How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review

Abstract Background Mealtimes are embedded routines of residents living in residential aged care facilities (RACFs) that directly impact their health and quality of life. Little is known about how mealtime experiences are informed and affected by structures such as government and organisational poli...

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Main Authors: Rui Ting Grace Koh, Abirami Thirumanickam, Stacie Attrill
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-022-03340-9
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author Rui Ting Grace Koh
Abirami Thirumanickam
Stacie Attrill
author_facet Rui Ting Grace Koh
Abirami Thirumanickam
Stacie Attrill
author_sort Rui Ting Grace Koh
collection DOAJ
description Abstract Background Mealtimes are embedded routines of residents living in residential aged care facilities (RACFs) that directly impact their health and quality of life. Little is known about how mealtime experiences are informed and affected by structures such as government and organisational policies and processes. This scoping review used Giddens’ (The constitution of society: outline of the theory of structuration, 1984) Structuration Theory to investigate how governance structures related to mealtime practices inform residents’ mealtime experiences. Methods Using Arksey and O’Malley’s (Int J Soc Res Methodol 8:19–32, 2005) scoping review framework, a systematic database, grey literature and policy search was completed in May 2020 and updated in July 2021. From 2725 identified articles, 137 articles were included in data charting and deductive analysis, and 76 additional Australian government policy papers were used interpretatively. Results Data charting identified that the included studies were prominently situated in Western countries, with a progressive increase in publication rate over the past two decades. Qualitative findings captured structures that guide RACF mealtimes, how these relate to person-centred mealtime practices, and how these facilitate residents to enact choice and control. Conclusions Current policies lack specificity to inform the specific structures and practices of RACF mealtimes. Staff, residents, organisational and governance representatives possess different signification, legitimation and domination structures, and lack a shared understanding of policy, and how this influences processes and practices that comprise mealtimes.
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spelling doaj.art-e9977c25500c4ffe85f70a7c3e63b9ed2022-12-22T04:24:51ZengBMCBMC Geriatrics1471-23182022-09-0122111810.1186/s12877-022-03340-9How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping reviewRui Ting Grace Koh0Abirami Thirumanickam1Stacie Attrill2Flinders UniversitySchool of Allied Health Science and Practice, University of AdelaideSchool of Allied Health Science and Practice, University of AdelaideAbstract Background Mealtimes are embedded routines of residents living in residential aged care facilities (RACFs) that directly impact their health and quality of life. Little is known about how mealtime experiences are informed and affected by structures such as government and organisational policies and processes. This scoping review used Giddens’ (The constitution of society: outline of the theory of structuration, 1984) Structuration Theory to investigate how governance structures related to mealtime practices inform residents’ mealtime experiences. Methods Using Arksey and O’Malley’s (Int J Soc Res Methodol 8:19–32, 2005) scoping review framework, a systematic database, grey literature and policy search was completed in May 2020 and updated in July 2021. From 2725 identified articles, 137 articles were included in data charting and deductive analysis, and 76 additional Australian government policy papers were used interpretatively. Results Data charting identified that the included studies were prominently situated in Western countries, with a progressive increase in publication rate over the past two decades. Qualitative findings captured structures that guide RACF mealtimes, how these relate to person-centred mealtime practices, and how these facilitate residents to enact choice and control. Conclusions Current policies lack specificity to inform the specific structures and practices of RACF mealtimes. Staff, residents, organisational and governance representatives possess different signification, legitimation and domination structures, and lack a shared understanding of policy, and how this influences processes and practices that comprise mealtimes.https://doi.org/10.1186/s12877-022-03340-9Aged careLong term careMealtimePolicyStructuration theoryResidential care
spellingShingle Rui Ting Grace Koh
Abirami Thirumanickam
Stacie Attrill
How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review
BMC Geriatrics
Aged care
Long term care
Mealtime
Policy
Structuration theory
Residential care
title How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review
title_full How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review
title_fullStr How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review
title_full_unstemmed How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review
title_short How are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines? A scoping review
title_sort how are the mealtime experiences of people in residential aged care facilities informed by policy and best practice guidelines a scoping review
topic Aged care
Long term care
Mealtime
Policy
Structuration theory
Residential care
url https://doi.org/10.1186/s12877-022-03340-9
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