No CrossRef data available.
Article contents
How do elderly people with malnutrition and their families perceive collaborative practice in primary care? A phenomenological study
Published online by Cambridge University Press: 06 July 2022
Abstract
As a frequent and serious problem in elderly people, malnutrition is a complex health issue. It requires comprehensive care through interprofessional collaborative practice (IPCP) engaging five health professionals in primary care consisting of a physician, dentist, nurse, dietitian and pharmacist. In Indonesia, the usual care involves monthly health screening in community programmes named Posyandu. The current study aimed to explore perceptions of elderly people with malnutrition and their families’ experiences with interprofessional teams compared with usual care in primary care. This qualitative study used the phenomenological approach based on Creswell. Interviews were conducted with fourteen elderly people and their families in the intervention group and fourteen elderly people with their families in the control group. Data were analysed using the four steps of descriptive qualitative analysis described by Giorgi, including comparing the experiences of both groups. Elderly people with malnutrition in the intervention group had more valued experiences regarding two-way communication with the IPCP team and felt it involved more comprehensive care for malnutrition management. Participants in the control group experienced communication between the health care providers and elderly people; however, it was not clear enough. There were overlapping roles among health care providers in the usual care. However, both groups shared the experience that family members are partners in nutritional management. Elderly people and their families in the intervention group have more valuable experiences related to two-way communication and comprehensive care. Family as partners was experienced in both the intervention and control groups.
- Type
- Research Article
- Information
- Copyright
- © The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society
References
World Health Organization (2011) Global Health and Aging. Bethesda, MD: National Institute of Health.Google Scholar
Kristianingrum, ND, Wiarsih, W & Nursasi, AY (2018) Perceived family support among older persons in diabetes mellitus self-management. BMC Geriatr 18, 1–5.CrossRefGoogle ScholarPubMed
Ishak, NH, Yusoff, SSM, Rahman, RA, et al. (2017) Diabetes self-care and its associated factors among elderly diabetes in primary care. J Taibah Univ Med Sci 12, 504–511.Google ScholarPubMed
Lochs, H, Allison, SP, Meier, R, et al. (2006) Introductory to the ESPEN guidelines on enteral nutrition: terminology, definitions and general topics. Clin Nutr 25, 180–186.CrossRefGoogle Scholar
Norman, K, Haß, U & Pirlich, M (2021) Malnutrition in older adults-recent advances and remaining challenges. Nutrients 13, 2764.CrossRefGoogle ScholarPubMed
Cereda, E, Pedrolli, C, Klersy, C, et al. (2016) Nutritional status in older persons according to healthcare setting: a systematic review and meta-analysis of prevalence data using MNA ®. Clin Nutr 35, 1282–1290.CrossRefGoogle ScholarPubMed
Arjuna, T, Soenen, S, Hasnawati, RA, et al. (2017) A cross-sectional study of nutrient intake and health status among older adults in Yogyakarta Indonesia. MDPI Nutr 9, 1240.Google ScholarPubMed
World Health Organization (2010) A WHO Report: Framework for Action on Interprofessional Education and Collaborative Practice. vol. 39. Geneva: WHO.Google Scholar
Risnah, R, Hadju, V, Maria, IL, et al. (2018) Interprofessional collaboration practices: case study of the handling of malnutrition in three public health centers in South Sulawesi. Pak J Nutr 17, 379–385.Google Scholar
Plöthner, M, Schmidt, K, de Jong, L, et al. (2019) Needs and preferences of informal caregivers regarding outpatient care for the elderly: a systematic literature review. BMC Geriatr 19, 1–22.CrossRefGoogle ScholarPubMed
Marshall, AP, Lemieux, M, Dhaliwal, R, et al. (2017) Novel, family-centered intervention to improve nutrition in patients recovering from critical illness: a feasibility study. Nutr Clin Pract 32, 392–399.CrossRefGoogle ScholarPubMed
Creswell, JW (2007) Qualitative Inquiry & Research Design. New York, NY: SAGE Publication.Google Scholar
Christensen, M, Welch, A & Barr, J (2017) Husserlian descriptive phenomenology: a review of intentionality, reduction and the natural attitude. J Nurs Educ Pract 7, 81.CrossRefGoogle Scholar
Henry, BW, Mccarthy, DM, Nannicelli, AP, et al. (2016) Patients’ views of teamwork in the emergency department offer insights about team performance. Heal Expect 19, 702–715.CrossRefGoogle ScholarPubMed
Saunders, B, Sim, J, Kingstone, T, et al. (2018) Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant 52, 1893–1907.CrossRefGoogle ScholarPubMed
Giorgi, A (1997) The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. J Phenomenol Psychol 2, 235–260.CrossRefGoogle Scholar
Stadick, JL (2020) Understanding health care professionals’ attitudes towards working in teams and interprofessional collaborative competencies: a mixed methods analysis. J Interprofessional Educ Pract 21, 100370.CrossRefGoogle Scholar
Tsakitzidis, G, Timmermans, O, Callewaert, N, et al. (2017) Outcome indicators on interprofessional collaboration interventions for elderly. Int J Integr Care 16, 1–17.Google Scholar
Harris, MF, Advocat, J, Crabtree, BF, et al. (2016) Interprofessional teamwork innovations for primary health care practices and practitioners: evidence from a comparison of reform in three countries. J Multidisciplinary Healthcare 9, 35–46.CrossRefGoogle ScholarPubMed
Wolff, JL, Guan, Y, Boyd, CM, et al. (2017) Examining the context and helpfulness of family companion contributions to older adults’ primary care visits. Patient Educ Couns 100, 487–494.Google ScholarPubMed