Vitamin D and calcium supplementation in nursing homes — a quality improvement study

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  • Charlotte Mortensen
  • Tetens, Inge
  • Michael Kristensen
  • Anne Marie Beck
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 for
the 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 of
adequate doses of vitamin D and calcium over 20 weeks using the Model for Improvement and PDSA experiments.
Original languageEnglish
Article number5360
Issue number24
Number of pages11
Publication statusPublished - 2022

    Research areas

  • Faculty of Science - Vitamin D, Calcium, Supplements, Nursing homes, Adherence, Model for improvement

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