You are viewing the site in preview mode

Skip to main content

Advertisement

Table 2 Main characteristics of selected studies

From: Process, structural, and outcome quality indicators of nutritional care in nursing homes: a systematic review

1st Author, Year of publication Country Setting/ n. participants Type of study Aim of the study
Bonaccorsi, 2015 [35] Italy 67 NHs; 2395 participants Cross-sectional survey To describe the quality indicators of nutritional care in older residents in a sample of NHs in Tuscany, Italy, and to evaluate the predictors of protein-energy malnutrition risk.
Dyck, 2007 [39] USA 2948 NHs for malnutrition; 364,339 residents Cross-sectional analysis of two data sets To examine the relationships between nursing staffing and the nursing home resident outcome on weight loss and dehydratation .
Halfens, 2013 [30] The Netherlands, Austria, Switzerland 211 hospitals (20,232 patients); 165 NHs (6969 residents) Cross-sectional multicentre study. To measure care problems (including malnutrition) in terms of prevalence rates, prevention, treatment, and quality indicators in healthcare organizations in the Netherlands, Austria, and Switzerland.
Hjaltadottir, 2012 [27] Iceland Panel for Delphi method: 12 experts; 47 NHs (2247 participants) Two rounds Delphi study and observational study To determine upper and lower thresholds of Minimum Data Set quality indicators for Icelandic NHs.
Hurtado, 2016 [40] USA 30 NHs Prospective ecological study To examine whether quality of care in NHs was predicted by schedule control (workers’ ability to decide work hours), independent of other staffing characteristics.
Lee, 2014 [41] USA 195 NHs Cross-sectional analysis of five data sets To examine the association of registered nurse staffing hours and five quality indicators, including process and outcome measures.
Meijers, 2009 [59] The Netherlands 50 hospitals, 90 NHs, 16 care homes, and 20,255 participants Cross-sectional multicentre study To investigate screening, treatment, and other quality indicators of nutritional care in Dutch healthcare organizations.
Meijers, 2014 [36] The Netherlands 74 Care homes (41 participated four times,33 five times); 26,046 participants (2007–2011) Cross-sectional study To analyse the trend of malnutrition prevalence rates between 2007 and 2011 in Dutch care homes and the effect of process and structural indicators on malnutrition prevalence rates.
Moore, 2014 [31] Australia Four Residential Aged Care (RAC) Cross-sectional study To explore relationships among the Victorian Public Sector RAC Services quality indicators and other demographic and health-related issues.
Rantz, 2009 [29] USA 492 NHs Before-after observational study To present and discuss the evaluation of the Quality Improvement Program of Missouri in 2006, using some outcome indicators.
Schönherr, 2012 [32] Austria 18 NHs (1487 participants); 18 hospitals (2326 participants) Multicentre cross-sectional study To describe and compare structural and process indicators of nutritional care in Austrian hospitals and NHs.
Shin, 2015 [42] Korea 150 NHs Cross-sectional study To investigate the relationship between nurse staffing and quality of care in NHs in Korea.
Simmons, 2006 [28] USA 1 NHs (48 beds) Before-after observational study To train long-term care staff in conducting continuous quality improvement (CQI) related to nutritional care.
Simmons, 2007 [44] USA 7 NHs Cross-sectional study To assess the impact of Paid Feeding Assistant (PFA) programmes on feeding assistance care process quality.
Van Nie, 2014 [37] The Netherlands, Germany and Austria 214 NHs 19,876 residents Multicentre cross-sectional study To identify structural quality indicators of nutritional care that influence the outcome of quality of care in terms of prevalence of malnutrition and effect of possible differences between malnutrition prevalence in Dutch, German, and Austrian NHs.
van Nie-Visser, 2011 [33] The Netherlands and Germany 151 NHs, 10,771 participants Multicentre cross-sectional study To investigate possible differences in malnutrition prevalence rates in Dutch and German NHs, as well as in structural and process indicators for nutritional care
van Nie-Visser, 2014 [34] The Netherlands, Germany and Austria 214 NHs; 19,876 residents Multicentre cross-sectional study To investigate possible differences in malnutrition prevalence rates in Austrian, Dutch, and German NHs, as well as in structural and process indicators for nutritional care; to investigate whether resident characteristics influence possible differences in malnutrition prevalence between countries.
van Nie-Visser, 2015 [38] The Netherlands, Germany and Austria 214 NH; 22,886 participants, Multicentre cross-sectional study To explore whether structural quality indicators for nutritional care influence malnutrition prevalence in Dutch, German, and Austrian NHs
Werner, 2013 [43] USA 16,623 NHs Cross- sectional study using 2 data sets To test how changes in NH processes improve outcomes of care.