Chefs in Future Integrated Healthcare – Current State and Innovation Needs: A First Overview of the NECTAR Project (aN Eu Curriculum for Chef gasTro-Engineering in Primary Food Care)

Marjolein Winters; Valentina Wagner; Roberta Patalano; Sonja Lindner; Serena Alvino; Regina Roller-Wirnsberger; Heidemarie Müller-Riedlhuber; Sandra Pais; Matilde Borriello; John Farrel; Geertrui Vlaemynck; Martijn van Gemst; Bart Geurden; Lobke Van den Wijngaert; Edwig Goossens; Maddalena Illario; Carolin Herzog

doi:10.5334/ijic.6436

Abstract

People in need of care, chronic or acute, often present problematic food intake and special nutritional needs. Integrated, person-centred and pro-active food and nutritional care delivery has been proven effective for people in health care. However, skills mismatches have been reported in different professions involved, which also applies to the role of chefs in healthcare. The EU funded project NECTAR aims at closing this gap by creating a new job profile, called Chef Gastro-Engineering (CGE). The current publication summarizes the status quo in hospitals and gives a perspective on the future role of chefs in integrated healthcare delivery.

References

NutritionDay worldwide. How to recognize malnutrition? n. d. Available from: https://www.nutritionday.org/en/patients-relatives/patients-relatives/how-to-recognize-malnutrition/index.html.
Search in Google Scholar Back to article
Kang MC, Kim JH, Ryu SW, Moon JY, Park JH, Park JK, et al. Prevalence of Malnutrition in Hospitalized Patients: a Multicenter Cross-sectional Study. J Korean Med Sci. 2018; 33(2): e10. DOI: 10.3346/jkms.2018.33.e10
Open DOI Search in Google Scholar Back to article
Ruiz AJ, Buitrago G, Rodriguez N, Gomez G, Sulo S, Gomez C, et al. Clinical and economic outcomes associated with malnutrition in hospitalized patients. Clin Nutr. 2019; 38(3): 1310–6. DOI: 10.1016/j.clnu.2018.05.016
Open DOI Search in Google Scholar Back to article
Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health. 2011; 8(2): 514–27. DOI: 10.3390/ijerph8020514
Open DOI Search in Google Scholar Back to article
Leij-Halfwerk S, Verwijs MH, van Houdt S, Borkent JW, Guaitoli PR, Pelgrim T, et al. Prevalence of protein-energy malnutrition risk in European older adults in community, residential and hospital settings, according to 22 malnutrition screening tools validated for use in adults ≥65 years: A systematic review and meta-analysis. Maturitas. 2019; 126: 80–9. DOI: 10.1016/j.maturitas.2019.05.006
Open DOI Search in Google Scholar Back to article
Lueg G, Wirth R, Kwiatkowski J, Rosler A, Jager M, Gehrke I, et al. Low Self-Perception of Malnutrition in Older Hospitalized Patients. Clin Interv Aging. 2020; 15: 2219–26. DOI: 10.2147/CIA.S278578
Open DOI Search in Google Scholar Back to article
Kontogianni MD, Poulia KA, Bersimis F, Sulz I, Schindler K, Hiesmayr M, et al. Exploring factors influencing dietary intake during hospitalization: Results from analyzing nutritionDay’s database (2006–2013). Clin Nutr ESPEN. 2020; 38: 263–70. DOI: 10.1016/j.clnesp.2020.04.001
Open DOI Search in Google Scholar Back to article
BAPEN. British Association for Parental and Enteral Nutrition. Organisation of Food and Nutritional Support in Hospitals; 2007.
Search in Google Scholar Back to article
All Answers Ltd. Importance of Nutrition in Patient Care; November 2020. Available from: https://nursinganswers.net/essays/identify-the-importance-of-nutrition-in-patient-care-health-essay.php?vref=1.
Search in Google Scholar Back to article
Nichani S, Fitterman N, Lukela M, Crocker J, the Society of Hospital Medicine. 3.23 Team Approach and Multidisciplinary Care. J Hosp Med. 2017; 12(4). DOI: 10.12788/jhm.2998
Open DOI Search in Google Scholar Back to article
Rigby M, Koch S, Keeling D, Hill P. Developing a New Understanding of Enabling Health and Wellbeing in Europe - Harmonising Health and Social Care Delivery and Informatics Support to Ensure Holistic Care. France: European Science Foundation; 2013.
Search in Google Scholar Back to article
World Health Organization. WHO global strategy on integrated people-centred health services 2016–2026. Executive Summary; July 2015.
Search in Google Scholar Back to article
World Health Organization Secretariat. Framework on integrated, people-centred health services. Report by the Secretariat. Assembly S-NWH; April 2016.
Search in Google Scholar Back to article
World Health Organization. Framework for Action on Interprofessional Education & Collaborative Practice. Health HPNNMHRf; 2010.
Search in Google Scholar Back to article
World Health Organization. Global strategy on human resources for health: Workforce 2030. Switzerland; 2016.
Search in Google Scholar Back to article
Lindner S, Kubitschke L, Lionis C, Anastasaki M, Kirchmayer U, Giacomini S, et al. Can Integrated Care Help in Meeting the Challenges Posed on Our Health Care Systems by COVID-19? Some Preliminary Lessons Learned from the European VIGOUR Project. Int J Integr Care. 2020; 20(4): 4. DOI: 10.5334/ijic.5596
Open DOI Search in Google Scholar Back to article
