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University Hospitals Dorset NHS Foundation Trust

UHD and Bournemouth Uni explore nutritional care for patients

A collaborative project between University Hospitals Dorset (UHD) and Bournemouth University (BU) has explored how to optimise nutritional care for patients while they are in hospital.

Good nutritional care is fundamental to patient recovery and in reducing complications associated with malnutrition (undernutrition). Approximately 34% of individuals aged 65 and over who are admitted to hospital are at risk or are already suffering from malnutrition.

However, providing optimum hydration and appropriate mealtime support for patients who need it is often met with many challenges for staff with competing clinical tasks in a pressurised acute clinical environment.

The research project was part of a PhD studentship, jointly funded by UHD and BU, to explore how organisational culture may influence optimal food and nutritional care.

Gladys Yinusa, Post-Doctoral Research Fellow in BU’s Ageing and Dementia Research Centre (ADRC), who led the study, said: “Good food and nutritional care are fundamental to patient-centred care. Hospital staff and the organisational systems in which they work have a vital role to play in ensuring patients’ nutritional needs are met.”

The research project brought together a multidisciplinary action research team comprising both clinical and non-clinical staff, including mealtime volunteers and hospital governor representatives. The experiences of recently discharged patients and their relatives were also collected in the form of stories.

“The patients' and relatives' views offered remarkable insights, highlighting areas of practice change,” said Gladys.

“These insights contributed to the team’s collective decision to prioritise areas for improvement in ward practice during mealtimes. In particular, critical findings from this study revealed that organisational culture does matter and plays a significant role in providing food and nutritional care in hospitals.”

The project led to prioritising changes in ward practices during mealtimes. These focused on embedding mealtime companions as part of the ward team and implementing a colour-coded system to identify patients who need assistance with feeding. The research showed that mealtime companions played a significant role in supporting patients during mealtimes, but the volunteer service was not being used to its full benefit.

Gráinne Ford, UHD therapy lead for dietetics, was also part of the study team.

She said: “Good nutritional care is a vital part of delivering a quality service to our patients and to recovery and wellbeing at all stages. I feel it’s important to explore this through research in order to raise awareness and understanding of malnutrition in the acute setting and to advance the nutritional care of patients and those at risk from malnutrition.

Exploring organisational culture and its effects on nutritional care of our patients is so important to help us achieve improvements in quality of care, patient experience and patient safety. Collaborative working with our partners at BU has brought research to the frontline to explore one of our most difficult problems.”

Gladys Yinusa

The PhD project was supervised by Gráinne Ford (University Hospital Dorset) and Dr Janet Scammell, Professor Jane Murphy, and Dr Sue Baron (Bournemouth University).

Her Majesty the Queen

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We are very saddened to hear the news of the death of Her Majesty the Queen.

Her life of devotion and service has been an example to us all. We were very honoured when she awarded NHS staff the George Cross for compassion and courage throughout the pandemic.

We have very fond memories of her opening Poole Hospital on 11 July 1969.

Our thoughts are with the Royal Family at this time.

Radiology images from 2019 accidentally deleted 

At University Hospitals Dorset, our older radiology images, are regularly archived into long term storage. Unfortunately, in a very rare event, a number of images from a brief period in 2019 were accidently deleted by the system during this routine archiving process between April and July this year. The total was 5,000 studies, some of them are test images/duplicates. This is very unlikely to result in any clinical issues as subsequent imaging and the presence of the formal reports allows clinical decisions to be made in the absence of the images themselves

Measures have since been put in place to ensure this does not happen again. We have a record of appointments and the outcomes of the reports from the deleted images from this time. Personal information from our patients remains secure and images from prior to and after this period in 2019 are not affected.

 University Hospitals Dorset has a culture of openness and honesty and we will be contacting patients identified as being affected by their images being deleted to update them and to reassure them that adverse implications for them are very low. There is no need for patients to contact us.

 

Sign up now for Walk for Wards

Join University Hospitals Dorset NHS Charity for a fun-filled day at their biggest event of the year on Saturday 17 September in the stunning historic grounds of Upton Country Park.

