ArticleNutrition & dietetics : the journal of the Dietitians Association of Australia2025
Harnessing delegation and technology to identify and manage malnutrition in a digital hospital: An implementation study.
Article in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Digital technologies in inpatient foodservice and nutrition care: a systematic scoping review of intake, plate waste, measurement, and implementation.Frontiers in nutrition · 2026Pooled it
- A critical realist exploration of hospital staff experiences of using nutrition dashboard technology.BMC health services research · 2026Article
- Addressing Malnutrition in Australian Hospitals: A Scoping Review to Inform Systems Thinking.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Energy and protein intake threshold modelling using nutrition dashboard technology and sensitivity of hospital malnutrition identification.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025Observational
- Harnessing delegation and technology to identify and manage malnutrition in a digital hospital: An implementation study.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025Article
- An Overlooked Challenge: A Retrospective Audit of Overnutrition in Hospital Rehabilitation Wards.Healthcare (Basel, Switzerland) · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsDelegation of nutrition care activities to Dietetic Assistants in hospitals has been identified as one innovative malnutrition model of care, but there has been limited evaluation of their roles. This study aimed to develop, implement and evaluate a new Malnutrition Model of Care embracing automated delegation and digital systems.
methodsThe Malnutrition Model of Care was created to detect patients at risk of malnutrition (using the Malnutrition Screening Tool) and nutritional decline (via routine intake tracking at all meals and snacks). Digital systems generated automated referrals to dietetics, with protocols to support Dietetic Assistants to action these to direct care escalation to the ward dietitian. Dietetic Assistant training included simulations and clinical task instructions. Implementation evaluation was guided by the Donabedian model of quality and included a review of inpatient dietetics occasions of service, survey of Dietetic Assistant role satisfaction and task confidence, and hospital-wide cross-sectional malnutrition audit. Data was descriptively analysed.
resultsDuring the first year of implementation, 60% of Dietetics inpatient occasions of service were completed by Dietetic Assistants, with 26% of Dietetic Assistant inpatient tasks initiated from nursing malnutrition risk screening. Most Dietetic Assistants reported adequate training and confidence in completing delegated tasks. Malnutrition prevalence was 14% with no hospital-acquired malnutrition identified. No clinical incidents were reported.
conclusionsThe Dietetic Assistant workforce and technology were harnessed to implement an innovative delegated Malnutrition Model of Care that appears to be safe and effective at managing malnutrition from preliminary evaluation. Work continues to formally assess service efficiencies, cost and patient experience.
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