Dialogue is a prerequisite for the nurse-patient relationship in nutritional care: A secondary analysis using the fundamentals of care framework.
Pia Søe Jensen, Vibeke Nørholm, Ingrid Poulsen and 1 others
PMID 35778822WHAT IT FOUND
In orthopaedic wards, nurses often delivered meals as a service task, missing chances to discuss nutrition.
Patients said dialogue about preferences and intake helped them feel noticed and motivated to eat.
Key findings
01When nurses showed attention to dietary needs, patients responded positively by being motivated to eat.
02Nurses often prioritised quickly distributing and collecting meal trays without interacting about nutritional issues.
03Patients wanted support and choices rather than being told what to eat.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
It is a qualitative study, so it describes what nurses and patients experienced; it does not test whether dialogue improves intake, healing, weight or mortality. The data came from one specialised orthopaedic unit in Copenhagen, so they may not fit other wards or patient groups. The original data were not collected specifically to study the five relationship elements, so some elements may be represented unevenly. The patient interviews were small and specific: 17 patients who had undergone amputation, all with diabetes or atherosclerosis, median age 72 years, and six women. Observations were made by final-year bachelor nurse students positioned as students, so the nursing staff may have behaved differently because they were being watched.
The easy way to misread this
Do not read this as proof that nurse-patient dialogue improves nutritional outcomes. It is a qualitative secondary analysis of interviews and observations, so it describes what nurses and patients experienced, not whether a specific conversation changed intake, healing or mortality.