RNSystematic ReviewJournal of advanced nursing2022

Foodservice systems and mealtime models in rehabilitation: Scoping review.

Alice Pashley, Adrienne Young, Olivia Wright

PMID 35880760

WHAT IT FOUND

Rehabilitation inpatients received mealtime care that was mostly ad hoc and delivered by nursing staff.

Current evidence found no studies testing foodservice system changes and little evidence that mealtimes affect rehabilitation outcomes.

Key findings

01No included study tested changes to or compared differences between foodservice systems.

02Mealtime assistance was commonly reported as a nursing task, but methods for identifying patients' needs were not structured and were decided ad hoc during mealtimes.

03Rehabilitation outcomes were reported in 6 publications, compared with 22 publications reporting nutrition outcomes and 19 publications reporting foodservice outcomes.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This is a scoping review, so it maps what has been studied rather than proving that any foodservice or mealtime model improves patient outcomes. Quality appraisal was not conducted, so the included studies were not weighted by methodological rigour. Most included studies were observational and descriptive, and many had small, variable samples. Descriptions of foodservice systems and mealtime care were incomplete, so practice details may be missing. The review protocol was not registered, so search and selection decisions cannot be checked against a pre-specified plan. The search was limited to peer-reviewed English primary studies, and some quality improvement work may not have been published.

Declared interests

No conflict of interest was declared. The work was completed as part of the primary author's PhD and received no specific grant. The named funder is The University of Queensland.

The easy way to misread this

Do not read this as evidence that protected mealtimes, communal dining, or fortified menus improve rehabilitation outcomes. The review found no studies testing changes to foodservice systems, and rehabilitation outcomes were reported in only 6 publications.

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