A288 PHYSICIAN PERSPECTIVES OF MALNUTRITION CARE IN NOVA SCOTIA: A MORE-2-EAT (M2E) NOVA SCOTIA PHASE 2 QUALITATIVE SUBSTUDY

Abstract Background Malnutrition is a clinical entity that often underdiagnosed due to lack of standard nutrition status screening during patient encounters, malnutrition education throughout medical training, inadequate resources provide proper nutritional care, and differing perceptions regarding the importance this condition. Amongst patients whose left untreated, approximately two thirds them will experience further decline in their status. It therefore important each be evaluated with every healthcare encounter where may relevant. Purpose The purpose study assess generalist specialist physician perspectives on care at various Nova Scotia sites. aim better understand viewpoints attitudes towards its role what factors might facilitate or impede effective use practice. Method Using Consolidated Framework Implementation Research (CFIR) Theoretical Domains (TDF) approaches ethics approval from Health Authority, individually recorded virtual interviews were conducted physicians working Scotia. Standardized questions asked target 12-24 Responses transcribed qualitatively analyzed using NVivo software by professional data analyst. Result(s) To date, ten have been completed. Preliminary qualitative analysis indicates while all agreed an aspect patient’s consistent ongoing management variable. Key identified Knowledge, Skills, Social/Professional Role Identity, Beliefs about Capabilities, Memory Attention Decisions Processes, Social Influences. Overall, most had knowledge deficit related malnutrition, which led uncertainty how screen manage it. tools infrequently used. This responsibility was deferred dietitian, thereby minimizing play believe they management. A time encounters also key contributing factor. Conclusion(s) Strategies optimize involvement awareness include increased train recognize patients. health system such as standardized when issue can help earlier identification subsequent In addition, team-based approach consisting professionals actively involves appropriate way for effectively managed both patient. Please acknowledge funding agencies checking applicable boxes below None Disclosure Interest D. Veldhuijzen van Zanten Shareholder of: N/A, Consultant Employee Paid Instructor Speakers bureau L. Gramlich Grant / support from: Baxter, research funds, principal investigator; Nestle, chair; Fresenius Kabi, investigator., Abbott, honorarium consultant/advisory board, Cahill Canadian Institutes (CIHR), Scotia, Fund, Dalhousie University’s Internal Medicine Fund (UIMRF), Foundation, Queen Elizabeth II Foundation.