Order writing for parenteral nutrition by registered dietitians
| Autor: | Tina Colaizzo-Anas, Charles Mueller, Eva P. Shronts, John A. Gaines |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Medical education
Analysis of Variance Parenteral Nutrition Nutrition and Dietetics Chi-Square Distribution business.industry Dietetics education Specialty MEDLINE United States Parenteral nutrition Prescriptions Nursing Order (business) Surveys and Questionnaires Health care Medicine Humans Medical prescription business Societies Chi-squared distribution Categorical variable Food Science |
| Zdroj: | Journal of the American Dietetic Association. 96(8) |
| ISSN: | 0002-8223 |
| Popis: | Objectives The purpose of the study was to describe the involvement of registered dietitians in parenteral nutrition (PN) orders, to identify characteristics of those who write orders; and to rank education, training, and support elements that dietitians believe facilitate PN order-writing skills. Design Mail survey method. Subjects Usable returned questionnaires (n=266) represented randomly sampled membership of the Dietitians in Nutrition Support (a dietetic practice group of The American Dietetic Association) and registered dietitian membership of the American Society of Parenteral and Enteral Nutrition. Statistical analysis Data were analyzed using basic frequency displays on all questionnaire items, Pearson correlations between the quantitative variables, and one-way analysis of variance with each of the categorical variables and the quantitative variables. Detail exploration among variables was done by χ 2 analyses and two-tailed t tests. Results "Recommend" was the most frequent response to a query about participation in PN orders. An average of 37% of respondents sometimes or always wrote orders for nutrients. Specialists were more likely to write orders than clinicians and managers. No relationship was found between those who wrote orders and educational level, and writers had been registered for a shorter length of time. Agreement on the training and support needed for order-writing skills was nearly unanimous. Applications The PN skills of respondents who were specialists distinguished them from managers and clinicians. Specialists did not fit criteria for advanced practice, and specialty practice in metabolic nutrition care may be too broad to define their practice. Educators must recognize the importance of including PN training in didactic and clinical training programs. Registered dietitians with PN skills will be well positioned to play an active role in the evolving health care system. J Am Diet Assoc. 1996; 96:764–768. |
| Databáze: | OpenAIRE |
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