Nutrition Practices of Renal Dietitians in Hemodialysis Centers Throughout the United States: A Descriptive Study

Vergili, Joyce Marcley; Wolf, Randi L.

doi:10.1053/j.jrn.2009.06.019

Cited by 12 publications

(9 citation statements)

References 26 publications

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“…Implementing practice guidelines not only relies on their scientific validity, but also on their usability by clinicians (42) , where insufficient time is a crucial barrier (43) . Even the most qualified and organised dietitian is unable to provide quality care when time allocation with patients is inadequate (44) . Insufficient time to provide care for haemodialysis patients was commonly noted among Lebanese hospital dietitians (25) .…”

Section: Discussionmentioning

confidence: 99%

Effect of stage‐based education provided by dedicated dietitians on hyperphosphataemic haemodialysis patients: results from the Nutrition Education for Management of Osteodystrophy randomised controlled trial

Rizk

Karavetian

Hiligsmann

et al. 2017

J Human Nutrition Diet

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Section: Discussionmentioning

confidence: 99%

Effect of stage‐based education provided by dedicated dietitians on hyperphosphataemic haemodialysis patients: results from the Nutrition Education for Management of Osteodystrophy randomised controlled trial

Rizk

Karavetian

Hiligsmann

et al. 2017

J Human Nutrition Diet

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“…The nutrition therapy practices of renal dietitians have been examined in several previous surveys (Bircher ; Martin & Reams ; Burrowes et al . ; Vergili & Wolf ; Hall‐McMahon & Campbell ; Hand et al . ), while it appears that only one survey has focussed on renal nurses (Geatti ).…”

Section: Discussionmentioning

confidence: 99%

“…This contrasts with several previous surveys that have highlighted disparity in the practices of renal dietitians and nutrition guidelines (Burrowes et al . ; Vergili & Wolf ; Hall‐McMahon & Campbell ; Hand et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…The greater compliance observed in the present study may be due to geographical variation in clinical practices and resource availability (the previous surveys were conducted in non‐European countries) or due to recent improvements in the education and training of renal care professionals; two of the previous studies were conducted in 2005 (Burrowes et al . ) and 2010 (Vergili & Wolf ). Geographical‐based variation in clinical practices and recommendations can be supported by this survey owing to the recorded differences in dietary protein intake recommendations between the four countries.…”

Section: Discussionmentioning

confidence: 99%

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Management of Hyperphosphataemia: Practices and Perspectives Amongst the Renal Care Community

Nagel

Casal

Lindley

et al. 2014

Journal of Renal Care

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“…A 23-item questionnaire assessing the knowledge of the dietitians in renal MNT was used ( Table 2 ). The questions were adapted from Vergili & Wolf [ 26 ]. The original questionnaire assessed practice patterns of renal dietitians; thus minor modifications were done to adapt it to the current study objectives.…”

Section: Methodsmentioning

confidence: 99%

Development and evaluation of continuing education course in renal nutrition

Karavetian

Rizk

2016

Nutr Res Pract

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BACKGROUND/OBJECTIVECompetent renal dietitians are crucial for better patient compliance and clinical outcomes, specifically in critical settings. The aim of this study was to develop and evaluate an evidence-based course in renal dietetics for dietitians working in health care systems where dietetic specialization is absent.SUBJECTS/METHODSFifteen licensed dietitians working with hemodialysis patients in Lebanon were randomly recruited to participate in the course. The latter was developed by the study's primary investigator, according to evidence-based practice guidelines, and focused on all aspects of renal nutrition. Total course duration was 28 hours spread over a 2 month period. Dietitians' knowledge in renal nutrition was tested pre- and post-training through a 23-item questionnaire; the total score was expressed in percentage (< 60% score indicated insufficient knowledge). Paired-samples t test was used for statistical analysis.RESULTSOverall knowledge of the dietitians significantly improved post-training and reached satisfactory levels (pre: 38.75 ± 17.20%, post: 62.08 ± 21.85%). Sub-analysis of the change in the knowledge showed significant and satisfactory improvement only in 3 topics: 1) correct body weight use in calculations, 2) energy estimation method and 3) phosphorus management. Knowledge in the fluid management significantly improved but did not achieve a satisfactory level.CONCLUSIONThe course significantly improved dietitians' knowledge in renal nutrition. If adopted as part of the continuing education of dietitians in countries that lack dietetic specializations, it may serve the first step towards improving health care practice.

show abstract

Nutrition Practices of Renal Dietitians in Hemodialysis Centers Throughout the United States: A Descriptive Study

Cited by 12 publications

References 26 publications

Effect of stage‐based education provided by dedicated dietitians on hyperphosphataemic haemodialysis patients: results from the Nutrition Education for Management of Osteodystrophy randomised controlled trial

Effect of stage‐based education provided by dedicated dietitians on hyperphosphataemic haemodialysis patients: results from the Nutrition Education for Management of Osteodystrophy randomised controlled trial

Management of Hyperphosphataemia: Practices and Perspectives Amongst the Renal Care Community

Development and evaluation of continuing education course in renal nutrition

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