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British Medical Journal May 1951
Topics: Diabetes Mellitus; Diet; Dietetics; Humans; Nutritional Sciences
PubMed: 14830848
DOI: 10.1136/bmj.1.4715.1095 -
Canadian Journal of Dietetic Practice... Mar 2017
Topics: Dietetics; Health Promotion; Humans; Nutritionists; Quality of Health Care
PubMed: 28225692
DOI: 10.3148/cjdpr-2016-038 -
PloS One 2021To gather consensus on professional competencies and basic public health content for the degree program in Human Nutrition and Dietetics (HND).
OBJECTIVE
To gather consensus on professional competencies and basic public health content for the degree program in Human Nutrition and Dietetics (HND).
DESIGN
In 2018, the Fifth Meeting of University Public Health Professors took place in Zaragoza (Spain). Fourteen lecturers in the HND degree program participated from 11 Spanish universities. They identified competencies and basic content for training for the HND degree using group dynamics and consensus strategies.
RESULTS
The professors identified 51 basic competencies, distributed in the areas of "evaluation of population health needs" (n = 20), "development of health policies" (n = 23), and "guaranteeing provision of health care services" (n = 8). In order to reach these competencies, 35 topics were proposed organized into six thematic blocks: foundations of public health, nutritional epidemiology, health problems and diet and nutrition strategies, food security, health in all policies and health promotion and education.
CONCLUSION
The consensus reached serves as a reference to orient and update public health education as a part of the HND degree.
Topics: Curriculum; Dietetics; Education, Graduate; Female; Humans; Male; Public Health; Universities
PubMed: 33513203
DOI: 10.1371/journal.pone.0246268 -
Nutrients Feb 2021Chronic kidney disease (CKD) is an important public health issue with increasing prevalence worldwide. Several clinical practice guidelines have been recently published... (Review)
Review
Chronic kidney disease (CKD) is an important public health issue with increasing prevalence worldwide. Several clinical practice guidelines have been recently published regarding the nutritional management of CKD patients. The purpose of the present study is to evaluate the quality of the published guidelines and provide recommendation for future updates. PubMed, Scopus and Google Scholar were searched for relevant guidelines and 11 clinical practice guidelines were finally included. Guidelines developed by the American Society for Parenteral and Enteral nutrition (ASPEN), the Dietitians Association of Australia (DAA), the German Society for Nutritional Medicine (DGEM), the European Best Practice Guidelines (EBPG), the European Dialysis and Transplantation Nurses Association-European Renal Care Association (EDTNA-ERCA), the European Society for Clinical Nutrition and Metabolism (ESPEN), the Andalusian Group for Nutrition Reflection and Investigation (GARIN) group, the National Kidney foundation-Kidney Disease Outcomes Quality Initiative (KDOQI), the Italian Society of Nephrology-Association of Dieticians-Italian Association of Hemodialysis, Dialysis and Transplant (SIN-ANDID-ANED), and the Renal Association were assessed using the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool. Guidelines by KDOQI, ESPEN, and DAA were of moderate quality and the rest of them were low-quality guidelines. Our study demonstrates gaps related to the development of guidelines and therefore greater emphasis on methodological approaches is recommended. AGREE II tool can be useful to improve quality of guidelines.
Topics: Adult; Aged; Dietetics; Female; Humans; Male; Middle Aged; Nutrition Therapy; Practice Guidelines as Topic; Quality Assurance, Health Care; Renal Insufficiency, Chronic
PubMed: 33671901
DOI: 10.3390/nu13020624 -
European Journal of Heart Failure Mar 2005A heart failure team that treats heart failure patients often faces the challenge of managing multiple conditions requiring multiple medications and life style changes... (Review)
Review
A heart failure team that treats heart failure patients often faces the challenge of managing multiple conditions requiring multiple medications and life style changes in an older patient group. A multidisciplinary team approach can optimally diagnose, carefully review and prescribe treatment, and educate and counsel patients and their families about medication use and life style changes. In this paper the possible role of the pharmacist, dietician, physical therapist, psychologist, primary care provider and social worker in heart failure management is discussed.
