Emma Lea, Lynette R Goldberg, Fran McInerney, Elizabeth Beattie
{"title":"Challenges and facilitators of implementing a participatory nutrition project in residential aged care.","authors":"Emma Lea, Lynette R Goldberg, Fran McInerney, Elizabeth Beattie","doi":"10.1177/17449871251369412","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Malnutrition and dehydration in residential aged care (nursing homes) are problematic worldwide, particularly for residents with dementia. However, conducting research to improve residents' nutritional health can be challenging.</p><p><strong>Aims: </strong>This paper describes challenges, facilitators and recommendations following an intervention to enhance nutrition and hydration care.</p><p><strong>Methods: </strong>Meaningful Engagement in Nutritional Understanding (MENU; 2018-2021) was a participatory nutrition support intervention initiated in two Tasmanian care homes. Mixed methods evaluation explored nutrition and hydration status, knowledge and care practices with residents with dementia, staff and family; and the challenges to, and facilitators of, project implementation.</p><p><strong>Results: </strong>This study found nutrition and hydration to be problematic. However, despite multiple challenges, a participatory approach may help engage stakeholders and encourage action in this area. Challenges included resident recruitment, care home and staff engagement, and external factors. Facilitators included Nutrition Champions, the participatory research approach, and tailored resources and education.</p><p><strong>Conclusions: </strong>The study has implications for conducting more effective nutrition research in residential aged care, particularly with people with dementia, nursing and other care staff, to better understand their experiences and enhance care practices. Nursing staff are key to effective participatory research in residential aged care and to ensuring residents' optimal nutrition and hydration.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871251369412"},"PeriodicalIF":2.0000,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460289/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Research in Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17449871251369412","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Malnutrition and dehydration in residential aged care (nursing homes) are problematic worldwide, particularly for residents with dementia. However, conducting research to improve residents' nutritional health can be challenging.
Aims: This paper describes challenges, facilitators and recommendations following an intervention to enhance nutrition and hydration care.
Methods: Meaningful Engagement in Nutritional Understanding (MENU; 2018-2021) was a participatory nutrition support intervention initiated in two Tasmanian care homes. Mixed methods evaluation explored nutrition and hydration status, knowledge and care practices with residents with dementia, staff and family; and the challenges to, and facilitators of, project implementation.
Results: This study found nutrition and hydration to be problematic. However, despite multiple challenges, a participatory approach may help engage stakeholders and encourage action in this area. Challenges included resident recruitment, care home and staff engagement, and external factors. Facilitators included Nutrition Champions, the participatory research approach, and tailored resources and education.
Conclusions: The study has implications for conducting more effective nutrition research in residential aged care, particularly with people with dementia, nursing and other care staff, to better understand their experiences and enhance care practices. Nursing staff are key to effective participatory research in residential aged care and to ensuring residents' optimal nutrition and hydration.
期刊介绍:
The Journal of Research in Nursing is a leading peer reviewed journal that blends good research with contemporary debates about policy and practice. The Journal of Research in Nursing contributes knowledge to nursing practice, research and local, national and international health and social care policy. Each issue contains a variety of papers and review commentaries within a specific theme. The editors are advised and supported by a board of key academics, practitioners and policy makers of international standing. The Journal of Research in Nursing will: • Ensure an evidence base to your practice and policy development • Inform your research work at an advanced level • Challenge you to critically reflect on the interface between practice, policy and research