Nutritional care after critical illness: A qualitative study of patients’ experiences

Judith L. Merriweather, Lisa Salisbury, Tim S. Walsh, Pam Smith

Research output: Contribution to journalArticlepeer-review

Abstract

Background
The present qualitative study aimed to explore the factors influencing nutritional recovery in patients after critical illness and to develop a model of care to improve current management of nutrition for this patient group.

Methods
Patients were recruited into the study on discharge from a general intensive care unit (ICU) of a large teaching hospital in central Scotland. Semi-structured interviews were carried out after discharge from the ICU, weekly for the duration of their ward stay, and at 3 months post ICU discharge. Observations of ward practice were undertaken thrice weekly for the duration of the ward stay.

Results
Seventeen patients were recruited into the study and, using a grounded theory approach, ‘inter-related system breakdowns during the nutritional recovery process’ emerged as the overarching core category that influenced patients’ experiences of eating after critical illness. This encompassed the categories, ‘experiencing a dysfunctional body’, ‘experiencing socio-cultural changes in relation to eating’ and ‘encountering nutritional care delivery failures’.

Conclusions
The findings from the present study provide a unique contribution to knowledge by offering important insights into patients’ experiences of eating after critical illness. The study has identified numerous nutritional problems and raises questions about the efficacy of current nutritional management in this patient group. Adopting a more individualised approach to nutritional care could ameliorate the nutritional issues experienced by post ICU patients. This will be evaluated in future work.
Original languageEnglish
Pages (from-to)127-136
Number of pages10
JournalJournal of Human Nutrition and Dietetics
Volume29
Issue number2
Early online date18 Dec 2014
DOIs
Publication statusPublished - Apr 2016

Keywords

  • critical care
  • grounded theory
  • interviews
  • nutritional care
  • observations

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