Implementation of P-INPAC
Towards Implementation of the Pediatric Integrated Nutrition Pathway for Acute Care Pathway (P-INPAC) - Pilot Study
The Hospital for Sick Children
600 participants
Sep 4, 2023
OBSERVATIONAL
Conditions
Summary
The framework for Pediatric Integrated Nutrition Pathway for Acute Care (P-INPAC) was developed by the Canadian Malnutrition Task Force (CMTF); however, it has not been implemented in a research setting. The framework by CMTF for Integrated Nutrition Pathway for Acute Care (INPAC) in adults was also implemented in the "More-2-Eat" project which led to development of best practices in nutritional culture of the hospitals. Therefore, we intend to undertake this feasibility project at 3-sites to train staff and evaluate the implementation of P-INPAC components as part of routine healthcare procedure.
Eligibility
Inclusion Criteria9
- ≥ 30 days of age and less than18 years of age on day of assessment
- Anticipated Length of hospital stay ≥24 hours from day of assessment
- Admitted to either a general medical or surgical ward
- ≥ 30 days of age and less than 18 years of age on day of assessment
- Anticipated Length of stay ≥ 24 hours from day of assessment
- Speak English (or French at Quebec site) or have a family proxy available at the meal to provide information if first language of patient is not English (or French at Quebec site)
- Patient/ caregiver provides written consent to participate
- Implied consent to participate by completing the KAP questionnaire
- Providing clinical service for the select ward
Exclusion Criteria1
- a. Patients with eating disorder, somatization disorders, ARFID, FORM 1 etc. where the study interaction might interfere with the messaging or therapeutic plan as set out by the responsible team.
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Interventions
The pediatric working group of Canadian Malnutrition Task Force has developed an evidence-informed algorithm named the Pediatric Integrated Nutrition Pathway for Acute Care (P-INPAC). The P-INPAC outlines a process to improve nutrition care by: 1. implementing nutrition screening at point-of-admission 2. introducing standard care measures to prevent the development of malnutrition in children admitted with normal nutrition status, including standardizing the process of monitoring food intake early and systematically to identify when standard care measures are not sufficient 3. ensuring the moderately and severely malnourished patients receive timely specialized care in the form of a comprehensive assessment and treatment; and 4. ensuring moderately and severely malnourished patients receive adequate post discharge follow-up and nutrition care. In this pilot study, we will be implementing the first two steps of P-INPAC only (screening and assessment).
Locations(3)
View Full Details on ClinicalTrials.gov
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NCT06645639