turnover, and inconsistent nutritional care. Potential facilitators included training, support strategies, the presence of family or volunteers, consistency, and a focus on specific eating difficulties.
KW  - Nutrition Intervention
KW  - Nutritional Care
KW  - Skilled Facilities
KW  - Elderly
KW  - Nursing homes
CR  - Administration on Aging (2022). 2021 Profile of Older Americans. Administration for Community Living. https://www.johnahartford.org/dissemination-center/view/acl-2021-profile-of-older-americans
CR  - Angel, J. L., Vega, W., & López-Ortega, M. (2016). Aging in Mexico: Population trends and emerging issues. The Gerontologist, 57(2), gnw136. https://doi.org/10.1093/geront/gnw136
CR  - Barnhart, C., McClymont, K., Smith, A. K., Au-Yeung, A., & Lee, S. J. (2016). “everyone Else gets ice cream here more often than I do—it burns me up” - perspectives on diabetes care from nursing home residents and their doctors. BMC Geriatrics, 16(1). https://doi.org/10.1186/s12877-016-0199-0
CR  - Batchelor-Murphy, M., Kennerly, S. M., Horn, S. D., Barrett, R., Bergstrom, N., Boss, L., & Yap, T. L. (2019). Impact of cognition and handfeeding assistance on nutritional intake for nursing home residents. Journal of Nutrition in Gerontology and Geriatrics, 38(3), 262-276. https://doi.org/10.1080/21551197.2019.1617221
CR  - Blumberg, R., Feldman, C., Murray, D., Burnes, N., & Murawski, D. (2018). Food and nutrition care in Long-term care facilities: Examining the perspectives of frontline workers. Journal of Nutrition in Gerontology and Geriatrics, 37(3-4), 145-157. https://doi.org/10.1080/21551197.2018.1516593
CR  - Brunner, S., Mayer, H., Qin, H., Breidert, M., Dietrich, M., & Staub, M. M. (2021). Interventions to optimise nutrition in older people in hospitals and long‐term care: Umbrella review. Scandinavian Journal of Caring Sciences, 36(3), 579-598. https://doi.org/10.1111/scs.13015
CR  - Carrier, N., West, G. E., & Ouellet, D. (2009). Dining experience, foodservices and staffing are associated with quality of life in elderly nursing home residents. The Journal of Nutrition, Health & Aging, 13(6), 565-570. https://doi.org/10.1007/s12603-009-0108-8
CR  - Center for Medicare Advocacy (2012, March 15). Non-Profit vs. For-Profit Nursing Homes: Is There a Difference in Care? Center for Medicare Advocacy. https://medicareadvocacy.org/non-profit-vs-for-profit-nursing-homes-is-there-a-difference-in-care/
CR  - Colón-Emeric, C., Toles, M., Cary, M. P., Batchelor-Murphy, M., Yap, T., Song, Y., Hall, R., Anderson, A., Burd, A., & Anderson, R. A. (2015). Sustaining complex interventions in long-term care: a qualitative study of direct care staff and managers. Implementation Science, 11(1). https://doi.org/10.1186/s13012-016-0454-y
CR  - Doupe, M. B., Poss, J., Norton, P. G., Garland, A., Dik, N., Zinnick, S., & Lix, L. M. (2018). How well does the minimum data set measure healthcare use? a validation study. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3089-7
CR  - Durkin, D. W., Shotwell, M. S., & Simmons, S. F. (2014). The impact of family visitation on feeding assistance quality in nursing homes. Journal of Applied Gerontology, 33(5), 586-602. https://doi.org/10.1177/0733464814522126
CR  - Eldemire-Shearer, D., Mitchell-Fearon, K., Laws, H., Waldron, N., James, K., & Holder-Nevins, D. (2014). Ageing of Jamaica’s population: What are the implications for healthcare? West Indian Medical Journal, 63(1), 3-8. https://doi.org/10.7727/wimj.2014.003
CR  - Ezezika, O., Gong, J., Abdirahman, H., & Sellen, D. (2021). Barriers and facilitators to the implementation of large-scale nutrition interventions in Africa: A scoping review. Global Implementation Research and Applications, 1(1). https://doi.org/10.1007/s43477-021-00007-2
CR  - Government of Canada (2022, September 28). The Daily — Canada’s population estimates: Age and sex, July 1, 2022. Www150.Statcan.gc.ca. https://www150.statcan.gc.ca/n1/daily-quotidien/220928/dq220928c-eng.htm
CR  - Harding, K. M., Dyo, M., Goebel, J. R., Gorman, N., & Levine, J. (2016). Early malnutrition screening and low cost protein supplementation in elderly patients admitted to a skilled nursing facility. Applied Nursing Research, 31, 29-33. https://doi.org/10.1016/j.apnr.2015.12.001
