Funded by the Burdett Trust for nursing, the INSCCOPe project aims to improve nutritional health of older people in the community, by supporting implementation of a new procedure for screening and treatment of malnutrition.
Who we are, and what we do
- We are a research team (led by Professor Jane Murphy), who are part of a project to improve screening and treatment of malnutrition for older people in the community.
- The project is a new and exciting collaboration between the Ageing and Dementia Research Centre @ Bournemouth University, Wessex Academic Health Sciences Network (AHSN), Southern Health NHS Foundation Trust, and the Centre for Implementation Science (CIS) @ the University of Southampton.
- The INSCCOPe project focuses on how best to implement service improvements for screening and treatment for malnutrition in older people. A new model of nutritional care has been developed in order to enable integrated community teams to better identify and support older people considered at-risk. This is currently being implemented within one area of Southern Health NHS Foundation Trust, alongside associated training for healthcare staff.
- Our aim is to maximise scalability and cost effectiveness of this new procedure, by providing an evidence base to support implementation across wider settings in the health service.
The findings from phase 1 of our study highlighted that community nurses felt there was a gap in the provision of specialist dietetic support, due to a lack of community-based dietician. As a result, a Nutrition Project Lead post was introduced in March 2018, as a 6 month pilot project. The post was taken up by a registered dietician, Grace Paterson.
Grace provided staff with training on malnutrition, the ‘MUST’ tool, and the new procedure for screening and treatment of malnutrition. She run a dietician helpline to provide teams with specialist advice, created a two-year training plan, and developed Nutrition Link roles within the teams to continue to support staff and drive the procedure forward.
Grace just published an article discussing the results of her work in the Complete Nutrition.
The participating staff within Integrated Community Teams are now completing the third and final NoMAD questionnaire to help us understand their experiences of screening and treatment of malnutrition following the introduction of the new procedure. We are also interviewing the participants to explore their views in more depth. We aim to complete the data collection by mid-November.
Based on the results of the interviews with the Procedure Design and Delivery Group (PDDG), we have updated the NoMAD questionnaire with three additional questions exploring the impact of electronic patient records system (RiO) on the work around nutritional screening and care planning.
The final phase of data collection began today. We start by interviewing the Procedure Design and Delivery Group (PDDG). We will explore the PDDG’s observations and experiences of how the design and delivery of the procedure have gone. The interviews will inform whether any additional areas should be explored in the upcoming questionnaire.
Dr Mike Bracher presented findings from the first phase of the study at the British Sociological Association 50th Medical Sociology Conference.
Dr Daria Tkacz joined the team to take the lead on the data collection and analysis for the second phase of the study.
Dr Mike Bracher delivered a half-day seminar exploring the principles and applications of Normalization Process Theory (NPT) in healthcare implementation.
Dr Mike Bracher presented findings from baseline to the BAPEN 2017 Annual Conference poster session.
Baseline and phase 1 interim findings were presented to the Southern Health NHS Foundation Trust Nutrition and Hydration Committee.
We started the data collection for the first phase of the study. Drawing on findings from interviews at the baseline, we have expanded the questionnaire to explore some emerging issues, within the wider sample. These include: access to dietetic services; reasons for non-completion of training; factors mitigating engagement in non-mandatory training. [Update: we completed this in 09/2017]
We began the baseline data collection to explore staff’s experiences of screening and treatment of malnutrition prior to the introduction of the new procedure. We are asking staff within Integrated Community Teams (ICTs) and Older Persons Mental Health (OPMH) Teams to complete the NoMAD questionnaire and to take part in an interview exploring their responses in more depth. We are also interviewing staff involved in the Procedure Development and Delivery Group (PDDG). [Update: we completed this in 07/2017)