Barriers and Facilitators for Implementing a Decision Support System to Prevent and Treat Disease-Related Malnutrition in a Hospital Setting: Qualitative Study

• DOI: 10.2196/11890
• Publication Date: 2019-03-29T21:26:31Z
• Authors: Mari Mohn Paulsen; Cecilie Varsi; Ingvild Paur; Randi Julie Tangvik; Lene Frost Andersen
• Keywords: Implementation research; Thematic Analysis

Disease-related malnutrition is a challenge among hospitalized patients. Despite guidelines and recommendations for prevention treatment, the condition continues to be prevalent. The MyFood system recently developed decision support prevent treat disease-related malnutrition.To investigate possible implementation of in clinical practice, aims study were (1) identify current routines, barriers, facilitators nutritional care; (2) potential barriers use MyFood; (3) key aspects an plan.A qualitative was performed nurses, physicians, registered dietitians, middle managers 2 departments university hospital Norway. Focus group discussions semistructured interviews used collect data. Consolidated Framework Implementation Research (CFIR) create interview guide analyze results. transcripts analyzed using thematic analysis.A total 27 health care professionals participated focus groups, including nurses (n=20), physicians (n=2), dietitians (n=3). data within 22 39 CFIR constructs. Using 5 domains as themes, we obtained following results: Intervention characteristics: perceived have relative advantage being more trustworthy, systematic, motivational providing increased awareness treatment compared with practice. Its lack communication existing digital systems barrier; Outer settings: patients from different cultural backgrounds language older age system; Inner no culture specific routines or related existed departments. However, tension change regarding screening risk, monitoring highlighted all categories interviewees; (4) Characteristics individuals: positive attitudes toward present majority interviewees, they expressed self-efficacy (5) Process: sufficient information everyone department success implementation. involvement opinion leaders, champions also suggested plan.This identified several challenges at risk deviations guidelines. precise, than identified. assessment situation identification will planning effect study, creation plan.