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ArticleEuropean geriatric medicine2026

Improving healthcare staff awareness of malnutrition in acute geriatric care: a European multicenter quality improvement project.

Laura Petraglia, Marin Herceg, Clement Lahaye, Letizia Ragazzoni, Maria Beatrice Zazzara, Davide Liborio Vetrano, Natalie J Cox, Yaohua Chen

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Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Laura Petraglia *Department of Translational Medical Sciences, University of Naples "Federico II", Naples, Italy.
Marin Herceg *Department of Geriatrics, AGAPLESION Evangelisches Krankenhaus Mittelhessen, Gießen, Germany.
Clement LahayeDepartment of Geriatrics, University Hospital of Clermont-Ferrand, Clermont Auvergne University, Clermont-Ferrand, France.
Letizia RagazzoniGeriatrische Klinik, St. Gallen, Switzerland.
Maria Beatrice ZazzaraFondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Francesco Vito 1, 00168, Rome, Italy. mariabeatricezazzara@policlinicogemelli.it.ORCID http://orcid.org/0000-0001-9155-3388
Davide Liborio VetranoDepartment of Neurobiology, Care Sciences and Society, Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Natalie J Cox *Academic Geriatric Medicine, Faculty of Medicine, University of Southampton, Southampton, UK.
Yaohua Chen *Department of Geriatrics U1352, University of Lille, Lille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMalnutrition affects more than 25% of hospitalized older adults, is often underrecognized, and is associated with adverse clinical outcomes. Despite European guidelines, standardized screening and management remain inconsistent across geriatric services. This quality improvement (QI) project aimed to enhance healthcare staff's knowledge and practices regarding malnutrition in acute geriatric settings.

methodsA multicenter QI project was conducted in seven hospitals across five countries (France, Germany, Italy, Switzerland, and the United Kingdom). An educational infographic on malnutrition was displayed for 4 weeks in acute geriatric wards, incorporating a QR code linking to national guidelines and key scientific resources. Self-rated knowledge of healthcare staff (including junior doctors, nurses, physiotherapists and other healthcare professionals) was measured via surveys administered before and after a 4-week infographic display period. Pre- and post-intervention audits of nutritional risk assessments in patient records were conducted to evaluate changes in healthcare staff behavior.

resultsA total of 237 survey responses were collected (130 pre-intervention and 107 post-intervention). Self-rated knowledge increased, with respondents reporting good/excellent knowledge rising from 33.8 to 56.1%. Awareness of malnutrition prevalence improved, with those estimating rates at ≥ 25% increasing from 44.6 to 62.3%. Changes were limited for confidence in screening (35.4-37.3%) and acting on malnutrition (35.4-39.3%), while perceived professional responsibility remained high (78.5-80.4%). Point-prevalence audits suggested increased documentation of nutritional screening across several sites. Participant comments indicated that the infographic was perceived as useful and clear.

conclusionA simple infographic may help improve staff awareness of malnutrition and support geriatric nutritional care. Further efforts should focus on multimodal educational strategies, institutional support, and evaluation of long-term clinical outcomes.

Indexed as

AwarenessGeriatrics wardsHospitalizationMalnutritionOlder adultsQuality improvement project

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