Implementation of P-INPAC

The framework for Pediatric Integrated Nutrition Pathway for Acute Care (P-INPAC) was developed by the Canadian Malnutrition Task Force (CMTF); however, it has not been implemented in a research setting. The framework by CMTF for Integrated Nutrition Pathway for Acute Care (INPAC) in adults was also implemented in the "More-2-Eat" project which led to development of best practices in nutritional culture of the hospitals. Therefore, we intend to undertake this feasibility project at 3-sites to train staff and evaluate the implementation of P-INPAC components as part of routine healthcare procedure.

Phase 1 and Phase 3 - Audited patient group inclusion Criteria: 1. ≥ 30 days of age and less than18 years of age on day of assessment 2. Anticipated Length of hospital stay ≥24 hours from day of assessment Phase 1 \& Phase 3 Detailed patient group inclusion Criteria: 1. Admitted to either a general medical or surgical ward 2. ≥ 30 days of age and less than 18 years of age on day of assessment 3. Anticipated Length of stay ≥ 24 hours from day of assessment 4. Speak English (or French at Quebec site) or have a family proxy available at the meal to provide information if first language of patient is not English (or French at Quebec site) 5. Patient/ caregiver provides written consent to participate Exclusion Criteria: a. Patients with eating disorder, somatization disorders, ARFID, FORM 1 etc. where the study interaction might interfere with the messaging or therapeutic plan as set out by the responsible team. Phase 1 and 3 for Health Care Providers inclusion criteria: 1. Implied consent to participate by completing the KAP questionnaire 2. Providing clinical service for the select ward