Pub Date : 2022-04-01DOI: 10.1097/TIN.0000000000000272
Nancy Hakel-Smith, P. Ritter-Gooder
The purpose of this descriptive research design study among clinical registered dietitian nutritionists (CRDNs) (n = 7) was to identify frequently used nutrition diagnoses (NDs) in acute care practice and validate the defining characteristics for the prevalent NDs. Data were collected with 2 instruments and analyzed using descriptive statistics. CRDNs identified 19 of 84 NDs as prevalent. Content validation resulted in 24% (n = 64) of the characteristics as critical, with an average of 3.6 critical characteristics for each ND. This pilot study limits generalization of the findings but contributes important information about the descriptive diagnoses in this area of practice.
{"title":"A Content Validation Pilot Study of Prevalent Nutrition Diagnoses by Acute Care Clinical Registered Dietitian Nutritionists","authors":"Nancy Hakel-Smith, P. Ritter-Gooder","doi":"10.1097/TIN.0000000000000272","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000272","url":null,"abstract":"The purpose of this descriptive research design study among clinical registered dietitian nutritionists (CRDNs) (n = 7) was to identify frequently used nutrition diagnoses (NDs) in acute care practice and validate the defining characteristics for the prevalent NDs. Data were collected with 2 instruments and analyzed using descriptive statistics. CRDNs identified 19 of 84 NDs as prevalent. Content validation resulted in 24% (n = 64) of the characteristics as critical, with an average of 3.6 critical characteristics for each ND. This pilot study limits generalization of the findings but contributes important information about the descriptive diagnoses in this area of practice.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"123 - 131"},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48003477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/TIN.0000000000000262
Teresa H. Benoit, Alina Montes, Somir Shreim, J. Andrade
Dietetic preceptors play a critical role in educating and mentoring future registered dietitian nutritionists throughout the internship. A mixed-methods research study was conducted from September to October 2019 to examine US dietetic preceptors' knowledge, skills, and attitudes (KSAs) toward precepting and training. Of the 141 participants who completed the quantitative survey, their KSAs were high (4.5/5). From the qualitative feedback, preceptors (n = 15) expressed the need for further training in the areas of communication, teaching, and evaluation and preferred training online or through webinars. This provides an opportunity for developing tailored training materials to support preceptors as they educate future dietitians.
{"title":"Preceptors' Knowledge, Skills, and Attitudes Toward Precepting Dietetic Interns and Training Perceptions","authors":"Teresa H. Benoit, Alina Montes, Somir Shreim, J. Andrade","doi":"10.1097/TIN.0000000000000262","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000262","url":null,"abstract":"Dietetic preceptors play a critical role in educating and mentoring future registered dietitian nutritionists throughout the internship. A mixed-methods research study was conducted from September to October 2019 to examine US dietetic preceptors' knowledge, skills, and attitudes (KSAs) toward precepting and training. Of the 141 participants who completed the quantitative survey, their KSAs were high (4.5/5). From the qualitative feedback, preceptors (n = 15) expressed the need for further training in the areas of communication, teaching, and evaluation and preferred training online or through webinars. This provides an opportunity for developing tailored training materials to support preceptors as they educate future dietitians.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"98 - 112"},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43230683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/TIN.0000000000000279
L. T. Van Horn, L. Wright
This qualitative study evaluates registered dietitian nutritionists' (RDNs) use of evidence-based dietetic practices (EBDPs) by education level and years of experience. Interviews were conducted with bachelor's and master's-trained RDNs (n = 9). The following themes regarding EBDP were identified: (1) resources utilized, (2) personal utilization and perceptions, (3) barriers and areas for improvement, and (4) collaboration. It was noted that master's-trained RDNs were more knowledgeable regarding EBDP resources. While it was reported that EBDP had improved with experience, those further from their didactic training had less awareness of EBDP resources. Continuing education should aim to bridge this gap in knowledge among RDNs.