CR  - Harris, P. S., Payne, L., Morrison, L., Green, S. M., Ghio, D., Hallett, C., Parsons, E. L., Aveyard, P., Roberts, H. C., Sutcliffe, M., Robinson, S., Slodkowska-Barabasz, J., Little, P. S., Stroud, M. A., & Yardley, L. (2019). Barriers and facilitators to screening and treating malnutrition in older adults living in the community: a mixed-methods synthesis. BMC Family Practice, 20(1). https://doi.org/10.1186/s12875-019-0983-y
CR  - Hayashi, S. K. (2017, March 17). Council Post: Strategies for Managing Employees Who Resist Change. Forbes. https://www.forbes.com/sites/forbescoachescouncil/2017/03/17/strategies-for-managing-employees-who-resist-change/?sh=4a03348c6c71
CR  - Ilhamto, N., Anciado, K., Keller, H. H., & Duizer, L. M. (2014). In-house pureed food production in Long-term care: Perspectives of dietary staff and implications for improvement. Journal of Nutrition in Gerontology and Geriatrics, 33(3), 210-228. https://doi.org/10.1080/21551197.2014.927306
CR  - Institute of Medicine (2012). Research Gap. In Nutrition and Healthy Aging in the Community: Workshop Summary. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK98452/
CR  - Johnson, S., Nasser, R., Rustad, K., Chan, J., Wist, C., Siddique, A., & Tulloch, H. (2018). Review of nutrition screening and assessment practices for Long-term care residents. Journal of Nutrition in Gerontology and Geriatrics, 37(3-4), 169-182. https://doi.org/10.1080/21551197.2018.1482811
CR  - Keller, H. H., Carrier, N., Slaughter, S. E., Lengyel, C., Steele, C. M., Duizer, L., Morrison, J., Brown, K. S., Chaudhury, H., Yoon, M. N., Duncan, A. M., Boscart, V., Heckman, G., & Villalon, L. (2017). Prevalence and determinants of poor food intake of residents living in long-term care. Journal of the American Medical Directors Association, 18(11), 941-947. https://doi.org/10.1016/j.jamda.2017.05.003
CR  - Leydon, N., & Dahl, W. (2008). Improving the nutritional status of elderly residents of Long-Term care homes. Journal of Health Services Research & Policy, 13(1_suppl), 25-29. https://doi.org/10.1258/jhsrp.2007.007017
CR  - Mallidou, A. A., Cummings, G. G., Schalm, C., & Estabrooks, C. A. (2013). Health care aides use of time in a residential Long-term care unit: A time and motion study. International Journal of Nursing Studies, 50(9), 1229-1239. https://doi.org/10.1016/j.ijnurstu.2012.12.009
CR  - Malnutrition Task Force (2015). Community Nutritional Strategy. https://democracy.carmarthenshire.gov.wales/documents/s1149/Report.pdf
CR  - McKeever, L., Farrar, I., Sulo, S., Partridge, J., Sheean, P., & Fitzgibbon, M. (2019). Nutritional adequacy and oral nutritional supplementation in older community-dwelling adults. Journal of Aging Research and Lifestyle, 1–8. https://doi.org/10.14283/jarcp.2019.2
CR  - Morrison-Koechl, J., Wu, S. A., Slaughter, S. E., Lengyel, C. O., Carrier, N., & Keller, H. H. (2021). Hungry for more: Low resident social engagement is indirectly associated with poor energy intake and mealtime experience in long-term care homes. Appetite, 159, 105044. https://doi.org/10.1016/j.appet.2020.105044
CR  - Namasivayam-MacDonald, A. M., Slaughter, S. E., Morrison, J., Steele, C. M., Carrier, N., Lengyel, C., & Keller, H. H. (2018). Inadequate fluid intake in long term care residents: Prevalence and determinants. Geriatric Nursing, 39(3), 330-335. https://doi.org/10.1016/j.gerinurse.2017.11.004
CR  - Poscia, A., Milovanovic, S., La Milia, D. I., Duplaga, M., Grysztar, M., Landi, F., Moscato, U., Magnavita, N., Collamati, A., & Ricciardi, W. (2017). Effectiveness of nutritional interventions addressed to elderly persons: umbrella systematic review with meta-analysis. European Journal of Public Health, 28(2), 275-283. https://doi.org/10.1093/eurpub/ckx199
CR  - Rahman, A. N., Simmons, S. F., Applebaum, R., Lindabury, K., & Schnelle, J. F. (2011). The coach is in: Improving nutritional care in nursing homes. The Gerontologist, 52(4), 571-580. https://doi.org/10.1093/geront/gnr111
CR  - Samra, J. (2021, July 8). Ways to Help Employees Manage Their Workload. MyWorkplaceHealth. https://myworkplacehealth.com/ways-to-help-employees-manage-their-workload/#:~:text=Taking%20the%20time%20to%20prioritize
CR  - Simmons, S. F., Durkin, D. W., Shotwell, M. S., Erwin, S., & Schnelle, J. F. (2013). A staff training and management intervention in VA long-term care: Impact on feeding assistance care quality. Translational Behavioral Medicine, 3(2), 189-199. https://doi.org/10.1007/s13142-013-0194-3
