Evidence map›Paper›PMID 34342076›Full record

ArticleJournal of nursing management2021

The WeanCare nutritional intervention in institutionalized dysphagic older people and its impact on nursing workload and costs: A quasi-experimental study.

Milko Zanini, Gianluca Catania, Stefania Ripamonti, Roger Watson, Antonio Romano, Giuseppe Aleo, Fiona Timmins, Loredana Sasso, Annamaria Bagnasco

Open access · hybridAbstract read
In one paragraph

Article in Journal of nursing management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 4 countries.

Milko ZaniniDipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy.ORCID https://orcid.org/0000-0002-1081-6279
Gianluca CataniaDipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy.ORCID https://orcid.org/0000-0002-0862-071X
Stefania Ripamonti
Roger WatsonFaculty of Health and Social Care, University of Hull, Hull, UK.ORCID https://orcid.org/0000-0001-8040-7625
Antonio RomanoPharmaceutical and Technical Chemistry, Head R&D Healthy Ageing Research Group, Cremona, Italy.
Giuseppe AleoDipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy.ORCID https://orcid.org/0000-0002-1306-3364
Fiona TimminsUCD School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin, Ireland.ORCID https://orcid.org/0000-0002-7233-9412
Loredana SassoDipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy.ORCID https://orcid.org/0000-0001-5886-5937
Annamaria BagnascoDipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy.ORCID https://orcid.org/0000-0002-9079-8460
University of Genoa · ITDepartment of Health and Aged Care · AUUniversity College Dublin · IEUniversity of Hull · GB

Funding

HARG S.B. SRL Brescia (Italy)
6 · The paper itself

Abstract

aimThe aim of this study is to explore how a nutritional intervention that improves the biochemical and functional profile of dysphagic older people impacts on nursing workload and costs for nursing homes.

backgroundDysphagic institutionalized older people particularly at risk of malnutrition require more intensive support from nursing staff and higher costs for nursing homes.

methodThis is an open pre-post longitudinal multicentre quasi-experimental study without a control group.

resultsThere is a significant reduction in the number of enemas (from 3.51 to 1.11 enemas), with an average nursing workload reduction from 52 to 16 min per patient every month. Each nurse also spent 20 h less per patient every month spoon-feeding. This resulted in nursing staff cost savings.

conclusionsThe nutritional intervention led to a significantly better quality of life for the patients manifested through increased independence and social engagement. This reduced workload for nursing staff and costs for nursing home administrators. IMPLICATIONS FOR NURSING MANAGEMENT: Sensitive, targeted nutritional interventions have the potential to improve nursing home residents' quality of life and enable a more efficient use of resources. This study revealed reduced workload and cost savings due to less time spent administering enemas and spoon-feeding, in addition to reduced malnutritional consequences.

Indexed as

MalnutritionQuality of LifeAgedCosts and Cost AnalysisHumansNursing HomesWorkloaddysphagiaeating behaviourselder nutritional physiologyfood technologyinstitutionalized personsstaff workload

Identifiers

PMID34342076
PMCPMC9292428
OpenAlexW3191273104

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.