World Health Organization. Strengthening Nutrition Action. A resource guide for countries based on the policy recommendations of the Second International Conference on Nutrition (ICN2). Rome; 2018.
Search in Google Scholar Back to article
European Commission. Skills Panorama. Health associate professionals; n. d. Available from: https://skillspanorama.cedefop.europa.eu/en/dashboard/browse-occupation?occupation=3.32&country=#7.
Search in Google Scholar Back to article
European Commission. ESCO. Medical doctors; n. d. Available from: http://data.europa.eu/esco/isco/C221.
Search in Google Scholar Back to article
European Commission. ESCO. dietitian; n. d. Available from: http://data.europa.eu/esco/occupation/8a53f8d3-d995-4c7b-a70d-d79f76bdcb3f.
Search in Google Scholar Back to article
European Commission. ESCO. Nursing professionals; n. d. Available from: http://data.europa.eu/esco/isco/C2221.
Search in Google Scholar Back to article
European Commission. ESCO. Diet cook; n. d. Available from: http://data.europa.eu/esco/occupation/9ab80ce6-504f-474f-bb91-98163e9d45fd.
Search in Google Scholar Back to article
OECD Health Division Team. Feasibility Study on Health Workforce Skills Assessment; Supporting health workers achieve personcentred care. February 2018.
Search in Google Scholar Back to article
Tsui EK, Morillo A. How cooks navigate nutrition, hunger and care in public-sector foodservice settings. Public Health Nutr. 2016; 19(5): 946–54. DOI: 10.1017/S1368980015002086
Open DOI Search in Google Scholar Back to article
Obbagy JE, Condrasky MD, Roe LS, Sharp JL, Rolls BJ. Chefs’ opinions about reducing the calorie content of menu items in restaurants. Obesity (Silver Spring). 2011; 19(2): 332–7. DOI: 10.1038/oby.2010.188
Open DOI Search in Google Scholar Back to article
European Commission. Education and Training. About education and training in the EU; n. d. Available from: https://ec.europa.eu/education/education-in-the-eu/about-education-and-training-in-the-eu_en.
Search in Google Scholar Back to article
European Commission. Education and Training. European policy cooperation (ET 2020 framework); n. d. Available from: https://ec.europa.eu/education/policies/european-policy-cooperation/et2020-framework_en.
Search in Google Scholar Back to article
European Commission. Employment, Social Affairs & Inclusion. EQAVET – European Quality Assurance in Vocational Education and Training; n. d. Available from: https://ec.europa.eu/social/main.jsp?catId=1536&langId=en.
Search in Google Scholar Back to article
Europass European Union. The European Qualifications Framework (EQF); n. d. Available from: https://europa.eu/europass/en/european-qualifications-framework-eqf.
Search in Google Scholar Back to article
World Health Organization. Integrated care models: an overview. Working document; October 2016.
Search in Google Scholar Back to article
Zonneveld N, Driessen N, Stüssgen RAJ, Minkman MMN. Values of Integrated Care: A Systematic Review. Int J Integr Care. 2018; 18(4): 9. DOI: 10.5334/ijic.4172
Open DOI Search in Google Scholar Back to article
MacAdam M. Frameworks of Integrated Care for the Elderly: A Systematic Review. Canadian Policy Research Networks Inc.; April 2008.
Search in Google Scholar Back to article
Goodwin N. Taking integrated care forward: the need for shared values. International journal of integrated care. 2013; 13: e026–e. DOI: 10.5334/ijic.1180
Open DOI Search in Google Scholar Back to article
Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. 2013; 13: e010. DOI: 10.5334/ijic.886
Open DOI Search in Google Scholar Back to article
Nightingale J. Nutrition support teams: how they work, are set up and maintained. Frontline Gastroenterol. 2010; 1(3): 171–7. DOI: 10.1136/fg.2009.000224
Open DOI Search in Google Scholar Back to article
World Health Organization. World report on Ageing and Health. Luxembourg; 2015.
Search in Google Scholar Back to article
Minkman MMN. Longing for Integrated Care: The Importance of Effective Governance. Int J Integr Care. 2017; 17(4): 10. DOI: 10.5334/ijic.3510
Open DOI Search in Google Scholar Back to article
Chathoth P, Altinay L, Harrington RJ, Okumus F, Chan ESW. Co-production versus co-creation: A process based continuum in the hotel service context. International Journal of Hospitality Management. 2013; 32: 11–20. DOI: 10.1016/j.ijhm.2012.03.009
Open DOI Search in Google Scholar Back to article
Ohern MS, Rindfleisch A. Customer Co-Creation. In: Malhotra NK, (ed.), Review of Marketing Research. Review of Marketing Research. Emerald Group Publishing Limited. 2010; 6: 84–106. DOI: 10.1108/S1548-6435(2009)0000006008
Open DOI Search in Google Scholar Back to article
World Health Organization. Nutrition in universal health coverage; October 2019.
Search in Google Scholar Back to article
European Commission. Get to know ESCO; n. d. Available from: https://ec.europa.eu/esco/portal/home?resetLanguage=true&newLanguage=en.
Search in Google Scholar Back to article

Chefs in Future Integrated Healthcare – Current State and Innovation Needs: A First Overview of the NECTAR Project (aN Eu Curriculum for Chef gasTro-Engineering in Primary Food Care)

Abstract

Paradigm

My account