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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Fakulti Perubatan dan Sains Kesihatan Universiti Putra Malaysia
2021
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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 |
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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 |
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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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1728051152468049920 |
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13.211869 |