Pilot Process and Outcome Evaluation of the Introduction of a Clinical Nutrition Pathway in the Care of In-Hospital Renal Patients

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Pilot Process and Outcome Evaluation of the Introduction of a Clinical Nutrition Pathway in the Care of In-Hospital Renal Patients

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Title: Pilot Process and Outcome Evaluation of the Introduction of a Clinical Nutrition Pathway in the Care of In-Hospital Renal Patients
Author/Creator: Manafi, M | McLeister, P | Cherry, A | Wallis, M
Description: Objective: Our objective was to investigate the effect of in-service education and the use of a clinical decision-making pathway on nurses' knowledge related to nutritional needs of renal patients and referrals to a dietitian. Design: This was a before-and-after evaluation study of the effect of the implementation of a clinical nutrition pathway on nurses' knowledge and dietitian referrals. Setting: The setting was a renal in-patient unit in southeast Queensland, Australia. Participants: There were two groups of participants. Part 1 consisted of 53 registered nurses working in the renal unit of a regional general hospital, and Part 2 consisted of the medical records of two cohorts of more than 100 patients admitted to the renal unit. Intervention: A clinical nutrition pathway and a resource package were developed to support nurses' decision-making related to the nutritional care of renal patients. Thirty-minute in-service education sessions were conducted to explain the use of the pathway, and to develop nurses' confidence in dietary decision-making for renal patients. Main Outcome Measures: The main outcome measures consisted of the nurses' knowledge of nutritional interventions with renal patients and the frequency of dietitian referrals. Results: The nurses' knowledge increased, and referrals to dietitians remained constant. Conclusions: In-service education and access to unit-based resources, including a decision-support clinical nutrition pathway, improved nurses' knowledge of nutritional care for renal patients. Nurses continued to refer patients for dietitian consultation after the intervention.
Relation: Journal of Renal Nutrition / Vol. 18, No. 2, pp.223-229
Relation: http://dx.doi.org/10.1053/j.jrn.2007.11.010
Year: 2008
Publisher: W.B. Saunders Co.
Subject: FoR 1111 (Nutrition and Dietetics)

Resource Type: Journal Article
Identifier: ISSN: 1051-2276
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USC Research Bank - University of the Sunshine Coast, Queensland, Australia