{"title":"Trends Related to Evidence-Based Dietetic Practice Among Dietitians With Varying Levels of Education and Experience","authors":"L. T. Van Horn, L. Wright","doi":"10.1097/TIN.0000000000000279","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000279","url":null,"abstract":"This qualitative study evaluates registered dietitian nutritionists' (RDNs) use of evidence-based dietetic practices (EBDPs) by education level and years of experience. Interviews were conducted with bachelor's and master's-trained RDNs (n = 9). The following themes regarding EBDP were identified: (1) resources utilized, (2) personal utilization and perceptions, (3) barriers and areas for improvement, and (4) collaboration. It was noted that master's-trained RDNs were more knowledgeable regarding EBDP resources. While it was reported that EBDP had improved with experience, those further from their didactic training had less awareness of EBDP resources. Continuing education should aim to bridge this gap in knowledge among RDNs.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"113 - 122"},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46988220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/TIN.0000000000000276
P. Blakeslee, Eira Kristiina Hyrkäs, Erin Corica, Sonja Orff, A. Trottier, Elizabeth Turner
This retrospective study investigated diarrhea, constipation, associations of enteral nutrition (EN), and medications in critically ill patients (n = 4118). Data were retrieved from electronic health records. Over half (68%) of patients had diarrhea and 8% had constipation. Diarrhea and constipation were more common in patients in the EN group (n = 799) than in the no-EN group (n = 802). Interestingly, patients who received EN were administered more medications with lower incidence of diarrhea than patients who did not receive EN. The findings of this study highlight the importance of reviewing medications (ie, opioids, prophylactic laxative regimens, and antibiotics) as well as formula composition for potential contributing etiologies to bowel movement abnormalities in critically ill patients.
{"title":"Bowel Dysfunction and Enteral Nutrition in Critically Ill Adult Patients","authors":"P. Blakeslee, Eira Kristiina Hyrkäs, Erin Corica, Sonja Orff, A. Trottier, Elizabeth Turner","doi":"10.1097/TIN.0000000000000276","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000276","url":null,"abstract":"This retrospective study investigated diarrhea, constipation, associations of enteral nutrition (EN), and medications in critically ill patients (n = 4118). Data were retrieved from electronic health records. Over half (68%) of patients had diarrhea and 8% had constipation. Diarrhea and constipation were more common in patients in the EN group (n = 799) than in the no-EN group (n = 802). Interestingly, patients who received EN were administered more medications with lower incidence of diarrhea than patients who did not receive EN. The findings of this study highlight the importance of reviewing medications (ie, opioids, prophylactic laxative regimens, and antibiotics) as well as formula composition for potential contributing etiologies to bowel movement abnormalities in critically ill patients.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"154 - 165"},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43679225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/TIN.0000000000000278
Lauren E. Chan, R. Brody, S. Dobak, Sarah Peterson
Nutrition and dietetics education content is uncommon on online platforms. This cross-sectional study evaluated learning preferences and YouTube usage for nutrition education via a Web-based survey of 185 members of Dietitians in Nutrition Support. In-person learning (43%) and video (33%) were preferred learning modalities. Age (P = .008) and practice years (P = .02) were significantly different between modality preference. More than one-half of respondents have used and recommended a video for nutrition education. Top barriers for using educational videos were lack of relevant content and challenges identifying valid resources. Nutrition organizations should prioritize building relevant, evidenced-based video content for education.
{"title":"Digital Learning","authors":"Lauren E. Chan, R. Brody, S. Dobak, Sarah Peterson","doi":"10.1097/TIN.0000000000000278","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000278","url":null,"abstract":"Nutrition and dietetics education content is uncommon on online platforms. This cross-sectional study evaluated learning preferences and YouTube usage for nutrition education via a Web-based survey of 185 members of Dietitians in Nutrition Support. In-person learning (43%) and video (33%) were preferred learning modalities. Age (P = .008) and practice years (P = .02) were significantly different between modality preference. More than one-half of respondents have used and recommended a video for nutrition education. Top barriers for using educational videos were lack of relevant content and challenges identifying valid resources. Nutrition organizations should prioritize building relevant, evidenced-based video content for education.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"89 - 97"},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45928543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/TIN.0000000000000270
C. Wedemire, D. R. Rigassio Radler, R. Zelig
In critical care, low muscle mass is proposed as a risk factor for adverse outcomes that may be modified by nutrition. However, health care providers, including physicians and registered dietitians, may not routinely consider this risk factor in screening, assessing, or designing interventions. A literature search was conducted to compare clinical outcomes in critically ill adult patients with and without low muscle mass upon admission. This narrative review identified a statistically significant association between low muscle mass and increased risk of mortality and length of stay. Health care providers should consider screening for low muscle mass upon admission, as this may inform practice and improve clinical outcomes.