Topics: Allied Health Personnel; Dietetics; Heart Failure; Humans; Patient Care Team; Pharmacists; Physical Therapy Modalities; Psychology, Clinical; Randomized Controlled Trials as Topic
PubMed: 15718174
DOI: 10.1016/j.ejheart.2005.01.009 -
Journal of the Academy of Nutrition and... Nov 2022The transition from student to dietitian is an implicit expectation of dietetic education. Although there has been an expanding literature around elements of...
BACKGROUND
The transition from student to dietitian is an implicit expectation of dietetic education. Although there has been an expanding literature around elements of competency-based education, little attention has focused on sociocultural aspects of learning and professional identity formation in dietetic education.
OBJECTIVE
The aim of this study was to explore sociocultural factors in dietetics education influencing the transition into the profession from the perspective of dietetics students and educators.
DESIGN
An exploratory qualitative study underpinned by social constructionism.
PARTICIPANTS/SETTING
From March 2018 until June 2019, interviews (individual and group) with final-year students (n = 22), dietetic preceptors (n = 27), and university faculty members (n = 51) from 17 of the 18 universities in Australia and New Zealand with accredited dietetic programs were undertaken and explored sociocultural factors in dietetic education.
ANALYSIS PERFORMED
Data were analyzed into key themes using framework analysis and applying the sociocultural theory of landscapes of practice.
RESULTS
Sociocultural factors are powerful influences on the student-professional transition. Dietetic cultures and minicultures of cohesion, conformity, competition, and conflict aversion exist. Boundaries exist within learning environments, which can limit or pose challenges to professional identity formation and transition into the profession.
CONCLUSION
Stakeholders involved in dietetics education play pivotal roles in shaping the microcultures students learn and work within, which influence and impact socialization and transition into the profession. Opportunities exist to re-vision curriculum and foster positive learning cultures with a focus on sociocultural learning, including supporting boundary crossing and professional identity development.
Topics: Humans; Dietetics; Nutritionists; Students; Competency-Based Education; Universities
PubMed: 35346871
DOI: 10.1016/j.jand.2022.03.015 -
Nutrition and Health Sep 2022Obesity is sweeping across the developed world. Yet, the public remains largely confused when it comes to the nature of dietary habits which would serve to counteract...
Obesity is sweeping across the developed world. Yet, the public remains largely confused when it comes to the nature of dietary habits which would serve to counteract this trend. I highlight the responsibility that the scientific community bears when it comes to the confusion, and explain the kind of actions that are needed if the public trust in science is to be maintained. Starting from an example of a recently published and prominently featured article in a leading journal, I analyse various common methodological aspects of dietetics research and the consequent claims, contextualizing this within the broader environment which includes the scientific publishing process and the mainstream media. Methodological inadequacies, erroneous claims, and misleading interpretations of findings are often found in dietetics research, highlighting the deficiencies of the system which fails to uphold the fundamental principles of scientific inquiry. It is imperative that individual scientists speak out and challenge poor science, unsatisfactory publishing processes, and bombastic and misleading communication of research.
Topics: Dietetics; Humans; Publishing
PubMed: 35414320
DOI: 10.1177/02601060221094126 -
Global Health, Science and Practice Dec 2021The current nutrition situation in Malawi, characterized by high rates of malnutrition in communities and hospitals and a rapidly increasing burden of overweight/obesity...
The current nutrition situation in Malawi, characterized by high rates of malnutrition in communities and hospitals and a rapidly increasing burden of overweight/obesity and diet-related noncommunicable diseases, highlights the urgent need for registered dietitians, who have a proven track record in the prevention and management of all forms of malnutrition and improving patient outcomes. However, dietetics practice has been described as underdeveloped and fragmented in many parts of Africa, exacerbated by a severe and chronic shortage of dietetics professionals and a lack of nutrition and dietetic education programs in most African countries.We share early lessons learned in the development and implementation of the first dietetics program in Malawi. Within 6 years, the program produced 10 graduate dietitians who have filled the first clinical dietitian posts in Malawian public hospitals. This early success can be attributed to the model used to develop and implement the program, which included early stakeholder engagement to define the priority skills and competencies of a Malawian dietitian, the use of internationally recognized training standards, and the development of strategic institutional partnerships that brought together complementary skills and expertise. Furthermore, using existing resources and recruiting students with a nutrition and health background accelerated implementation. The current dietetics curriculum responds to the national nutrition and health policy direction and strategic objectives. Early and sustained government engagement was crucial in creating demand and securing career prospects for graduates. Although still in its infancy, dietitians in Malawi are poised to contribute significantly to alleviating the country's complex nutrition challenges.