CR  - Simmons, S. F., Hollingsworth, E. K., Long, E. A., Liu, X., Shotwell, M. S., Keeler, E., An, R., & Silver, H. J. (2016). Training nonnursing staff to assist with nutritional care delivery in nursing homes: A cost-effectiveness analysis. Journal of the American Geriatrics Society, 65(2), 313-322. https://doi.org/10.1111/jgs.14488
CR  - Simmons, S. F., Keeler, E., An, R., Liu, X., Shotwell, M. S., Kuertz, B., Silver, H. J., & Schnelle, J. F. (2015). Cost-effectiveness of nutrition intervention in long-term care. Journal of the American Geriatrics Society, 63(11), 2308-2316. https://doi.org/10.1111/jgs.13709
CR  - Simmons, S. F., Keeler, E., Zhuo, X., Hickey, K. A., Sato, H., & Schnelle, J. F. (2008). Prevention of unintentional weight loss in nursing home residents: A controlled trial of feeding assistance. Journal of the American Geriatrics Society, 56(8), 1466-1473. https://doi.org/10.1111/j.1532-5415.2008.01801.x
CR  - Simmons, S. F., Peterson, E. N., & You, C. (2009). The accuracy of monthly weight assessments in nursing homes: Implications for the identification of weight loss. The Journal of Nutrition, Health and Aging, 13(3), 284-288. https://doi.org/10.1007/s12603-009-0074-1
CR  - Simmons, S., & Rahman, A. (2009). Quality of feeding assistance care in nursing homes. In Elsevier eBooks (pp. 539–559). https://doi.org/10.1533/9781845695484.3.539
CR  - Simmons, S. F., Zhuo, X., & Keeler, E. (2010). Cost-effectiveness of nutrition interventions in nursing home residents: A pilot intervention. The Journal of Nutrition, Health & Aging, 14(5), 367-372. https://doi.org/10.1007/s12603-010-0082-1
CR  - Smith, K. M., Thomas, K. S., Johnson, S., Meng, H., & Hyer, K. (2017). Dietary service staffing impact nutritional quality in nursing homes. Journal of Applied Gerontology, 38(5), 639-655. https://doi.org/10.1177/0733464816688309
CR  - Smith, T. R., Cawood, A. L., Walters, E. R., Guildford, N., & Stratton, R. J. (2020). Ready-Made oral nutritional supplements improve nutritional outcomes and reduce health care Use—A randomised trial in older malnourished people in primary care. Nutrients, 12(2), 517. https://doi.org/10.3390/nu12020517
CR  - Sulo, S., Schiffer, L., Sheean, P., Farrar, I., Partridge, J., & Fitzgibbon, M. (2020). Community-dwelling adults at nutrition risk: Characteristics in relation to the consumption of oral nutritional supplements. Journal of Primary Care & Community Health, 11, 215013272092271. https://doi.org/10.1177/2150132720922716
CR  - Tait, B. (2020, March 1). Nutrition Interventions and the Nutrition Prescription. Brilliant Dietitians. https://www.brilliantdietitians.com/post/nutrition-interventions
CR  - Tappenden, K. A., Quatrara, B., Parkhurst, M. L., Malone, A. M., Fanjiang, G., & Ziegler, T. R. (2013). Critical role of nutrition in improving quality of care: An interdisciplinary call to action to address adult hospital malnutrition. Journal of the Academy of Nutrition and Dietetics, 113(9), 1219-1237. https://doi.org/10.1016/j.jand.2013.05.015
CR  - The George Washington University (2021, January 29). Managing a Diverse Healthcare Workforce | GW University. George Washington University. https://healthcaremba.gwu.edu/blog/diversity-in-healthcare-workforce/
CR  - Trinca, V., Morrison, J., Slaughter, S., & Keller, H. (2019). Making the most of mealtimes (m3): Effect of eating occasions and other covariates on energy and protein intake among canadian older adult residents in long‐term care. Journal of Human Nutrition and Dietetics, 33(1), 3-11. https://doi.org/10.1111/jhn.12686
CR  - Velázquez-Alva, M. C., Irigoyen-Camacho, M. E., Cabrer-Rosales, M. F., Lazarevich, I., Arrieta-Cruz, I., Gutiérrez-Juárez, R., & Zepeda-Zepeda, M. A. (2020). Prevalence of malnutrition and depression in older adults living in nursing homes in Mexico City. Nutrients, 12(8), 2429. https://doi.org/10.3390/nu12082429
CR  - Waters, S. (2022, May 3). Building Good Work Relationships and All of the Benefits. Www.betterup.com. https://www.betterup.com/blog/building-good-work-relationships
CR  - Wong, M. (2020, October 1). Grenada’s Elderly Population Projected to Grow in 2020 | Loop Caribbean News. Loop News. https://caribbean.loopnews.com/content/grenadas-elderly-population-projected-grow-2020
UR  - https://doi.org/10.51819/jaltc.2024.1509004
L1  - https://dergipark.org.tr/en/download/article-file/4038948
ER  -