Nephnologists’ and Internal Medicine Physicians’ Expectations of Renal Dietitians and General Dlinical Dietitians

Hart, Joya J.; Hurley, Roberta S.; Garrison, M. E. Betsy; Stombaugh, Isabelle

doi:10.1016/s0002-8223(97)00336-2

Cited by 3 publications

(4 citation statements)

References 24 publications

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“…This is thought to be related to suboptimal knowledge of basic nutrition science facts and understanding of potential nutrition interventions . Furthermore, general clinical registered dietitians are often expected to do renal nutrition counseling but may not have adequate training to do so . With regard to counseling on sodium intake, it has been documented that provider counseling can play an important role in motivating patients to try .…”

Section: Practical Considerations For Nutrition Education In Ckdmentioning

confidence: 99%

“…22 Furthermore, general clinical registered dietitians are often expected to do renal nutrition counseling but may not have adequate training to do so. 66 With regard to counseling on sodium intake, it has been documented that provider counseling can play an important role in motivating patients to try. 67 However, patients also report that implementation of recommendations is difficult, suggesting they may require tailored approaches that are relevant to their day-to-day eating behaviors.…”

Section: Incorporating Nutrition Education Into Trainingmentioning

confidence: 99%

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Nutrition education in the care of patients with chronic kidney disease and end‐stage renal disease

Anderson

Nguyen

2018

Seminars in Dialysis

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Diet counseling and nutrition education are recommended in the prevention and management of chronic kidney disease (CKD) and end-stage renal disease (ESRD). The importance of effectively addressing nutrition with patients has grown given the increasing prevalence of obesity, hypertension, and diabetes; conditions which influence CKD/ESRD. Dietary advice for individuals with CKD/ESRD can be seen as complex; and successful dietary management requires careful planning, periodic assessment of nutritional status, as well as monitoring of dietary compliance. In spite of recommendations and pressing need, formal training in nutrition and adequate preparation for providers is limited; and for physicians the lack of nutrition education has been acknowledged, repeatedly, as an area for improvement in medical training curricula. It has also been suggested that dietitians have an essential role in management of CKD in the primary care setting; however, dietitians who do not practice renal education daily may need training on the specific challenges in CKD/ESRD. The objectives of this chapter were to: characterize select nutrition education resources for providers who care for patients with CKD/ESRD; summarize key dietary components emphasized in the care of patients with CKD/ESRD; and address practical considerations in educational efforts focused on nutrition and CKD/ESRD.

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Section: Practical Considerations For Nutrition Education In Ckdmentioning

confidence: 99%

Section: Incorporating Nutrition Education Into Trainingmentioning

confidence: 99%

Nutrition education in the care of patients with chronic kidney disease and end‐stage renal disease

Anderson

Nguyen

2018

Seminars in Dialysis

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“…7,8 The present study demonstrates that dietitians have become more valued and integrated within healthcare teams over time, as research conducted nearly two decades prior found that the majority of physicians did not believe that dietitians had a role in the clinical care of patients. [22][23][24] The more positive view of dietitians may be attributed to the growing evidence base that shows the positive impact that dietitians have on head and neck cancer patient outcomes. 1,3 This is supported by a qualitative study conducted in five European nations that found that having evidence that demonstrates the positive impact of nutritional interventions on patient outcomes encouraged other healthcare professionals to prioritise nutrition.…”

Section: Discussionmentioning

confidence: 99%

“…3 Furthermore, several studies that have previously explored the role of the dietitian have included physicians or dietitians alone. [22][23][24] Thus, the multidisciplinary sampling provided insight into the dietitians' role from a team perspective.…”

Section: Methodsmentioning

confidence: 99%

Healthcare professionals' perspectives on the role of dietitians within multidisciplinary head and neck cancer teams: A qualitative multi‐site study

Hazzard

Walton

McMahon

et al. 2021

Nutrition & Dietetics

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Aim: Evidence-based guidelines provide recommendations on how dietitians should work with patients with head and neck cancer for best outcomes.Research with healthcare professionals from head and neck cancer teams would provide insight into how these recommendations are implemented in practice. Therefore, the aim of this study was to explore how the role of the dietitian is perceived and enacted in different head and neck cancer teams from the perspective of healthcare professionals.Methods: This qualitative study recruited radiation oncologists, nurses, dietitians and speech pathologists from four different head and neck cancer teams in Australia and the United States. Data were collected via semi-structured interviews and analysed using a grounded-theory approach. Results: Seventeen radiation oncologists, 12 nurses, 11 dietitians and six speech pathologists participated. Perceptions on the role of dietitians were summarised by the category: "Providing expertise in nutritional care: A core role in head and neck cancer." Five categories summarised perceptions of factors that can influence how the role of the dietitian is enacted in practice: "having experience in head and neck cancer"; "initiating nutritional care plans and the role of doctors and nurses"; "clinic structuring"; "an evolving culture in healthcare services" and "the presence of evidence-based guidelines."Conclusions: While dietitians can be perceived to be the experts in nutritional care, several factors influence how their role is enacted in head and neck cancer teams. Further research on patient nutritional outcomes and on clinic structures that best use dietetic expertise is required to strengthen recommendations on how dietitians should work with head and neck cancer patients internationally.

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Doctors' Perception and Needs on Clinical Nutrition Services in Hospitals

Han¹,

Lee²,

Lyu³

2012

Journal of the Korean Dietetic Association

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The purpose of this study was to evaluate the perception and needs of doctors on clinical nutrition services. A cross-sectional survey design was used. The doctors' perception and needs were assessed by questionnaires that had been specifically designed for the study. The research was conducted from February 14 to March 15, 2011 for 544 doctors at 42 large hospitals (with over 400 beds). Ninety-eight percent of doctors responded that clinical nutrition service was important. The mean scores of importance on clinical nutrition service were 4.45 for 'nutrition screening at admission', 4.50 for 'treatment of malnutrition', and 4.43 for 'nutrition education and counseling'. The mean scores of needs for clinical nutrition service were 4.42 for 'individual nutrition counseling & education' 4.39 for 'nutrition management for malnourished patients' and 'nutrition management for tube fed patients'. The medical specialists showed significantly (P＜0.01) higher scores than the residents on the importance and needs for clinical nutrition services. Eighty-five percent of the doctors recognized the necessity of the specialized dietitians classified by diseases. The medical specialists (93.8%) showed significantly (P＜0.01) higher recognition of this necessity than the residents (77.7%). The low residents' perceptions of the importance and needs for clinical nutrition services will necessitate clinical nutrition education plans. The departments of clinical nutrition in universities should improve the ability and skills of the clinical dietitians.

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Nephnologists’ and Internal Medicine Physicians’ Expectations of Renal Dietitians and General Dlinical Dietitians

Cited by 3 publications

References 24 publications

Nutrition education in the care of patients with chronic kidney disease and end‐stage renal disease

Nutrition education in the care of patients with chronic kidney disease and end‐stage renal disease

Healthcare professionals' perspectives on the role of dietitians within multidisciplinary head and neck cancer teams: A qualitative multi‐site study

Doctors' Perception and Needs on Clinical Nutrition Services in Hospitals

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