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Development of an ‘Enteral tube feeding decision support tool’ for hip fracture patients: A modified Delphi approach
Author(s) -
Mon Aye Su,
Pulle Chrys,
Bell Jack
Publication year - 2018
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12575
Subject(s) - hip fracture , medicine , enteral administration , delphi method , multidisciplinary approach , checklist , parenteral nutrition , feeding tube , physical therapy , intensive care medicine , surgery , psychology , osteoporosis , social science , statistics , mathematics , sociology , cognitive psychology
Objectives Malnutrition after hip fracture is recognised as the co‐morbidity most likely to impact hospital length of stay and cost. Despite this, the role of enteral tube feeding in hip fracture patients remains unclear. Methods A modified Delphi process was used to establish consensus for an enteral tube feeding decision support tool. Three rounds of the Delphi survey were administered to a purposeful sample of twenty multidisciplinary clinicians from the Australian and New Zealand Hip Fracture Registry. Results Consensus markedly improved across the three rounds (33, 44 and 87%, respectively). More than 80% of participants positively supported implementing the tool in clinical practice. Conclusions This study describes experienced, multidisciplinary clinician consensus and support for an ‘Enteral tube feeding decision support tool’ to be applied in acute hip fracture settings. Further studies are being undertaken to identify the impact of the checklist tool on informed consent decision processes in this population.