Participants will once again raise money for local hospitals by taking part in a 3km, 5km or 10km sponsored walk for a ward or department close to their hearts.

Karen Allman, chief people officer at University Hospitals Dorset said

“Following the last two years this is a great opportunity to support your local hospitals and NHS staff by walking to raise money for the hospital charity. I will be attending with colleagues and am looking forward to another great event”

Upton Country Park and House will serve as a stunning backdrop to the day. After the walk, participants will be treated to a free gourmet burger courtesy of Rapid Relief UK as well as plenty of entertainment with live funk and soul music from hospital band, The Late Shift, a live performance from the UK’s award winning local contemporary choir, The Rock Choir.

The event also offers the opportunity to support local crafters with a local-makers market of over 20 stalls selling unique hand-made gifts and plants.

For families there will be balloon art, face painting, ice cream and our own Gully Bear will be making a special appearance.

You can even bring your dogs along for this truly family friendly day out.

In 2021, 250 people came together to celebrate our local Hospitals at Walk for Wards, raising over £12,700. Perhaps you have a loved one undergoing treatment, a personal experience of receiving care at our hospitals or want to say thank you to NHS heroes who’ve gone above and beyond to deliver exceptional care - whatever inspires you to get out and walk for our wards, we can’t wait to welcome you all.

All three of our routes are accessible for all ages and abilities.

Tickets cost £15 for adults, £10 for children and under 5s go free. Take advantage of our family ticket offer and register two adults and up to four children for just £40.

Every participant will be automatically entered into our prize draw for a hamper of hand-made gifts kindly donated by our stall holders.

Register today at https://uhdcharity.enthuse.com/cf/walk-for-wards-2022

Walk for Wards 2022 is sponsored by Coles Miller Solicitors.

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Heart-to-Heart exercise bike ride aims to fund 20 places at the Bournemouth Heart Club

Bournemouth Heart Club (BHC) will be holding a ‘Heart to Heart’ sponsored exercise cycle ride in the atrium of Royal Bournemouth Hospital on Tuesday 13 September.

Club members will be cycling non-stop for 10 hours with the aim of raising money to fund up to 20 places at the Bournemouth Heart Club’s Keep Well Hub for people on low income who need to exercise regularly but cannot afford a regular gym membership. BHC exercise instructors will be in attendance to talk to the public about the benefits of regular cardiovascular exercise, and to ensure that their members, all of whom have some form of heart condition or other health related issue, exercise safely.

Anyone wishing to support our fundraisers can do so by making a donation through the heart club website bournemouth-heart-club.org.uk/cash-donations/, at the club itself, or on the day in the donation buckets available.

 Originally established for cardiac rehabilitation, today BHC (located on the site of Royal Bournemouth Hospital,) welcomes patients with other conditions such as diabetes, stroke (TIA), COPD and more recently long covid.  Working alongside University Hospitals Dorset, it has already carried out trials on the benefits of exercise for people suffering from long covid and other long term health conditions. It has developed a 20 session, 10-week course including an up-front clinical assessment and end of course review. On completion patients are encouraged to become full members and continue to improve their health.

Sam Panton, Exercise Manager at BHC, who devised the programme commented: “Here at BHC we understand that the benefits of exercise are more than just improving your cardiovascular fitness. By raising your heart rate by 40-70% for 150 minutes each week, it reduces the risk of long-term health conditions developing, by managing blood pressure, cholesterol levels, diabetes, and obesity.”

BHC has two fully equipped gymnasiums, and a staff of highly trained exercise instructors all of whom hold the British Association for Cardiovascular Prevention and Rehabilitation Level 4 accreditation. This ensures members of all abilities are able to exercise safely and there is a choice of classes throughout the day from Monday to Saturday ranging from circuits and group exercise to open gym sessions, seated classes for people with mobility issues and online Zoom classes.

 To find out more about the new self–referral Keep Well Hub, please call the Bournemouth Heart Club on 0300 019 4522 or visit www.bournemouth-heart-club.org.uk

Bournemouth Heart Club has two purpose built, fully equipped gyms, a members lounge and tea bar, and its own car park. The Bournemouth Heart Club is one of only a few such places in the UK.

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