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Improving nutritional care for older adults: the role of massive open online courses and implementation science in enhancing health professional knowledge and attitudes
  1. Loris Bonetti1,2,
  2. Rosario Caruso3,4
  1. 1 Nursing Department, Nursing Research Competence Center, Ente Ospedaliero Cantonale, Bellinzona, Switzerland
  2. 2 Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland
  3. 3 Clinical Research Service, IRCCS Policlinico San Donato, San Donato Milanese, Italy
  4. 4 Department of Biomedical Sciences for Health, University of Milan, Milano, Italy
  1. Correspondence to Dr Loris Bonetti, Nursing Department, Direzione Generale Ente Ospedaliero Cantonale, Bellinzona, Ticino, Switzerland; Loris.Bonetti{at}

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Commentary on: Eglseer D. Development and evaluation of a Massive Open Online Course (MOOC) for healthcare professionals on malnutrition in older adults. Nurse Educ Today. 2023 Apr;123:105741. doi: 10.1016/j.nedt.2023.105741. Epub 2023 Feb 4.


Implications for practice and research

  • Massive open online course (MOOCs) can improve health professionals (HPs)’ knowledge and nutritional care skills for malnutrition in older adults efficiently.

  • Implementation science studies are necessary to effectively change HPs’ behaviours and attitudes towards malnutrition by considering organisational, cultural and self-efficacy aspects.

  • Future research should focus on identifying effective strategies for implementing evidence-based nutritional care for older adults, emphasising HPs’ attitudes and self-efficacy.


Malnutrition is a prevalent condition among older adults in acute hospital settings that can result in adverse clinical outcomes such as increased pressure ulcer development, reduced wound healing, increased infections and higher mortality rates.1 Providing adequate nutritional care can potentially prevent malnutrition, but …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.