Barriers and opportunities of nutrition screening in elderly patients in health clinic settings in Kuantan, Pahang: a qualitative study

Introduction: The elderly population are susceptible to malnutrition due to many factors. Hence, timely malnutrition identification through nutrition screening needs to be performed routinely in health clinics. However, the nutrition screening practice in health clinics need to be improvised for mal...

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Main Authors: Sheikh Hishamuddin, Siti Nur Amirah, Hamirudin, Aliza Haslinda, Harith, Sakinah, Md Aris, Mohd Aznan, Abd Aziz, Karimah Hanim, A Rashid, Nurul Syaireen
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Language:English
English
Published: Fakulti Perubatan dan Sains Kesihatan Universiti Putra Malaysia 2021
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Online Access:http://irep.iium.edu.my/93424/1/93424_Barriers%20and%20opportunities%20of%20nutrition%20screening%20in%20elderly.pdf
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spelling my.iium.irep.934242022-03-17T04:39:28Z http://irep.iium.edu.my/93424/ Barriers and opportunities of nutrition screening in elderly patients in health clinic settings in Kuantan, Pahang: a qualitative study Sheikh Hishamuddin, Siti Nur Amirah Hamirudin, Aliza Haslinda Harith, Sakinah Md Aris, Mohd Aznan Abd Aziz, Karimah Hanim A Rashid, Nurul Syaireen RM216 Diet Therapy. Clinical Nutrition Introduction: The elderly population are susceptible to malnutrition due to many factors. Hence, timely malnutrition identification through nutrition screening needs to be performed routinely in health clinics. However, the nutrition screening practice in health clinics need to be improvised for malnutrition identification among the elderly population. This study identifies barriers and opportunities for nutrition screening in elderly patients in health clinic settings. Method: A qualitative study was conducted among healthcare staff from urban and rural health clinics in Kuantan, Pahang, Malaysia. In-depth individual interviews were performed, audio-recorded and transcribed verbatim. Non-participant observations that act as triangulation were conducted among elderly patients (aged ≥60 years) attending the sampled health clinics. Both data from the interviews and observations were analysed thematically using NVivo software. Results: Twenty healthcare staff participated in the interviews were medical officers (n=6), medical assistants (n=8), staff nurses (n=4), and community nurses (n=2) with a mean age of 33.7±6.3 years. Twenty-one elderly patients were involved in non-participant observations. The four themes that emerged as barriers and opportunities were: time, patient factors, organisation factors and nutrition screening knowledge. Time constituted the main barrier, whilst incorporating a validated nutrition screening tool into current health screening practices was identified as the most practical approach to performing nutrition screening. Staff also highlighted the need for appropriate guidelines for implementing nutrition screening. Conclusion: This study identified appropriate approaches to implementing nutrition screening among elderly patients in health clinics. Developing a comprehensive nutrition screening guideline may facilitate healthcare staff in performing nutrition screening. Fakulti Perubatan dan Sains Kesihatan Universiti Putra Malaysia 2021-10-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/93424/1/93424_Barriers%20and%20opportunities%20of%20nutrition%20screening%20in%20elderly.pdf application/pdf en http://irep.iium.edu.my/93424/2/93424_Barriers%20and%20opportunities%20of%20nutrition%20screening%20in%20elderly_SCOPUS.pdf Sheikh Hishamuddin, Siti Nur Amirah and Hamirudin, Aliza Haslinda and Harith, Sakinah and Md Aris, Mohd Aznan and Abd Aziz, Karimah Hanim and A Rashid, Nurul Syaireen (2021) Barriers and opportunities of nutrition screening in elderly patients in health clinic settings in Kuantan, Pahang: a qualitative study. Malaysian Journal of Medicine and Health Sciences, 17 (4). pp. 21-29. E-ISSN 2636-9346 https://medic.upm.edu.my/upload/dokumen/2021100809382704_MJMHS_0833.pdf
