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Update on the Integrated Nutrition Pathway for Acute Care (INPAC): post implementation tailoring and toolkit to support practice improvements.

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Laur, Celia 
Atkins, Marlis 
Bernier, Paule 
Butterworth, Donna 


The Integrated Nutrition Pathway for Acute Care (INPAC) is an evidence and consensus based pathway developed to guide health care professionals in the prevention, detection, and treatment of malnutrition in medical and surgical patients. From 2015 to 2017, the More-2-Eat implementation project (M2E) used a participatory action research approach to determine the feasibility, and evaluate the implementation of INPAC in 5 hospital units across Canada. Based on the findings of M2E and consensus with M2E stakeholders, updates have been made to INPAC to enhance feasibility in Canadian hospitals. The learnings from M2E have been converted into an online toolkit that outlines how to implement the key steps within INPAC. The aim of this short report is to highlight the updated version of INPAC, and introduce the implementation toolkit that was used to support practice improvements towards this standard.



Evidence care pathway, Hospital, Malnutrition, Nutrition screening, Subjective global assessment, Toolkit, Canada, Feasibility Studies, Humans, Inpatients, Malnutrition, Nutrition Assessment, Nutrition Therapy, Program Evaluation

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