Topics: Capacity Building; Dietetics; Humans; Malawi; Nutritional Status; Nutritionists
PubMed: 34933987
DOI: 10.9745/GHSP-D-20-00687 -
Journal of the Academy of Nutrition and... Dec 2021During the current coronavirus disease 2019 (COVID-19) pandemic, health care practices have shifted to minimize virus transmission, with unprecedented expansion of...
During the current coronavirus disease 2019 (COVID-19) pandemic, health care practices have shifted to minimize virus transmission, with unprecedented expansion of telehealth. This study describes self-reported changes in registered dietitian nutritionist (RDN) practice related to delivery of nutrition care via telehealth shortly after the onset of the COVID-19 pandemic in the United States. This cross-sectional, anonymous online survey was administered from mid-April to mid-May 2020 to RDNs in the United States providing face-to-face nutrition care prior to the COVID-19 pandemic. This survey included 54 questions about practitioner demographics and experience and current practices providing nutrition care via telehealth, including billing procedures, and was completed by 2016 RDNs with a median (interquartile range) of 15 (6-27) years of experience in dietetics practice. Although 37% of respondents reported that they provided nutrition care via telehealth prior to the COVID-19 pandemic, this proportion was 78% at the time of the survey. Respondents reported spending a median (interquartile range) of 30 (20-45) minutes in direct contact with the individual/group per telehealth session. The most frequently reported barriers to delivering nutrition care via telehealth were lack of client interest (29%) and Internet access (26%) and inability to conduct or evaluate typical nutrition assessment or monitoring/evaluation activities (28%). Frequently reported benefits included promoting compliance with social distancing (66%) and scheduling flexibility (50%). About half of RDNs or their employers sometimes or always bill for telehealth services, and of those, 61% are sometimes or always reimbursed. Based on RDN needs, the Academy of Nutrition and Dietetics continues to advocate and provide resources for providing effective telehealth and receiving reimbursement via appropriate coding and billing. Moving forward, it will be important for RDNs to participate fully in health care delivered by telehealth and telehealth research both during and after the COVID-19 public health emergency.
Topics: COVID-19; Cross-Sectional Studies; Delivery of Health Care; Dietetics; Humans; Nutrition Therapy; Nutritionists; Reimbursement Mechanisms; SARS-CoV-2; Surveys and Questionnaires; Telemedicine; United States
PubMed: 33612436
DOI: 10.1016/j.jand.2021.01.009 -
Journal of the Academy of Nutrition and... Sep 2018The Healthy Eating Index (HEI) is a measure of diet quality that can be used to examine alignment of dietary patterns with the Dietary Guidelines for Americans. The HEI... (Review)
Review
The Healthy Eating Index (HEI) is a measure of diet quality that can be used to examine alignment of dietary patterns with the Dietary Guidelines for Americans. The HEI is made up of multiple adequacy and moderation components, most of which are expressed relative to energy intake (ie, as densities) for the purpose of calculating scores. Due to these characteristics and the complexity of dietary intake data more broadly, calculating and using HEI scores can involve unique statistical considerations and, depending on the particular application, intensive computational methods. The objective of this article is to review potential applications of the HEI, including those relevant to surveillance, epidemiology, and intervention research, and to summarize available guidance for appropriate analysis and interpretation. Steps in calculating HEI scores are reviewed and statistical methods described. Consideration of salient issues in the calculation and interpretation of scores can help researchers avoid common pitfalls and reviewers ensure that articles reporting on the use of the HEI include sufficient details such that the work is comprehensible and replicable, with the overall goal of contributing to knowledge on dietary patterns and health among Americans.
Topics: Biomedical Research; Diet, Healthy; Dietetics; Epidemiologic Methods; Humans; Nutrition Disorders; Population Surveillance; United States
PubMed: 30146072
DOI: 10.1016/j.jand.2018.05.020