Application of the Knowledge-to-Action framework in translating nutrition and dietetic knowledge into practice: A systematic review.

Background: The Knowledge-to-Action (KTA) framework was first developed in 2006 and has become a widely used tool to support translating evidence into practice. Despite its broad application, no systematic review has examined its use in studies of nutrition research translation. This systematic review (PROSPERO ID: CRD42024613147) aims to describe the characteristics of nutrition translation studies that use the KTA, the application of the KTA stages, and the actors involved in the knowledge translation effort and study quality.

Fluid requirements for adult inpatients with medically compromised eating disorders: A scoping review.

Aims: This review aimed to describe the current evidence on fluid requirements for adults with medically compromised eating disorders, with objectives to: (1) review study designs and aims, (2) describe participant characteristics, (3) identify modes of fluid delivery, and (4) examine fluid reporting methods and adverse events relating to fluid intake.

Methods: This scoping review was conducted following the Joanna Briggs Institute's methodology. Three research databases (PubMed, CINAHL, Embase) were searched until 25 November 2024 for relevant studies.

Frailty Nexus: Community of practice for frailty researchers and healthcare professionals.

Background: There has been success in implementing frailty education for healthcare professionals, but there remains a need to improve the knowledge and skills of researchers and healthcare professionals to develop, implement and evaluate frailty-focused research.

Objectives: This paper describes how the Australian Frailty Network developed and evaluated a virtual community of practice (VCOP), a proven model for fostering knowledge mobilisation, to support researchers and healthcare professionals in advancing frailty research and practice in Australia.

Design: Mixed methods.

Ensuring the Safety of MRI Patients With Medical Implants or Devices In Situ: A Snapshot in Time of the Role and Responsibilities of New Zealand and Australian MRI Technologists (Radiographers).

Introduction: Poor clinical decision-making in MRI can lead to significant patient injuries and, in some cases, prove fatal. With the ever-increasing range and numbers of MR-conditional implants and devices, the complexity of decision-making in this environment has increased. While historically performed by radiologists, this decision-making is becoming integrated into the MRI technologists' (radiographers') role.

Navigating Person-Centred Nutrition and Mealtime Care in Rehabilitation: A Conceptual Model.

Background: Person-centred care impacts individual and organisational outcomes in rehabilitation and nutrition services. However, there is little evidence regarding person-centred nutrition and mealtime care within rehabilitation settings. We aimed to develop a conceptual model to guide nutrition and mealtime care in rehabilitation, focusing on factors associated with person-centred care and interprofessional practice.

In-depth exploration of 'therapeutic mealtime experiences' in inpatient rehabilitation: mixed-methods multiple case studies.

Purpose: To explore how mealtime planning and delivery practices in inpatient rehabilitation influence therapeutic mealtime experiences.

Methods: This multiple case study used convergent mixed methods analysis of case-specific data across two metropolitan general rehabilitation sites. Interviews, patient reported experience measures, and a chart audit were conducted at two timepoints for participants.

Scoping review of the measurement of care environment factors that impact sleep in the rehabilitation, subacute, and aged care settings.

Study Objectives: Unfamiliar environments are often poorly conducive to quality sleep, especially for patients within health and aged care settings. This scoping review aims to map available evidence regarding the sleep environment in rehabilitation, subacute, and aged care settings. It examines how these factors are measured and seeks to identify any reported standard metrics, guidelines, or methodologies.

Consumer Engagement in the Design of Educational Nutrition Information for Older Adults and Their Caregivers: A Scoping Review.

Consumer engagement is important to design high-quality educational nutrition information that holistically addresses consumers' needs. This can occur through consultation and feedback mechanisms like surveys or focus groups, consumer expert panels or advisory boards to provide the consumers' perspective, or through participatory research methods. The extent of consumer engagement also varies with differing levels of influence over the decision-making process.

Exploring the unique value of clinician scientist roles to the health services in which they are employed: a scoping review.

Objective This scoping review explored the unique value or impacts of clinician scientists (CSs) to the health services in which they work and metrics used to identify and measure this value. Methods Five databases, grey literature, and the internet were searched in April 2024 to identify articles that described and measured the value or impact of CSs within clinical health services. CSs were defined as having dual clinical and research qualifications and work duties.

Flexible, adaptable, and supportive systems: qualitative description of factors underpinning an ideal mealtime delivery in rehabilitation care settings.

Purpose: Whilst evidence about mealtime delivery exists in acute and aged care settings, there is limited understanding of patient and staff preferences for rehabilitation settings. This study aimed to explore patient and staff perceptions about how mealtimes should be delivered to support rehabilitation goals of care. Method: This qualitative descriptive study involved semi-structured interviews with nine patients (previous or current admission) and ten staff from a single metropolitan rehabilitation service.

An Overlooked Challenge: A Retrospective Audit of Overnutrition in Hospital Rehabilitation Wards.

Research shows that obesity has risen among rehabilitation patients. Despite this, nutrition care in subacute rehabilitation wards focuses primarily on preventing and treating protein-energy malnutrition. The continued provision of energy-dense meals during lengthy rehabilitation admissions may present a risk of overnutrition for some patients, which can adversely affect functional outcomes.

