ArticleBMC health services research2023
Intervention-related, contextual and personal factors affecting the implementation of an evidence-based digital system for prevention and treatment of malnutrition in elderly institutionalized patients: a qualitative study.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Implementation science in care for older adults across healthcare settings: a scoping review.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Participation in the digital transformation of healthcare: a review of qualitative studies.International journal of health care quality assurance · 2024Pooled it
- Exploring the role of professional identity in the implementation of clinical decision support systems-a narrative review.Implementation science : IS · 2024Pooled it
- Experiences with nutritional follow-up and barriers and opportunities of implementing digital seamless nutrition care in the head and neck cancer treatment course: a qualitative study from patient, family caregiver, and healthcare professional perspectives.BMC health services research · 2025Trial
- Implementation of Digital Seamless Nutrition Care throughout the Treatment Course for Patients with Head and Neck Cancer: A Process Evaluation.Current developments in nutrition · 2026Article
- Digital Health Tools for the Screening and Management of Malnutrition Risk in the Older Adults: A Narrative Review.Current nutrition reports · 2026Review
- Self-efficacy in nutritional care for older adults among hospital-based nurses: a latent profile and network simulation analysis.BMC nursing · 2026Article
- [Barriers and facilitators of two pilot projects of telemonitoring aimed at patients with diabetesRevista de salud publica (Bogota, Colombia) · 2025Article
- Digital health intervention reconnects war-affected people living with HIV to healthcare: Ukraine case study.Oxford open digital health · 2025Article
- Contextual determinates of under-five malnutrition in mining communities: a critical review of nutrition interventions for optimal impact.Frontiers in public health · 2025Article
- Barriers and facilitators of improved nutritional support for patients newly diagnosed with cancer: a pre-implementation study.BMC health services research · 2024Article
- A sociotechnical framework to assess patient-facing eHealth tools: results of a modified Delphi process.NPJ digital medicine · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMalnutrition in elderly institutionalized patients is a significant challenge associated with adverse health outcomes. The 'MyFood' decision support system was designed to prevent and treat malnutrition and has previously been studied in a hospital setting. The aim of this study was to explore the experiences of nursing staff regarding the implementation of MyFood in settings treating elderly patients.
methodsThe study was conducted in two settings treating elderly patients in Norway. Nursing staff received training in how to follow-up patients with MyFood. Qualitative interviews were conducted with 12 nursing staff. The Consolidated Framework for Implementation Research (CFIR) was used to guide the data collection and the thematic data analysis.
resultsThe implementation of a digital decision support system to prevent and treat malnutrition into settings treating elderly patients was found to be affected by intervention-related, contextual, and personal factors. Although nursing staff experienced several advantages, the leadership engagement was low and hampered the implementation.
conclusionNursing staff experienced several advantages with implementing a digital decision support system for the prevention and treatment of malnutrition in institutionalized elderly patients, including quality improvements and time savings. The results indicate that the leadership engagement was weak and that some nursing staff experienced low self-efficacy in digital competence. Future improvements include increasing the level of training, using MyFood throughout the patient course and involving the patient's next-of-kin.
trial registrationThe study was acknowledged by The Norwegian Centre for Research Data (NSD), ref. number 135175.
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