{"title":"Mortality and Length of Stay in Critically Ill Patients With Low Muscle Mass","authors":"C. Wedemire, D. R. Rigassio Radler, R. Zelig","doi":"10.1097/TIN.0000000000000270","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000270","url":null,"abstract":"In critical care, low muscle mass is proposed as a risk factor for adverse outcomes that may be modified by nutrition. However, health care providers, including physicians and registered dietitians, may not routinely consider this risk factor in screening, assessing, or designing interventions. A literature search was conducted to compare clinical outcomes in critically ill adult patients with and without low muscle mass upon admission. This narrative review identified a statistically significant association between low muscle mass and increased risk of mortality and length of stay. Health care providers should consider screening for low muscle mass upon admission, as this may inform practice and improve clinical outcomes.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"166 - 183"},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47230044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/TIN.0000000000000277
Gokcen Garipoglu, Serap Andaç Öztürk, Ayşe Gül Bursa
Dysphagia may play a significant role in the development and progression of malnutrition and may lead to prolonged hospital stay. A group of 187 patients was screened with the NRS-2002 to evaluate nutritional status and the EAT-10 for dysphagia screening. A statistically significant correlation was found between the EAT-10 and NRS scores at hospitalization (initial NRS score) and the final NRS score (P = .014 and P = .007, respectively). To prevent or minimize the adverse outcomes of dysphagia and malnutrition, it is necessary to perform routine dysphagia and malnutrition screening in hospitals.
{"title":"Is There a Correlation Between NRS-2002 and EAT-10 Score?","authors":"Gokcen Garipoglu, Serap Andaç Öztürk, Ayşe Gül Bursa","doi":"10.1097/TIN.0000000000000277","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000277","url":null,"abstract":"Dysphagia may play a significant role in the development and progression of malnutrition and may lead to prolonged hospital stay. A group of 187 patients was screened with the NRS-2002 to evaluate nutritional status and the EAT-10 for dysphagia screening. A statistically significant correlation was found between the EAT-10 and NRS scores at hospitalization (initial NRS score) and the final NRS score (P = .014 and P = .007, respectively). To prevent or minimize the adverse outcomes of dysphagia and malnutrition, it is necessary to perform routine dysphagia and malnutrition screening in hospitals.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"132 - 141"},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47486445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/TIN.0000000000000280
A. Bayındır Gümüş, Alev Keser, Z. Şıklar, M. Berberoğlu
The current study aimed to establish validity and reliability of the Newest Vital Sign (NVS) in 255 Turkish adolescents aged 11 to 18 years with and without type 1 diabetes and evaluate their health literacy with age, gender, and health status. The t values of items in the NVS were found to be statistically significant and the calculated Cronbach's α coefficient value indicated that the reliability is at a medium level; 7.5%, 42%, and 56.5% of adolescents had respectively inadequate, limited, and adequate health literacy. There is a negative relationship between the health literacy of adolescents with diabetes and their HbA1c (P < .05). This study confirms that the NVS is a valid and reliable tool for Turkish adolescents.
