The goal of this clinical trial is to learn whether a new way of organising hospital nutrition care can improve outcomes for adults who are admitted to medical wards and are at risk of malnutrition.
The main questions it aims to answer are:
Researchers will compare the new nutrition care model with current practice. In current practice, nursing staff are mainly responsible for nutrition screening and nutrition care planning, while clinical dietitians are involved only when requested. In the new model, clinical dietitians are part of the ward team and take primary responsibility for identifying patients at nutritional risk, planning nutritional care, and providing nutritional treatment.
Participants will:
The study will be conducted on three medical wards at Gødstrup Hospital. All wards will start with current practice and will gradually change to the new nutrition care model during the study period. Researchers will compare outcomes before and after the new model is introduced.
For routinely collected hospital data:
Inclusion Criteria:
For the prospectively enrolled cohort:
Inclusion Criteria:
Exclusion Criteria:
maboki@rm.dk+4581441015
This is an open-label study. Owing to the organisational nature of the intervention, participants and clinicians cannot be blinded. Statistical analyses will be performed using masked group allocation, and interpretation of the primary results will occur before unblinding.
Clinical dietitians are integrated into the ward team and assume primary responsibility for nutritional risk screening, nutritional care planning, follow-up, and nutritional treatment. Nutritional care is delivered in close collaboration with nursing staff according to a predefined model of care.
Nutritional risk screening and nutritional care are delivered according to existing ward procedures. Nursing staff are primarily responsible for nutritional risk screening and nutritional care, while clinical dietitians are involved following referral or consultation as needed.
lonvig@rm.dk+4578434500
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