Protected Mealtimes policy component | Control period | Intervention period |
---|---|---|
Mealtime interruptions: | ||
Number of positive interruptions | 805 | 1016 |
Length of positive interruptions (seconds)(median, IQR)a | 18 (5–50) | 20 (8–52) |
Reason for positive interruptions; n (%) | Â | Â |
 Mealtime assistance | 167 (20.7) | 227 (22.3) |
 Encouragement with eating | 180 (22.4) | 268 (26.4) |
 Re-positioning | 124 (15.4) | 183 (18.0) |
 Assistance with opening food packaging | 111 (13.8) | 176 (17.3) |
 Other reason | 219 (27.2) | 158 (15.6) |
 No reason recorded | 4 (0.5) | 4 (0.4) |
Number of negative interruptions | 579 | 477 |
Length of negative interruptions (seconds)(median, IQR) | 50 (23–132) | 54 (23–140) |
Reason for negative interruptions: n (%) | ||
 Medications | 235 (40.6) | 206 (43.2) |
 Ward round | 12 (2.1) | 1 (0.2) |
 Patient observations (e.g. temperature, BP) | 42 (7.3) | 39 (8.2) |
 Non-essential treatment | 68 (11.7) | 36 (7.5) |
 Interview | 64 (11.0) | 32 (6.7) |
 Support staff role (e.g. menu completion) | 33 (5.7) | 26 (5.4) |
 Telephone call | 7 (1.2) | 17 (3.6) |
 Other | 115 (19.9) | 120 (25.2) |
 Missing | 3 (0.5) | 0 |
Non-nurses providing mealtime assistance (mean per meal) | 1.3 | 2.9 |
Nurses providing mealtime assistance (mean per meal) | 0.9 | 1.3 |
Patient required toilet during meals (n) | 7 | 15 |
Observation of patient hand washing prior to food consumption (where hands could be washed) n (%) | 73 (11.8) | 63 (9.9) |
Observation of patient in an upright position to eat meal; n (%) | 591 (95.9) | 593 (94.4) |
Ability to reach food within 10 minutes of meal commencement; n (%) | 581 (93.4) | 588 (92.5) |
Functional Independence Measure completed (of unique participants) n (%) | 81 (98.8) | 104 (99.0) |
Meal sign displayed (during meals observed) n (%) | 13 (48.1) | 31 (93.9) |
Ward entry doors closed (during meals observed) n (%) | 9 (33.3) | 23 (69.7) |
Staff providing mealtime assistance being called to the telephone (n) | 2 | 2 |
Dining room in use | Not measured | No change |
Dining room clean and set up for dining | 11 of 11 | 12 of 12 |