{"title":"Adaptation Study of the Newest Vital Sign on Adolescents With Type 1 Diabetes and Healthy Adolescents in Turkish","authors":"A. Bayındır Gümüş, Alev Keser, Z. Şıklar, M. Berberoğlu","doi":"10.1097/TIN.0000000000000280","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000280","url":null,"abstract":"The current study aimed to establish validity and reliability of the Newest Vital Sign (NVS) in 255 Turkish adolescents aged 11 to 18 years with and without type 1 diabetes and evaluate their health literacy with age, gender, and health status. The t values of items in the NVS were found to be statistically significant and the calculated Cronbach's α coefficient value indicated that the reliability is at a medium level; 7.5%, 42%, and 56.5% of adolescents had respectively inadequate, limited, and adequate health literacy. There is a negative relationship between the health literacy of adolescents with diabetes and their HbA1c (P < .05). This study confirms that the NVS is a valid and reliable tool for Turkish adolescents.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"142 - 153"},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48799384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1097/tin.0000000000000257
J. Tomesko, R. Brody, Seong-Ting Chen, Winnie Chee Siew Swee, J. Sackey, Jessie Sullivan, R. Touger-Decker
This pilot study explored nutrition-focused physical examination (NFPE) knowledge and practice changes in clinical dietitians and dietetics educators who completed a hybrid training program in Malaysia. Integration of NFPE into dietetics curricula was also assessed. Mean knowledge scores increased significantly from baseline to posttests immediately posttraining and at 6 and 12 months (P ≤ .001) posttraining. Dietitians were significantly more likely to report they perform versus not perform all NFPE tasks (P < .001). Educators included all NFPE tasks in their curricula 12 months posttraining. Participants demonstrated increased NFPE knowledge and curricular and clinical practices. The hybrid approach to teaching NFPE was feasible.
{"title":"Nutrition-Focused Physical Examination Knowledge and Practice Changes in Clinical Dietitians and Dietetic Educators Who Completed a 12-Month Hybrid Training Program in Malaysia","authors":"J. Tomesko, R. Brody, Seong-Ting Chen, Winnie Chee Siew Swee, J. Sackey, Jessie Sullivan, R. Touger-Decker","doi":"10.1097/tin.0000000000000257","DOIUrl":"https://doi.org/10.1097/tin.0000000000000257","url":null,"abstract":"This pilot study explored nutrition-focused physical examination (NFPE) knowledge and practice changes in clinical dietitians and dietetics educators who completed a hybrid training program in Malaysia. Integration of NFPE into dietetics curricula was also assessed. Mean knowledge scores increased significantly from baseline to posttests immediately posttraining and at 6 and 12 months (P ≤ .001) posttraining. Dietitians were significantly more likely to report they perform versus not perform all NFPE tasks (P < .001). Educators included all NFPE tasks in their curricula 12 months posttraining. Participants demonstrated increased NFPE knowledge and curricular and clinical practices. The hybrid approach to teaching NFPE was feasible.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"2 - 14"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42957156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1097/TIN.0000000000000269
Jane Sylvestre, A. Parker, R. Zelig, D. Radler
Bariatric surgery is effective in treating obesity. Postsurgical nutrition follow-up care is traditionally done in person, and limited research exists on the effectiveness of telehealth. This review aimed to determine whether telehealth compared with in-person-care is effective in achieving weight loss post–bariatric surgery. A comprehensive literature search yielded 3 relevant articles. Telehealth was found to be as effective as in-person care in achieving significant weight loss. Dietitians may consider telehealth a viable option for patient care when obstacles to in-person care exist. Future research should aim at identifying when to implement telehealth, ideal methods, and what population would benefit most.
{"title":"Promoting Weight Loss Success Following Bariatric Surgery Through Telehealth","authors":"Jane Sylvestre, A. Parker, R. Zelig, D. Radler","doi":"10.1097/TIN.0000000000000269","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000269","url":null,"abstract":"Bariatric surgery is effective in treating obesity. Postsurgical nutrition follow-up care is traditionally done in person, and limited research exists on the effectiveness of telehealth. This review aimed to determine whether telehealth compared with in-person-care is effective in achieving weight loss post–bariatric surgery. A comprehensive literature search yielded 3 relevant articles. Telehealth was found to be as effective as in-person care in achieving significant weight loss. Dietitians may consider telehealth a viable option for patient care when obstacles to in-person care exist. Future research should aim at identifying when to implement telehealth, ideal methods, and what population would benefit most.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":"37 1","pages":"55 - 68"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43837129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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