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

Author:

Veldhuijzen van Zanten Daniel1,Vantomme Erik2,Ford Katherine3ORCID,Cahill Leah4,Jin Jennifer1ORCID,Keller Heather3ORCID,Nasser Roseann5,Lagendyk Laura6ORCID,Strickland Tina7,MacDonald Brenda7,Boudreau Sonya7,Gramlich Leah1

Affiliation:

1. Department of Medicine, Division of Gastroenterology, University of Alberta, Edmonton, AB T6G 2R3, Canada

2. Department of Medicine, University of Saskatchewan, Regina, SK S4P 2H8, Canada

3. Department of Kinesiology & Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada

4. Department of Medicine, Dalhousie University, Halifax, NS B3J 1V7, Canada

5. Saskatchewan Health Authority, Regina, SK S4P 1C4, Canada

6. QuotesWork, Diamond Valley, AB T0L 2A0, Canada

7. Nova Scotia Health Authority, Halifax, NS B3H 2E1, Canada

Abstract

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.

Publisher

MDPI AG

Reference34 articles.

1. (2023, November 01). INPAC (Integrated Nutrition Pathway for Acute Care). Canadian Malnutrition Task Force. Available online: https://nutritioncareincanada.ca/resources-and-tools/hospital-care-inpac/inpac.

2. The Subjective Global Assessment: A Review of Its Use in Clinical Practice;Makhija;Nutr. Clin. Pract.,2008

3. Perceptions of Nutrition Education in the Current Medical School Curriculum;Danek;Fam. Med.,2017

4. Future Doctors’ Perceptions about Incorporating Nutrition into Standard Care Practice;Schoendorfer;J. Am. Coll. Nutr.,2017

5. Medical students’ perceptions of nutrition education in Canadian universities;Gramlich;Appl. Physiol. Nutr. Metab.,2010

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3