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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
Journal article   Peer reviewed

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

M Manafi, P McLeister, A Cherry and Marianne Wallis
Journal of Renal Nutrition, Vol.18(2), pp.223-229
2008
DOI: https://doi.org/10.1053/j.jrn.2007.11.010
url
https://doi.org/10.1053/j.jrn.2007.11.010View
Published Version

Abstract

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.

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Web Of Science research areas
Nutrition & Dietetics
Urology & Nephrology

UN Sustainable Development Goals (SDGs)

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#2 Zero Hunger
#3 Good Health and Well-Being
#5 Gender Equality

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