{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:11:10Z","timestamp":1790662270258,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2018,1,30]],"date-time":"2018-01-30T00:00:00Z","timestamp":1517270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004191","name":"Novo Nordisk","doi-asserted-by":"publisher","award":["NNF120C0002017"],"award-info":[{"award-number":["NNF120C0002017"]}],"id":[{"id":"10.13039\/501100004191","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Good nutritional care of people following major lower extremity amputation is essential as poor nutritional status can lead to delayed wound healing. Working with patients to identify their perspectives on food, views on nutritional care and the need for dietary counselling enables the development of optimised nutritional care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore hospital patients\u2032 perspectives on food, dietary counselling and their experiences of nutritional care following lower extremity amputation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative, explorative study design was employed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>An inductive content analysis of semi\u2010structured interviews with a purposive sample of 17 people over 50\u00a0years of age, who had recently undergone major lower extremity amputation, was undertaken. The study was reported according to the consolidated criteria for reporting qualitative research guideline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Three themes emerged: responsible for own dietary intake, diet based on preferences and experiences with dietary counselling and feeling overwhelmed. The participants expressed motivation to ensure their nutritional needs were met but described feeling emotionally overwhelmed by the experience of amputation. They appeared not to expect nursing staff to focus on nutritional issues as they expressed belief that they themselves were solely responsible for their dietary intake. They described being motivated to receive nutritional counselling but indicated advice should be compatible with their lifestyle and eating habits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lower extremity amputation can be an overwhelming experience which affects nutritional intake. People appear to consider themselves responsible for their nutritional care and describe not experiencing or expecting nursing staff to engage in this aspect of care. Dietary counselling by nurses who respect and incorporate patient preferences and experiences following amputation has the potential to enhance nutritional care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This study illustrates that nurses caring for people who undergo lower extremity amputation need to recognise that nutritional care is an essential component of nursing and should focus on working in partnership with the patient.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14192","type":"journal-article","created":{"date-parts":[[2017,11,29]],"date-time":"2017-11-29T18:07:37Z","timestamp":1511978857000},"source":"Crossref","is-referenced-by-count":7,"title":["Perceptions and experiences of nutritional care following the overwhelming experience of lower extremity amputation: A qualitative study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0116-722X","authenticated-orcid":false,"given":"Pia S\u00f8e","family":"Jensen","sequence":"first","affiliation":[{"name":"Optimed Clinical Research Centre Copenhagen University Hospital Hvidovre Denmark"},{"name":"Department of Orthopaedic Surgery Copenhagen University Hospital Hvidovre Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1760-3679","authenticated-orcid":false,"given":"Sue M","family":"Green","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Southampton Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janne","family":"Petersen","sequence":"additional","affiliation":[{"name":"Optimed Clinical Research Centre Copenhagen University Hospital Hvidovre Denmark"},{"name":"Section\u00a0of Biostatistics Department of Public Health University of Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ove","family":"Andersen","sequence":"additional","affiliation":[{"name":"Optimed Clinical Research Centre Copenhagen University Hospital Hvidovre Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0342-017X","authenticated-orcid":false,"given":"Ingrid","family":"Poulsen","sequence":"additional","affiliation":[{"name":"RUBRIC (Research Unit on Brain Injury Rehabilitation Copenhagen) Department of Neurorehabilitation Traumatic Brain Injury Unit Rigshospitalet Copenhagen Denmark"},{"name":"Section of Nursing Science Department of Health Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215512445396"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-012-0371-y"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY13008"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12876"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/21551197.2013.809673"},{"key":"e_1_2_12_7_1","first-page":"121","volume-title":"Predicting health behaviour","author":"Conner M.","year":"1995"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2455-1"},{"key":"e_1_2_12_9_1","volume-title":"Doing qualitative research","author":"Crabtree B. 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