TABLE 1.

Description of the nutritional care and research questions according to the five elements from ‘Establishing the relationship’ in the FoC framework

Elements of FoC	The original description from the FoC frameworka	The proposed description of good nutritional care	Transformed research questions
Focusing How do I give you my undivided focus/attention?	The nurse develops skills of focusing on the patient in real‐time without being distracted. Focusing may only involve very short bursts of time but are hugely important in terms of surveillance, anticipation, detecting changes in patient state	Nurses give attention to patients' nutritional preferences and initiate a dialogue either about or related to patients' nutritional issues	How does the nurse describe giving undivided focus/ attention to the patients? How do patients experience undivided focus/attention from the nurses? How does undivided focus/attention appear in clinical practice?
Knowing What do I need to know about you and why you are here?	The nurse must balance the need to know information with the patient's sense of control, privacy and dignity. Having the patient repeat the same information to numerous staff is disrespectful to the individual patient	Nurses integrate knowledge about the consequence of low dietary intake, the effectiveness of nutritional care interventions and information about the patient nutritional status into the care	How/Do nurses describe/value/use their knowledge about the patients? How do patients' experience/notes when nurses know about them? How do nurses show they use their knowledge?
Anticipating How best can I help guide you on this journey?	The nurse, by asking this question, will be able to consider the proposed course of action and start discussing this with the patient as part of the recovery process	Nurses must promote and support the patients physical, mental or emotional ability to eat into the care to fulfil patients' nutritional needs.	How/Do nurses describe/value the ability to anticipate patients' needs? How do patients describe/experience when nurses anticipate the course of actions? How do nurses show their ability to anticipate the patient's recovery process?
Evaluation How will we know it is working?	Both the patient and the nurse should continuously review progress and give feedback to each other on how things are going. The patient and the nurse also negotiate who else needs to be involved in this review process (e.g. relative or carer)	Nurses include the patient's views or experience and use relevant and available information to evaluate the fulfilment of patients' nutritional needs.	How/Do nurses describe how they evaluate the care? How do patients' experience/notes when nurses evaluate their process? How do nurses evaluate the care/ patient's progress?
Trusting How can we develop a trusting relationship?	There may be numerous staff caring for the individual patient, so how does trust between two people become established if the encounters are short, intermittent and infrequent?	Nurses incorporate patients views and experiences into the care and show through verbal communication or by actions the intention to engage in nutritional care and to involve the patient	How/Do nurses describe being/creating trustworthy? How do patients describe trust in nurses? How do nurses show trustworthy behaviour?

Kitson [27]