Barriers and opportunities of nutrition screening in elderly patients in Malaysian health clinic setting

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 Malaysian health clinic setting. Malaysian Journal of Medicine and Health Sciences, 17 Supp 5 (August 2021). p. 52. E-ISSN 2636-9346

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Abstract

Introduction: Malnutrition identification among community-living elderly through nutrition screening is not routinely performed in Malaysian health clinics, although it is recommended to be performed routinely in all healthcare setting. Meanwhile, current health screening practice need to be improvised for malnutrition identification. Thus, this study aimed to identify barriers and opportunities of nutrition screening in elderly patients in health clinic setting. Materials and method: This study was conducted among healthcare staff from urban and rural health clinics in Kuantan, Pahang who were recruited for in-depth individual interview. Non-participant observations on elderly patients (aged ≥60 years) attending health clinics that act as triangulation were conducted to identify barriers and opportunities of nutrition screening within clinic workflow. Both of the data were analysed thematically by using NVivo software version 12.0. Results: Twenty healthcare staff involving medical officers (n=6), medical assistants (n=8), staff nurses (n=4), and community nurses (n=2) with the mean age of 33.65 ±6.27 were interviewed. Frequency of working experience were: <5 years (15.0%), 5 to 10 years (45.0%), 10 to 20 years (35.0%) and >20 years (5.0%). Meanwhile, 21 elderly patients involved in non-participant observations. Themes emerged for barriers and opportunities are 1)Time 2)Patient factors 3)Organization factors and 4)Nutrition screening knowledge. Conclusion: Incorporation of validated nutrition screening tool into current health screening practices is the most feasible way to perform nutrition screening. Besides, nutrition screening can be routinely performed according to health clinics system. Provision of specific nutrition screening guideline using technology-based version could help in implementation for malnutrition identification.

Item Type:	Article (Meeting Abstract)
Additional Information:	5037/94019
Uncontrolled Keywords:	Malnutrition, Elderly, Nutrition screening, Barriers, Opportunities
Subjects:	R Medicine > RM Therapeutics. Pharmacology > RM216 Diet Therapy. Clinical Nutrition
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Allied Health Sciences > Department of Nutrition Sciences
Depositing User:	Dr. Aliza Haslinda Hamirudin
Date Deposited:	23 Nov 2021 10:40
Last Modified:	23 Nov 2021 10:40
URI:	http://irep.iium.edu.my/id/eprint/94019

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