A Difference Must Make a Difference

Waitzberg, Dan Linetzky

doi:10.1177/0148607110375699

Cited by 6 publications

(4 citation statements)

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Section: -5mentioning

confidence: 99%

“…[2][3][4][5] One way to control protocol compliance would be through the routine practice of periodic nutrition quality control to identify possible difficulties and failures related to the application of protocols during nutrition care provided to the patient. 6,7 Therefore, in addition to the effort to develop nutrition guidelines, it is also necessary to design quality indicators in nutrition therapy (QINTs) that control the correct application of these guidelines in NT.…”

Section: Clinical Researchmentioning

confidence: 99%

“…6,7 Therefore, in addition to the effort to develop nutrition guidelines, it is also necessary to design quality indicators in nutrition therapy (QINTs) that control the correct application of these guidelines in NT.The available guidelines comprise an elevated number of recommendations to be followed and could consequently lead to the design of an elevated number of QINTs.3-5 In 2008, the task force of clinical nutrition of the International Life Science Institute-Brazil (ILSI-Brazil) published a list of 36 QINTs and their respective national goals proposed by consensus by a group of 41 Brazilian NT specialists to attend different issues regarding national and international NT guidelines. 8 However, in addition to the scarcity of available human and material resources, the application of the 36 QINTs to clinical practice has been hindered by the high number of QINTs proposed.…”

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confidence: 99%

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Selection of Top 10 Quality Indicators for Nutrition Therapy

et al. 2012

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Nutrition therapy (NT) is important to correct protein-energy malnutrition and can help to prevent many adverse outcomes, including increased infection complication rate, impaired wound healing, longer length of hospital stay, higher treatment costs, and increased mortality.1 However, NT is not without attendant risks and adverse effects and is oriented by procedures that were systematically developed based on important scientific publications in the area and the consensual opinions of experts. 2-5One way to control protocol compliance would be through the routine practice of periodic nutrition quality control to identify possible difficulties and failures related to the application of protocols during nutrition care provided to the patient. 6,7 Therefore, in addition to the effort to develop nutrition guidelines, it is also necessary to design quality indicators in nutrition therapy (QINTs) that control the correct application of these guidelines in NT.The available guidelines comprise an elevated number of recommendations to be followed and could consequently lead to the design of an elevated number of QINTs.3-5 In 2008, the task force of clinical nutrition of the International Life Science Institute-Brazil (ILSI-Brazil) published a list of 36 QINTs and their respective national goals proposed by consensus by a group of 41 Brazilian NT specialists to attend different issues regarding national and international NT guidelines. 8 However, in addition to the scarcity of available human and material resources, the application of the 36 QINTs to clinical practice has been hindered by the high number of QINTs proposed. 9To enable the effective application of QINTs, we believe that ease of application and objectivity must be considered in addition to other factors.10,11 An excessive number of QINTs must be avoided because they may be difficult to apply Selection of Top 10 Quality Indicators for Nutrition TherapyCristiane Comeron Gimenez Verotti, RD; Raquel Susana Matos de Miranda Torrinhas, MB; Ivan Cecconello, MD, PhD; and Dan Linetzky Waitzberg, MD, PhD AbstractBackground: The identification of useful quality indicators for nutrition therapy (QINTs) is of great interest and a challenge. This study attempted to identify the 10 QINTs that best suit the practice of quality control in nutrition therapy (NT) by evaluating the opinion of experts in NT with the use of psychometric techniques and statistical tools. Methods: Thirty-six QINTs available for clinical application in Brazil were assessed in 2 distinct phases. In phase 1, 26 nutrition experts ranked QINTs by scoring 4 attributes (utility, simplicity, objectivity, low cost) to assess each QINT on a 5-point Likert scale. The top 10 QINTs were identified from the 10 best scores obtained, and the reliability of expert opinion for each indicator was assessed by Cronbach's α. In phase 2, experts provided feedback regarding the selected top 10 QINTs by answering 2 closed questions. Results: The top 10 QINTs, in descending order, are the frequency of nutrition screening o...

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Section: -5mentioning

confidence: 99%

Section: Clinical Researchmentioning

confidence: 99%

mentioning

confidence: 99%

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Selection of Top 10 Quality Indicators for Nutrition Therapy

et al. 2012

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“…Em relação às limitações para o suporte nutricional adequado desta pesquisa, a resposta mais marcada foi que não havia protocolos claros e acessíveis, fato que pode explicar o baixo conhecimento sobre o diagnóstico assertivo de constipação por ambas as categorias profissionais. A adoção de protocolos clínicos pode melhorar a adequação nutricional em cerca de 10%, porém, mesmo nos locais em que se utilizam protocolos, a TN pode permanecer malconduzida 23 . A falta de conhecimento e a sobrecarga de trabalho também foram elencados pelos profissionais como entraves para a TN adequada, fato que pode impactar na assistência nutricional prestada, levando à ocorrência de falhas assistenciais.…”

Section: Discussionunclassified

Terapia nutricional na unidade de terapia intensiva: avaliação do grau de conhecimento de médicos, enfermeiros e nutricionistas

Mendes,

Matos,

Salazar

et al. 2022

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A terapia nutricional (TN) é de extrema importância dentro da unidade de terapia intensiva (UTI), visto que é parte fundamental no cuidado do paciente grave, sendo necessário o conhecimento sobre essa temática pelos profissionais da equipe multiprofissional. Assim, o objetivo desse estudo foi avaliar o grau de conhecimento de médicos, enfermeiros e nutricionistas sobre TN em UTIs. Método: Estudo observacional e descritivo, realizado em um hospital público em São Luís, MA, por meio de análise de questionários com questões sobre temas básicos referentes à TN em pacientes críticos. Os dados foram apresentados por meio de frequências simples ou percentuais. Resultados: Em relação às questões levantadas quanto à TN na UTI, o percentual de acerto foi superior a 70% para a maioria das questões, o que demonstra que há certo conhecimento, sendo importante ressaltar que os questionamentos não incluíram itens sobre nutrição parenteral. A faixa etária dos entrevistados prevalente foi de 30 a 39 anos (60%). Em relação às ferramentas de triagem nutricionais, apenas 35,7% dos médicos e 26,8% dos enfermeiros relataram conhecer, e sobre o tempo considerado aceitável de constipação intestinal na UTI, o percentual de acertos foi de 42,9% entre médicos, 39% entre enfermeiros e 60% dos nutricionistas. Conclusão: Algumas lacunas do conhecimento sobre TN foram identificadas, demonstrando a importância da educação continuada, para ampliação do conhecimento sobre essa temática, a fim de melhorar a atenção nutricional e a qualidade da assistência prestada aos pacientes críticos.

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Making a Difference in Surgery Residency Programs

Tarpley

Smalley

2016

JAMA Surg

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A Difference Must Make a Difference

Cited by 6 publications

References 5 publications

Selection of Top 10 Quality Indicators for Nutrition Therapy

Selection of Top 10 Quality Indicators for Nutrition Therapy

Terapia nutricional na unidade de terapia intensiva: avaliação do grau de conhecimento de médicos, enfermeiros e nutricionistas

Making a Difference in Surgery Residency Programs

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