Vitamin D and calcium supplementation in nursing homes — a quality improvement study
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Vitamin D and calcium supplementation in nursing homes — a quality improvement study. / Mortensen, Charlotte; Tetens, Inge; Kristensen, Michael; Beck, Anne Marie.
In: Nutrients, Vol. 14, No. 24, 5360, 2022.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Vitamin D and calcium supplementation in nursing homes — a quality improvement study
AU - Mortensen, Charlotte
AU - Tetens, Inge
AU - Kristensen, Michael
AU - Beck, Anne Marie
N1 - CURIS 2022 NEXS 298
PY - 2022
Y1 - 2022
N2 - Even though dietary supplements with vitamin D and calcium are recommended to nursing home residents, we recently reported a low adherence to this recommendation. The objective of this 20-week quality improvement study was to use the Model for Improvement and Plan-Do-Study-Act (PDSA) cycles to improve adherence in Danish nursing homes. We included two nursing homes with 109 residents at baseline. An information sheet including the rationale forthe recommendation was developed for the nurses to urge residents to take the supplements and seek approval by the general practitioner afterwards (PDSA cycle 1). Moreover, it was included in admission meetings with new residents to address supplementation (PDSA cycle 2). A nurse reviewed patient records for number of residents prescribed adequate doses of vitamin D (≥20 µg) and calcium (≥800 mg) before, during and after the intervention. At baseline, 32% (n = 35) of the residents had adequate doses of vitamin D and calcium. After implementation of the information sheet and adjustment to admission meetings, this increased to 65% (n = 71) at endpoint (p < 0.001). In conclusion, in this quality improvement study, we improved the number of prescriptions ofadequate doses of vitamin D and calcium over 20 weeks using the Model for Improvement and PDSA experiments.
AB - Even though dietary supplements with vitamin D and calcium are recommended to nursing home residents, we recently reported a low adherence to this recommendation. The objective of this 20-week quality improvement study was to use the Model for Improvement and Plan-Do-Study-Act (PDSA) cycles to improve adherence in Danish nursing homes. We included two nursing homes with 109 residents at baseline. An information sheet including the rationale forthe recommendation was developed for the nurses to urge residents to take the supplements and seek approval by the general practitioner afterwards (PDSA cycle 1). Moreover, it was included in admission meetings with new residents to address supplementation (PDSA cycle 2). A nurse reviewed patient records for number of residents prescribed adequate doses of vitamin D (≥20 µg) and calcium (≥800 mg) before, during and after the intervention. At baseline, 32% (n = 35) of the residents had adequate doses of vitamin D and calcium. After implementation of the information sheet and adjustment to admission meetings, this increased to 65% (n = 71) at endpoint (p < 0.001). In conclusion, in this quality improvement study, we improved the number of prescriptions ofadequate doses of vitamin D and calcium over 20 weeks using the Model for Improvement and PDSA experiments.
KW - Faculty of Science
KW - Vitamin D
KW - Calcium
KW - Supplements
KW - Nursing homes
KW - Adherence
KW - Model for improvement
U2 - 10.3390/nu14245360
DO - 10.3390/nu14245360
M3 - Journal article
C2 - 36558519
VL - 14
JO - Nutrients
JF - Nutrients
SN - 2072-6643
IS - 24
M1 - 5360
ER -
ID: 329416482