Examining the Feasibility and Implementation of a New Dietary Intake Documentation Method in a Hospital Setting

Malnutrition affects one in three hospitalized patients in the United States (Sauer et al., 2019). One of the six diagnostic criteria for malnutrition is inadequate dietary intake, which can be tracked in several ways. In hospital settings, tracking and documenting dietary intake is primarily the responsibility of nursing staff or dietitians (Heighington-Wansbrough & Gemming, 2022). This project aimed to develop and present a staff training presentation on a new documentation method, utilizing the Welch Allyn Connex Spot Monitor, a point-of-care technology device. The training was presented to various clinical staff at Inova Alexandria Hospital at two meetings. The training presentation reviewed the importance of accurate meal documentation, the disadvantages of the current method, and instructions on how to follow the new method. Documentation frequency was collected from ten patient charts, with a length of stay greater than three days, from three hospital units before the training. Documentation frequency was measured again one week following the second training and four weeks following the second training. The baseline mean before the intervention was implemented was 4.33 meals per patient. The one-week post-intervention mean meals documented was 6.07 meals per patient and the four-week post-intervention mean was 4.1 meals per patient. The results indicated an increase in meal documentation frequency, across all units, one week following the second training session (p = 0.02). When assessing the maintenance of meal documentation four weeks after the training, the frequency was no longer significantly higher and returned close to the baseline value (p = 0.74). In conclusion, meal documentation frequency increased in the week following the training presentation. The adoption of the new method was not sustained over four weeks and highlighted the need for more regular training on the new documentation method.