The impact of provider training on patient education for pediatric early food introduction.

Autor:	Hodges JM; University of Alabama at Birmingham School of Nursing, Birmingham, Alabama.; Christ Health Center, Inc., Birmingham, Alabama., Stackhouse CT; Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama.; Department of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama., Smith GL; University of Alabama at Birmingham School of Nursing, Birmingham, Alabama.
Jazyk:	angličtina
Zdroj:	Journal of the American Association of Nurse Practitioners [J Am Assoc Nurse Pract] 2021 Jan 08; Vol. 33 (12), pp. 1282-1289. Date of Electronic Publication: 2021 Jan 08.
DOI:	10.1097/JXX.0000000000000524
Abstrakt:	Background: Pediatric food allergies (FAs) present significant health and economic problems. Currently, there are no cures for FAs. Recent studies suggest that early introduction (EI), between 4 and 6 months of age, of commonly allergenic foods (CAFs) may reduce the risk of developing FAs. This contradicts the current standard of care, food avoidance. Local Problem: A federally qualified health center saw 894 patients aged 0-24 months during a 12-month period with only 18.9% receiving nutrition education. New dietary recommendations to prevent FA were not in place. Methods: A retrospective chart review was used to evaluate use of an order set with patient education on EI to CAFs in the electronic medical record (EMR). Interventions: Providers attended training on EI to CAFs and use of the EMR order set. Data were collected on the use of the order set over a 3-month period. Results: Provider training significantly improved knowledge of FA as well as EI guidelines. After 3 months of implementation, 25.95% of eligible encounters contained the EI order set; 52% of patients received the order set during the measurement period. In the impact population, patients 4-12 months of age, 74.55% of patients received the order set. Conclusions: Evidence-based clinical content in EMR order sets coupled with provider training ensure clinical decision support in identifying, monitoring, and optimizing quality care standards. Competing Interests: Competing interests: J. M. Hodges is an employee of Christ Health Center, Inc., where the intervention took place. The other authors report no conflicts of interest. (Copyright © 2020 American Association of Nurse Practitioners.)
Databáze:	MEDLINE
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