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在线培训为饮食护理流程文档引入了一种新方法。

Online training introduces a novel approach to the Dietetic Care Process documentation.

作者信息

Rachman-Elbaum Shelly, Stark Aliza H, Kachal Josefa, Johnson Teresa, Porat-Katz Bat Sheva

机构信息

The Robert H. Smith Faculty of Agriculture, Food and Environment, School of Nutritional Sciences, The Hebrew University of Jerusalem, Rehovot, Israel.

Israeli Ministry of Health, Jerusalem, Israel.

出版信息

Nutr Diet. 2017 Sep;74(4):365-371. doi: 10.1111/1747-0080.12331. Epub 2017 Jan 24.

Abstract

AIM

Nutrition professionals in Israel are developing a system to document the Dietetic Care Process (DCP) tailored for specific patient sectors and compliant with national health guidelines. The ultimate goal is to achieve uniform documentation and improve nutrition care. Israeli dietetic practitioners work in specific patient sectors; therefore, a patient population-specific reporting system is proposed instead of the typical singular format applied across all patient populations. The purpose of this project was to evaluate learning outcomes and attitudes among registered dietitians (RDs) after online training of a novel DCP documentation system.

METHODS

A total of 80 Israeli RDs working in geriatric practice completed an eight-week online educational program learning documentation that is compatible for use with electronic health records and compliant with Israeli standards of practice. A paired sample t-test and McNemar test were used to analyse pre- to post-test performance, while Pearson's r, point-biserial, Spearman's and ANOVA were used to assess relationships among variables.

RESULTS

Post-test knowledge scores increased significantly, t  = -9.007, P = 0.000; 95% CI (-26.713, -17.019). Age, education, geographic location and previous experience with online courses were not correlated with academic performance, suggesting that demographic characteristics did not impact training. Overall, RDs (>80%) responded positively to the training model and were highly interested in future proficiency online learning opportunities (98%).

CONCLUSIONS

A sectoral DCP online training program significantly improved knowledge and was rated favourably by Israeli RDs. DCP training for clinical practitioners may be optimised when standardised nutrition care and reporting systems are adapted to specific patient populations.

摘要

目的

以色列的营养专业人员正在开发一个系统,用于记录针对特定患者群体并符合国家健康指南的营养护理过程(DCP)。最终目标是实现统一的文档记录并改善营养护理。以色列的营养师在特定患者群体中工作;因此,提出了一种针对特定患者群体的报告系统,以取代适用于所有患者群体的典型单一格式。本项目的目的是评估注册营养师(RD)在接受新型DCP文档系统在线培训后的学习成果和态度。

方法

共有80名从事老年病护理工作的以色列RD完成了一个为期八周的在线教育项目,学习与电子健康记录兼容并符合以色列执业标准的文档记录。采用配对样本t检验和McNemar检验分析测试前至测试后的表现,而Pearson相关系数r、点二列相关、Spearman相关和方差分析用于评估变量之间的关系。

结果

测试后的知识得分显著提高,t = -9.007,P = 0.000;95%置信区间(-26.713,-17.019)。年龄、教育程度、地理位置和以前参加在线课程的经验与学业成绩无关,这表明人口统计学特征不会影响培训。总体而言,RD(>80%)对培训模式给予了积极回应,并对未来的在线熟练学习机会高度感兴趣(98%)。

结论

一个针对特定领域的DCP在线培训项目显著提高了知识水平,并得到了以色列RD的高度评价。当标准化的营养护理和报告系统适用于特定患者群体时,临床从业者的DCP培训可能会得到优化。

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