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CompletedNCT03963778Updated Jan 5, 2022

Organisational Culture and Nutritional Care

An observational study in Nutrition, sponsored by Bournemouth University. Completed at 1 site in United Kingdom. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2022-01-05.

Sponsored by Bournemouth University · Observational

Study type
Observational
Model
Case-only
Time perspective
Other
Enrollment
24
Ages
65 Years and older
Sex
All
01

Study summary

The study explores the impact of organisational culture on multidisciplinary teams in the provision of nutritional care for older hospitalised acute in-patients by collaborating with patients and/or their relatives and healthcare practitioners to influence change.

Read the detailed description

This study adopts an action research (AR) approach given that sustained change is more likely if it incorporates authentic staff engagement. The key choice made in formulating the research design is to adopt an approach that is collaborative and participatory in a process of action and learning.

Here, eligible health practitioners involved in any aspect of the patients' food and nutritional care or helping to feed patients during mealtimes would be represented in one central team, engaging as co-researchers in the study.

Patients and/or relatives will participate in a focus group or interview session. The AR team participants will be involved in the iterative action research cycle, reflecting on current nutritional care practices, collectively evaluate patients' stories and consider ways to improve eating and drinking on the wards. The AR team will meet throughout the course of 12 months.

The study will provide insight into the impact of organisational culture ('the way the investigators do things') in the delivery of good nutritional care and elucidate the roles and responsibilities of nurses and other staff groups involved in the provision of nutritional care.

This research will provide data on the organisational culture of interdisciplinary teams working at both micro and macro levels while providing insight into the potential for AR to be used in a wider arena within the hospital to improve practice.

02

Conditions studied

  • Nutrition

Keywords

  • Malnourishment
  • Nutritional Deficiency
  • Undernutrition
03

In context

Lead sponsor

Bournemouth University is the lead sponsor of 52 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Recently discharged patients from an acute healthcare setting.

Inclusion criteria

  • Recently discharged patients aged 65 or over
  • Recently discharged patients at the time of data collection
  • Who at the time of admission received oral nutrition and hydration

Exclusion criteria

Exclusion Criteria:

  • Patients aged under 65
  • Current in-patients
  • Patients who have had no oral nutrition. e.g patients who had Percutaneous Endoscopic Gastrostomy (PEG) feeds whilst admitted
  • Patients who are feeling too unwell to participate
  • Patients lacking the mental capacity to give verbal or written consent
05

Study design

Observational model
Case-only
Time perspective
Other
Enrollment
24 participants (actual)
Patient registry
No

Interventions

  • BehavioralImproving nutritional care

    The interventions will be co-designed with the action research team

06

What researchers measure

Primary outcomes

  1. Focus Group sessions / Action research team meetings

    The action research team will have focus group/meetings involving health professionals willing to participate as co-researchers to collectively draw on their experiences to collaborate and implement interventions to improve nutritional care delivery for patients following the iterative AR cycles; planning, taking action, observing and evaluating interventions. The group meetings will be spread across 12 months. Outcome measures are obtained from interventions implemented as agreed by the team and as informed by preliminary data (such as the Malnutrition Universal Screening Tool ('MUST') audit).

    Time frame: 12 months

Secondary outcomes

  1. Interview/focus group

    Semi-structured interview or focus group with patients and /or their relatives willing to share their experiences on food and nutritional care.

    Time frame: 8 months

  2. Malnutrition Universal Screening Tool Hospital Audit.

    Evaluation of 'MUST' Audit pre and post intervention.

    Time frame: 18 months

07

Study locations

1 site
  • Bournemouth University
    Bournemouth, Dorset BH1 3LH, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 5, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03963778
Lead sponsor
Bournemouth University
Collaborators
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
Responsible party
Sponsor
First posted
May 28, 2019
Start date
Sep 17, 2018
Primary completion
Sep 1, 2021
Completion
Dec 1, 2021
Last update
Jan 5, 2022

Study contacts

Janet Scammell, PhD
study director · Associate Professor

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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