Workforce needs and estimated costs/savings for nutrition care in chronic kidney disease-stage 3 through maintenance dialysis.

IF 1.4 4区 医学 Q3 UROLOGY & NEPHROLOGY Seminars in Dialysis Pub Date : 2024-07-01 Epub Date: 2021-08-10 DOI:10.1111/sdi.13005
Rosa K Hand
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Abstract

The role of nutrition in chronic kidney disease (CKD) is well known. However, controversies, misconceptions, and gaps in the literature exist regarding the workforce required to provide nutrition care in CKD. This paper reviews the existing literature on this topic, focusing primarily on the United States. Topics covered in this review include the qualifications and services of the registered dietitian nutritionist (RDN), to which specific patients nutrition care should be provided in CKD and on dialysis, barriers to the utilization of nutrition services, the quantity of nutrition care needed to improve patient outcomes, and the risks of provider burnout. Controversies include whether more staffing is associated with better care and the best measures of staffing. The topics are supported with estimations for the economic impact and practicality of workforce decisions.

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慢性肾脏病--3 期至维持性透析期营养护理的劳动力需求和成本/节约估算。
营养在慢性肾脏病(CKD)中的作用众所周知。然而,在为慢性肾脏病患者提供营养护理所需的劳动力方面存在争议、误解和文献空白。本文回顾了有关这一主题的现有文献,主要侧重于美国。综述涉及的主题包括注册营养师 (RDN) 的资格和服务、CKD 和透析患者中哪些特定患者需要营养护理、利用营养服务的障碍、改善患者预后所需的营养护理数量以及提供者倦怠的风险。争议包括人员配备越多是否能提供更好的护理,以及人员配备的最佳衡量标准。此外,还对劳动力决策的经济影响和实用性进行了估算。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Seminars in Dialysis
Seminars in Dialysis 医学-泌尿学与肾脏学
CiteScore
3.00
自引率
6.20%
发文量
91
审稿时长
4-8 weeks
期刊介绍: Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.
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