title: Feasibility of implementing routine nutritional screening for older adults in Australian general practices: a mixed-methods study.
abstract: BACKGROUND
  Nutrition screening in older adults is not routinely performed in Australian primary care settings. Low awareness of the extent of malnutrition in this patient group, lack of training and time constraints are major barriers that practice staff face. This study aimed to demonstrate the feasibility of including a validated nutrition screening tool and accompanying nutrition resource kit for use with older patients attending general practice. Secondary aims were to assess nutrition-related knowledge of staff and to identify the extent of malnutrition in this patient group.
  
  
  METHODS
  Nine general practitioners, two general practice registrars and 11 practice nurses from three participating general practices in a rural, regional and metropolitan area within a local health district of New South Wales, Australia were recruited by convenience sampling.
  
  
  RESULTS
  Four key themes were determined regarding the feasibility of performing MNA -SF: ease of use; incorporation into existing practice; benefit to patients' health; and patients' perception of MNA-SF. Two key themes related to the nutrition resource kit: applicability and improvement. These findings were supported by open ended questionnaire responses. Knowledge scores of staff significantly improved from baseline (52% to 66%; P < 0.05). Of the 143 patients that had been screened, 4.2% (n = 6) were classified as malnourished, 26.6% (n = 38) 'at risk' of malnutrition and 69.2% (n = 99) as well-nourished.
  
  
  CONCLUSIONS
  It is feasible to include the MNA-SF and a nutrition resource kit within routine general practice, but further refinement of patients' electronic clinical records in general practice software would streamline this process.
authors.forename: Aliza Haslinda
authors.initials: AH
authors.lastname: Hamirudin
authors.forename: Karen
authors.initials: K
authors.lastname: Charlton
authors.forename: Karen
authors.initials: K
authors.lastname: Walton
authors.forename: Andrew
authors.initials: A
authors.lastname: Bonney
authors.forename: Jan
authors.initials: J
authors.lastname: Potter
authors.forename: Marianna
authors.initials: M
authors.lastname: Milosavljevic
authors.forename: Adam
authors.initials: A
authors.lastname: Hodgkins
authors.forename: George
authors.initials: G
authors.lastname: Albert
authors.forename: Abhijeet
authors.initials: A
authors.lastname: Ghosh
authors.forename: Andrew
authors.initials: A
authors.lastname: Dalley
mesh_terms: D057179:Advanced Practice Nursing; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D005240:Feasibility Studies; D058006:General Practice / Q000379:methods*; D058005:General Practitioners; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D044342:Malnutrition / Q000175:diagnosis*; D008403:Mass Screening / Q000379:methods; D009517:New South Wales; D036301:Qualitative Research; D011795:Surveys and Questionnaires