Harnessing delegation and technology to identify and manage malnutrition in a digital hospital: An implementation study.

Aims: Delegation 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.

Methods: The 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).

Facing Power: Navigating Power Dynamics in a Youth Participatory Action Research Project Situated within a Healthcare Setting.

Youth Participatory Action Research (YPAR) is oftentimes cited as a method guided by social justice principles to uplift youth voice and pursue youth priorities in research. However, to uphold these principles, YPAR researchers must address how youth and adults alike negotiate power differentials to be equal partners in research and scholarship. We explore YPAR power sharing through a reflexive thematic analysis of in-depth, semi-structured interviews (n= 42) and focus groups (n=2) conducted at three timepoints (baseline, mid-point, and exit) with youth (n=8) and adult (n=6) researchers engaged in a YPAR exploring health equity at a large, safety-net hospital.

The Australian Frailty Network: Development of a consumer-focussed national response to frailty.

Frailty is an important concept in the care of older adults. Over the past two decades, significant advances have been made in measuring frailty. While it is now well-recognised that frailty status is an important determinant of outcomes from medical illnesses or surgical interventions, frailty measurement is not currently routinely integrated into clinical practice.

Exploring adult inpatients' perceptions, understanding and preferences regarding the term 'malnutrition': A qualitative study.

Aims: To explore adult inpatients' perceptions, understanding and preferences regarding the term 'malnutrition' and to identify the terms that adult inpatients report are used by themselves and health workers to describe malnutrition.

Design: This qualitative study was conducted using data collected for a separate qualitative study that investigated factors that influence the dietary intake of long-stay, acute adult inpatients.

Methods: Semi-structured interviews were conducted with a purposive sample of current inpatients.

Incidence and outcomes of in-hospital nutritional decline: A prospective observational cohort study in adult patients.

Background And Aims: Hospital malnutrition is associated with higher healthcare costs and worse outcomes. Only a few prospective studies have evaluated trends in nutritional status during an acute stay, but these studies were limited by the short timeframe between nutrition assessments. The aim of this study was to investigate changes in nutritional status, incidence of hospital-acquired malnutrition (HAM), and the associated risk factors and outcomes in acute adult patients admitted for >14 days.

Exploring hospital mealtime experiences of older inpatients, caregivers and staff using photovoice methods.

Aim: To gather and understand the experience of hospital mealtimes from the perspectives of those receiving and delivering mealtime care (older inpatients, caregivers and staff) using photovoice methods to identify touchpoints and themes to inform the co-design of new mealtime interventions.

Methods: This study was undertaken on acute care wards within a single metropolitan hospital in Brisbane, Australia in 2019. Photovoice methods involved a researcher accompanying 21 participants (10 older patients, 5 caregivers, 4 nurses and 2 food service officers) during a mealtime and documenting meaningful elements using photographs and field notes.

Mealtimes matter: Measuring the hospital mealtime environment and care practices to identify opportunities for multidisciplinary improvement.

Aims: Hospital inpatients often eat poorly and report barriers related to mealtime care. This study aimed to measure and describe the mealtime environment and care practices across 16 acute wards in a tertiary hospital to identify opportunities for improvement.

Methods: A prospective cross-sectional audit was undertaken over a two-month period in 2021.

Sustainability of enhanced recovery after surgery programmes in gastrointestinal surgery: A scoping review.

Background: Enhanced Recovery After Surgery (ERAS) is an evidence-based intervention that is well-recognised across multiple surgical specialties as having potential to lead to improved patient and hospital outcomes. Little is known about sustainability of ERAS programmes.

Aims: This review aimed to describe available evidence evaluating sustainability of ERAS programmes in gastrointestinal surgery to understand: (a) how sustainability has been defined; (b) examine determinants of sustainability; (c) identify strategies used to facilitate sustainability; (d) identify adaptations to support sustainability; and (e) examine outcomes measured as indicators of sustainability of ERAS programmes.

Putting Guidelines Into Practice: Is Frailty Measurement at the Time of Kidney Transplant Eligibility Assessment Valid, Feasible, and Acceptable to Patients?

Background: Clinical Practice Guidelines suggest that frailty be measured during kidney transplant eligibility assessments. Yet it is not known how frailty is best assessed in this setting or whether its assessment is acceptable to patients. We aimed to examine the construct validity and feasibility of Frailty Index (FI) assessment among patients attending a kidney transplant assessment clinic and to explore patients' perspectives on frailty and the acceptability of its routine assessment.

Enhancing or impeding? The influence of digital systems on interprofessional practice and person-centred care in nutrition care systems across rehabilitation units.

Aims: Digital health transformation may enhance or impede person-centred care and interprofessional practice, and thus the provision of high-quality rehabilitation and nutrition services. We aimed to understand how different elements and factors within existing digital nutrition and health systems in subacute rehabilitation units influence person-centred and/or interprofessional nutrition and mealtime care practices through the lens of complexity science.

Methods: Our ethnographic study was completed through an interpretivist paradigm.