Academy of Nutrition and Dietetics: Revised 2015 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Pediatric Nutrition

Nevin-Folino, Nancy; Ogata, Beth N.; Charney, Pamela; Holt, Katrina; Brewer, Holly L.; Sharrett, Mary K.; Carney, Liesje Nieman

doi:10.1016/j.jand.2014.12.005

Cited by 11 publications

(45 citation statements)

References 13 publications

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“…The 2013 Institute for Clinical Systems Improvement (ICSI) CPG cited 10 paediatric‐inclusive SRs, which scored a mean of 34.3% (AMSTAR) and 61.7% (PRISMA). The 2015 Academy of Nutrition and Dietetics CPG cited one paediatric‐inclusive SR, which scored a mean of 55.0% (AMSTAR) and 80% (PRISMA).…”

Section: Resultsmentioning

confidence: 99%

Methodological quality, completeness of reporting and use of systematic reviews as evidence in clinical practice guidelines for paediatric overweight and obesity

et al. 2017

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Paediatric obesity rates remain high despite extensive efforts to prevent and treat obesity in children. We investigated the quality of the methodology and reporting within systematic reviews (SRs) underpinning paediatric content in US clinical practice guidelines (CPGs). In June 2016 we searched guideline clearinghouses and professional organization websites for guidelines published by national or professional organizations in the United States from January 2007 onwards. In our primary, a priori analysis, we used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and AMSTAR (A Measurement Tool to Assess Systematic Reviews) instruments to score SRs and meta-analyses that included paediatric populations and were cited by included CPGs. In a secondary, post hoc analysis, we determined the extent to which US CPGs use available, relevant SRs and meta-analyses compared with non-US CPGs. Eight US-based CPGs with 27 references to 22 unique SRs were found. AMSTAR and PRISMA scores were low overall, with only three SRs having 'high' methodological quality. Items dealing with bias assessments and search strategies had especially low scores. US CPGs were also older on average and cited fewer SRs than their international counterparts. Low quality scores and dated guidelines should be a cause for concern among practicing clinicians and a call to action for future guideline developers, publishers and research institutions.

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Section: Resultsmentioning

confidence: 99%

Methodological quality, completeness of reporting and use of systematic reviews as evidence in clinical practice guidelines for paediatric overweight and obesity

et al. 2017

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“…An “X” in the proficient column indicates that an RDN who performs at this level has a deeper understanding of nutrition support therapy and has the ability to modify or guide therapy to meet the needs of patients/clients in various situations (eg, patients/clients with diabetes, 72 renal conditions, 73 electrolyte disturbances, acute pulmonary failure on a ventilator, complicated wounds, or neonates on enteral nutrition 33,34,74 ).…”

Section: Application To Practicementioning

confidence: 99%

Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Revised 2021 standards of practice and standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in nutrition support

Corrigan

Bobo²,

Rollins³

et al. 2021

Nut in Clin Prac

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Nutrition support is a therapy that crosses all ages, diseases, and conditions as health care practitioners strive to meet the nutrition requirements of individuals who are unable to meet nutrition and/or hydration needs with oral intake alone. Registered dietitian nutritionists (RDNs), as integral members of the nutrition support team provide needed information, such as identification of malnutrition risk, macro‐ and micronutrient requirements, and type of nutrition support therapy (eg, enteral or parenteral), including the route (eg, nasogastric vs nasojejunal or tunneled catheter vs port). The Dietitians in Nutrition Support Dietetic Practice Group, American Society for Parenteral and Enteral Nutrition, along with the Academy of Nutrition and Dietetics Quality Management Committee, have updated the Standards of Practice (SOP) and Standards of Professional Performance (SOPP) for RDNs working in nutrition support. The SOP and SOPP for RDNs in Nutrition Support provide indicators that describe the following 3 levels of practice: competent, proficient, and expert. The SOP uses the Nutrition Care Process and clinical workflow elements for delivering patient/client care. The SOPP describes the 6 domains that focus on professional performance. Specific indicators outlined in the SOP and SOPP depict how these standards apply to practice. The SOP and SOPP are complementary resources for RDNs and are intended to be used as a self‐evaluation tool for assuring competent practice in nutrition support and for determining potential education and training needs for advancement to a higher practice level in a variety of settings.

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“…This prohibits the dietitians from functioning more efficiently at a higher level of practice, such as evaluating the relationship and nutrition implications of prescription, over-the-counter, and other medications and supplements used by patients, or determining the need for further testing based on findings of diagnostic testing and physical assessment. 21 The small-group learning environment allowed residents to learn more about the registered dietitians and become more aware of the important complementary role they play in pediatric patient care.…”

Section: Journal Club 8% (1)mentioning

confidence: 99%

Utilizing High-Fidelity Simulation to Teach Pediatric Residents Clinical Nutrition

Teske

Peterson

Morse

et al. 2015

ICAN: Infant, Child, & Adolescent Nutrition

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Background. Pediatric nutrition concepts, important competencies for pediatric residents, are often incompletely taught in lectures. Objective. Demonstrate use of simulation as an effective and well-received method to teach nutrition to pediatric residents. Design. This qualitative study was designed to describe the learning needs of residents and gain insight into how residents receive nutrition information using a simulation. A survey containing nutrition knowledge questions and self-assessed comfort level was administered to residents during two conferences. Upon completion of the simulation, feedback from residents regarding its utility was collected. Participants/ Setting. During their inpatient service, twenty-four residents participated in monthly simulations between January 2014 and February 2015. Intervention. Based on the needs assessments, learning objectives were derived leading to development of a simulation scenario with scripted roles and debriefing points led by experts in simulation and nutrition. Main outcome measures. The primary outcome measure obtained was the pediatric residents' rating of the simulation. Statistical analyses performed. Using SPSS software (Chicago, IL), averages/standard deviations were calculated, and a one-way analysis of variance was done to compare test results across different resident levels. Results. 96% (23/24) strongly agreed the experience will improve performance in clinical settings. 100% (24/24) strongly agreed the simulation was a valuable learning experience and 92% (22/24) strongly agreed the debriefing was valuable. Learning themes that emerged aligned with learning objectives and included: manifestations of trace element deficiencies, nutrition history, infant formula preparation/storage, and cultural differences in feeding practices. Conclusion: Nutrition simulation appears to be a well-received educational method for pediatric residents.

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Academy of Nutrition and Dietetics: Revised 2015 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Pediatric Nutrition

Cited by 11 publications

References 13 publications

Methodological quality, completeness of reporting and use of systematic reviews as evidence in clinical practice guidelines for paediatric overweight and obesity

Methodological quality, completeness of reporting and use of systematic reviews as evidence in clinical practice guidelines for paediatric overweight and obesity

Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Revised 2021 standards of practice and standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in nutrition support

Utilizing High-Fidelity Simulation to Teach Pediatric Residents Clinical Nutrition

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