ASPEN 国际伦理能力调查,内容涉及人工营养和水合使用决策以及临床实践中的能力应用。

IF 2.1 4区 医学 Q3 NUTRITION & DIETETICS Nutrition in Clinical Practice Pub Date : 2024-12-01 Epub Date: 2024-09-23 DOI:10.1002/ncp.11213
Denise Baird Schwartz, Sarah Sumner, Diana Cardenas, Theodoric Wong, Maria Giuseppina Annetta, Babak Goldman, Albert Barrocas, Sonia Echeverri, Eliza Mei Perez Francisco, Gil Hardy
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引用次数: 0

摘要

背景:文献中尚未对参与人工营养和水合(AANH)决策的临床医生的伦理能力进行定义。尽管临床评估确定了营养需求和适当的营养给药途径,但对医学营养疗法的伦理、文化和精神影响的评估可能会被忽视:美国肠外和肠内营养学会两个国际分会的成员制定了 11 项能力声明。这项描述性横断面调查研究采用李克特五点量表 1-5(1-低至 5-高)来衡量能力声明对两个分会成员的重要性:共收到 113 份回复(回复率为 12.5%),主要来自 25 个国家的医生和营养师。49%的受访者来自美国以外的多个国家和地区。对 11 项能力陈述的同意度计算了平均值和标准差,总体平均值在 4.32 至 4.67 之间。大多数受访者(63.7%)专门护理成人/老年患者,12.4%专门护理儿科/新生儿患者;其余受访者(23.9%)同时护理两种人群。受访者表示,他们在处理与 AANH 相关的伦理问题方面要么经验丰富,要么胜任,要么是专家(88.6%):这个国际跨学科小组一致认为,将伦理、文化和精神能力纳入人工 AANH 的临床决策非常重要。
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ASPEN international survey on ethical competencies dealing with decision-making in the use of artificially administered nutrition and hydration and competency application in clinical practice.

Background: Ethical competencies dealing with decision-making for clinicians involved in artificially administered nutrition and hydration (AANH) have not been defined in the literature. Although clinical assessments identify nutrition needs and appropriate routes of nutrition administration, an assessment of the ethical, cultural, and spiritual implications of the medical nutrition therapy may be overlooked.

Methods: Eleven competency statements were developed by members of two international sections of the American Society for Parenteral and Enteral Nutrition. This descriptive cross-sectional survey study was conducted to measure the importance of the competency statements to the membership of two sections using a five-point Likert scale of 1-5 (1-low to 5-high).

Results: A total of 113 responses (12.5% response rate) were obtained predominantly from physicians and dietitians from 25 countries. There was a wide range of world regions of the 49% respondents outside of the United States. Means and SDs were calculated for agreement with the 11 competency statements with overall means ranging from 4.32 to 4.67. Most of the participants cared for adult/older adult patients (63.7%) exclusively, and 12.4% cared for pediatric/neonate patients exclusively; the remainder (23.9%) cared for both populations. Respondents reported they were either experienced, competent, or expert (88.6%) in dealing with ethical issues related to AANH.

Conclusion: This international interdisciplinary group agreed that the integration of ethical, cultural, and spiritual competencies into clinical decision-making regarding artificially AANH is important.

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来源期刊
CiteScore
6.00
自引率
9.70%
发文量
128
审稿时长
3 months
期刊介绍: NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).
期刊最新文献
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