Many patients are admitted to hospital and already malnourished. Gaps in practice have identified that care processes for these can be improved. Hospital staff, including management, needs work towards optimizing nutrition hospitals improve the prevention, detection treatment of malnutrition. The objective this study was understand how staff members perceived described necessary ingredients support change efforts required their hospital. A qualitative conducted using purposive sampling...

Many patients leave hospital in poor nutritional states, yet little is known about the post-discharge nutrition care which are engaged. This study describes nutrition-care activities 30-days reported by and what covariates associated with these activities. Quasi-randomly selected recruited from 5 medical units across Canada (n = 513) consented to data collection 48.5% 249) completing telephone interview. Use of was bivariate analysis completed relevant for two most frequently activities,...

Nutrition care in hospitals is often haphazard, and malnourished patients are not always readily identified do receive the they require. The Integrated Pathway for Acute Care (INPAC) an algorithm designed to improve prevention, detection treatment of malnutrition medical surgical patients. More-2-Eat evaluation implementation INPAC activities (e.g. screening) five diverse units from different Canada. primary purpose understand how tailored affects uptake factors that impact this...

In-hospital malnutrition and inadequate food intake have been associated with negative outcomes (e.g., prolonged length of stay, readmission, mortality, increased hospital costs). Studies examining the factors low in hospital, commonly defined as consumption ≤50% meals, produced mixed results. We examined correlates including patient socioeconomic, demographic, health characteristics, institutional factors, common clinical strategies 1129 medical patients from 5 Canadian hospitals. Low was...

Successful improvements in health care practice need to be sustained and spread have maximum benefit. The rationale for embedding sustainability from the beginning of implementation is well recognized; however, strategies sustain successful initiatives are less clearly described. aim this study identify used by hospital staff management nutrition Canadian hospitals.The More-2-Eat project participatory action research improve practices. Five units four provinces had one year detection,...

Malnutrition is common in hospitalized patients and associated with increased mortality, length of stay, risk re-admission. The consensus based Integrated Nutrition Pathway for Acute Care (INPAC) was developed validated to enhance patients' nutrition care improve clinical outcomes. As part the More-2-Eat project (M2E), five hospitals implemented INPAC activities (e.g. screening) a single medical unit. purpose this paper demonstrate gaps respect on these units prior implementation. Results...

Abstract Objective As part of a larger evaluation school nutrition programmes (SNP), the present study examined programme coordinators’ perceptions strengths, weaknesses, opportunities and threats (SWOT) regarding their SNP public health professionals’ support. Design Qualitative interviews were conducted with twenty-two eighty-one coordinators who had completed survey. Interviews followed SWOT framework to evaluate assessed current future partnerships professionals. Setting The was in...

Indigenous communities in Canada are concerned about the health of their youth and reclamation traditional food-related skills amongst people. Food sovereignty has an integral role food nutrition security, path to self-determination. Learning Circles: Local Healthy School (LC:LHF2S) was a community engagement model that aimed enhance access local, healthy, foods for youth. In each four First Nations communities, Circle Evaluation Facilitator worked plan implement activities, build on...

Background: Canadian provincial policies, like Ontario’s School Food and Beverage Policy (P/PM 150), increasingly mandate standards for food beverages offered sale at school. Given concerns regarding students leaving school to purchase less healthy foods, we examined student behaviours competitive retail around schools in a large urban region of Southern Ontario. Methods: Using geographic information system (GIS), enumerated outlets (convenience stores, fast-food restaurants, full-service...

Indigenous communities in Canada are concerned about long-term food sovereignty and the reclamation of traditional food-related skills among their people. Learning Circles: Local Food to School (LF2S) was an innovative community-based project that worked promote multisectoral partnerships, focused on food. Guided by a facilitator, Circle (LC) brought together interested community members plan implement activities aimed at enhancing access local, healthy, foods for school communities. The...

Background: eaTracker® is Dietitians of Canada’s online nutrition/activity self-monitoring tool accessible via website and mobile app. The purpose this research was to evaluate the app based on user perspectives. Methods: One-on-one semi-structured interviews were conducted with adult users who had used for ≥ 1 week within past 90 days. Participants (n = 26; 89% female, 73% 18–50 years) recruited email. Interview transcripts coded using first level coding pattern coding, where codes grouped...

Abstract Background Addressing Indigenous food security and sovereignty calls for community-driven strategies to improve access availability of traditional local food. Participatory approaches that integrate leadership have supported successful program implementation. Learning Circles: Local Healthy Food School is a participatory convenes range stakeholders including producers, educators Knowledge Keepers plan, implement monitor system action. Pilot work (2014–2015) in Haida Gwaii, British...

Youth health, long-term food sovereignty and the reclamation of traditional food-related knowledge are areas concern within Indigenous communities in Canada. Learning Circles: Local Healthy Food to School (LC:LHF2S) built on an exemplar program four predominantly communities. In each, initiative worked with interested community members plan, implement evaluate a range activities aimed at enhancing access local, healthy foods for schools youth. This case study describes context, process,...

Abstract Background : Assessing and monitoring food intake body weight of all hospital patients is considered part “best practice” nutrition care. This study presents case examples describing the impact behavior change strategies on embedding these 2 processes in hospitals. Methods Four medical units that participated More‐2‐Eat implementation to improve care focused improving and/or practices. The percentage admitted who received practices were tracked through chart audits over 18 months....

Integrated knowledge translation (IKT) and community-based participatory research (CBPR) are recognized as effective approaches when Indigenous non-Indigenous partners work together to focus on a common goal. The "Learning Circles: Local Healthy Food School" (LC:LHF2S) study supported the development implementation of Learning Circles (LC) in 4 Canadian communities with goal improving local, healthy food systems. Critical process were annual gatherings (AG) where diverse stakeholders...

Many patients are already malnourished when admitted to hospital. Barriers and facilitators nutrition care in hospital have been identified successful interventions developed; however, few studies explored how sustain spread improvements. The More-2-Eat phase 1 study involved five hospitals across Canada implementing improvements, while 2 implemented a scalable model using trained champions, audit feedback, community of practice with external mentorship an implementation toolkit 10 (four...

The Government of Canada's Mental Health Promotion Innovation Fund (MHP-IF) is a platform for learning across diverse projects, facilitated by Knowledge Development and Exchange Hub. MHP-IF projects were getting underway before the COVID-19 pandemic escalated in 2020 dramatically shifted their circumstances activities. Using storytelling methods, this study explored 20 project experiences during first year pandemic, including how why assumptions, plans, activities adapted; early signals...

Introduction With obesity rates rising in Canada, schools have been identified as an ideal setting for health promotion interventions. In 2011, Ontario's School Food and Beverage Policy (P/PM 150) was mandated by the Ministry of Education all province to try improve diets food behaviours youth. Policies introduced a number jurisdictions internationally, but what is not known are best ways implement them. Purpose The purpose this research i) describe school context one Ontario Region, ii)...