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic RM216 Diet Therapy. Clinical Nutrition
spellingShingle RM216 Diet Therapy. Clinical Nutrition
Sheikh Hishamuddin, Siti Nur Amirah
Hamirudin, Aliza Haslinda
Harith, Sakinah
Md Aris, Mohd Aznan
Abd Aziz, Karimah Hanim
A Rashid, Nurul Syaireen
Barriers and opportunities of nutrition screening in elderly patients in health clinic settings in Kuantan, Pahang: a qualitative study
description Introduction: The elderly population are susceptible to malnutrition due to many factors. Hence, timely malnutrition identification through nutrition screening needs to be performed routinely in health clinics. However, the nutrition screening practice in health clinics need to be improvised for malnutrition identification among the elderly population. This study identifies barriers and opportunities for nutrition screening in elderly patients in health clinic settings. Method: A qualitative study was conducted among healthcare staff from urban and rural health clinics in Kuantan, Pahang, Malaysia. In-depth individual interviews were performed, audio-recorded and transcribed verbatim. Non-participant observations that act as triangulation were conducted among elderly patients (aged ≥60 years) attending the sampled health clinics. Both data from the interviews and observations were analysed thematically using NVivo software. Results: Twenty healthcare staff participated in the interviews were medical officers (n=6), medical assistants (n=8), staff nurses (n=4), and community nurses (n=2) with a mean age of 33.7±6.3 years. Twenty-one elderly patients were involved in non-participant observations. The four themes that emerged as barriers and opportunities were: time, patient factors, organisation factors and nutrition screening knowledge. Time constituted the main barrier, whilst incorporating a validated nutrition screening tool into current health screening practices was identified as the most practical approach to performing nutrition screening. Staff also highlighted the need for appropriate guidelines for implementing nutrition screening. Conclusion: This study identified appropriate approaches to implementing nutrition screening among elderly patients in health clinics. Developing a comprehensive nutrition screening guideline may facilitate healthcare staff in performing nutrition screening.
format Article
author Sheikh Hishamuddin, Siti Nur Amirah
Hamirudin, Aliza Haslinda
Harith, Sakinah
Md Aris, Mohd Aznan
Abd Aziz, Karimah Hanim
A Rashid, Nurul Syaireen
author_facet Sheikh Hishamuddin, Siti Nur Amirah
Hamirudin, Aliza Haslinda
Harith, Sakinah
Md Aris, Mohd Aznan
Abd Aziz, Karimah Hanim
A Rashid, Nurul Syaireen
author_sort Sheikh Hishamuddin, Siti Nur Amirah
title Barriers and opportunities of nutrition screening in elderly patients in health clinic settings in Kuantan, Pahang: a qualitative study
title_short Barriers and opportunities of nutrition screening in elderly patients in health clinic settings in Kuantan, Pahang: a qualitative study
title_full Barriers and opportunities of nutrition screening in elderly patients in health clinic settings in Kuantan, Pahang: a qualitative study
title_fullStr Barriers and opportunities of nutrition screening in elderly patients in health clinic settings in Kuantan, Pahang: a qualitative study
title_full_unstemmed Barriers and opportunities of nutrition screening in elderly patients in health clinic settings in Kuantan, Pahang: a qualitative study
title_sort barriers and opportunities of nutrition screening in elderly patients in health clinic settings in kuantan, pahang: a qualitative study
publisher Fakulti Perubatan dan Sains Kesihatan Universiti Putra Malaysia
publishDate 2021
url http://irep.iium.edu.my/93424/1/93424_Barriers%20and%20opportunities%20of%20nutrition%20screening%20in%20elderly.pdf
http://irep.iium.edu.my/93424/2/93424_Barriers%20and%20opportunities%20of%20nutrition%20screening%20in%20elderly_SCOPUS.pdf
http://irep.iium.edu.my/93424/
https://medic.upm.edu.my/upload/dokumen/2021100809382704_MJMHS_0833.pdf
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score 13.211869