Setting goals with patients at risk of malnutrition: A focus group study with clinical dietitians

Setting goals with patients at risk of malnutrition : A focus group study with clinical dietitians

Objective: Setting goals collaboratively with patients is a key aspect in shared decision-making (SDM) in malnutrition interventions. The aim, therefore, was to gain an understanding of clinical dietitians' reflections regarding the process of goal-setting with patients at risk of malnutrition.Methods: Six semi-structured audio-recorded focus group discussions were held with registered dietitians (n = 29) from primary healthcare and hospitals in Sweden. Focus group transcripts were analysed thematically to find patterns in the data and identify themes.Results: Dietitians expressed striving to explore patients' narratives, capabilities, and resources before deciding on goals. They described different strategies in counseling patients and a lack of patient participation in the goal setting. They emphasized the difficulties of setting feasible goals due to discrepancies between their clinically oriented goals and patients' personal goals.Conclusion: Findings highlight a gap in the process of setting goals for patients at risk of malnutrition, where patients' participation was lacking. Education in SDM, and strategies and tools to support dietitians in involving patients in goal-setting, are required to bridge the gap and promote person-centeredness. Practice implications: Findings may be further used to develop tools and strategies, and design studies on the implementation of and education in SDM and goal-setting for malnutrition interventions.

McGreevy, JennyUppsala universitet,Institutionen för kostvetenskap,Centrum för klinisk forskning i Sörmland (CKFD),Nyköping Hosp, Dept Dietet, S-61185 Nyköping, Sweden. (författare)
Orrevall, YlvaKarolinska Institutet,Karolinska Inst, Dept Biosci & Nutr, Stockholm, Sweden.;Karolinska Univ Hosp, Med Unit Clin Nutr, Womens Hlth & Allied Hlth Profess Theme, SE-17176 Stockholm, Sweden. (författare)
Nydahl, Margaretha,1953-Uppsala universitet,Institutionen för kostvetenskap(Swepub:uu)mny24448 (författare)
Bostrom, Anne-MarieKarolinska Institutet,Karolinska Inst, Div Nursing, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.;Karolinska Univ Hosp, Theme Inflammat & Aging, Huddinge, Sweden.;Stockholms Sjukhem, Res & Dev Unit, Stockholm, Sweden. (författare)
Lövestam, Elin,1983-Uppsala universitet,Institutionen för kostvetenskap(Swepub:uu)elilo285 (författare)
Uppsala universitetInstitutionen för kostvetenskap (creator_code:org_t)

Ingår i:Patient Education and Counseling: Elsevier105:7, s. 2103-21090738-39911873-5134

Av författaren/redakt...: Al-Adili, Lina; McGreevy, Jenny; Orrevall, Ylva; Nydahl, Margaret ...; Bostrom, Anne-Ma ...; Lövestam, Elin, ...

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