J Acad Nutr Diet. 2018 May;118(5):932-946.e48. doi: 10.1016/j.jand.2018.03.007.
There are 30.3 million people with diabetes and 86 million with prediabetes in the United States, underscoring the growing need for comprehensive diabetes care and nutrition for the management of diabetes and diabetes-related conditions. Management of diabetes is also critical for the prevention of diabetes-related complications such as cardiovascular and renal disease. The Diabetes Care and Education Dietetic Practice Group along with the Academy of Nutrition and Dietetics Quality Management Committee have updated the Standards of Practice (SOP) and Standards of Professional Performance (SOPP) for Registered Dietitian Nutritionists (RDNs) in Diabetes Care. The SOP and SOPP for RDNs in Diabetes Care provide indicators that describe three levels of practice: competent, proficient, and expert. The SOP utilizes the Nutrition Care Process and clinical workflow elements for care and management of those with diabetes and prediabetes. The SOPP describes six domains that focus on professionalism: Quality in Practice, Competence and Accountability, Provision of Services, Application of Research, Communication and Application of Knowledge, and Utilization and Management of Resources. Specific indicators outlined in the SOP and SOPP depict how these standards apply to practice. The SOP and SOPP are complementary resources for RDNs caring for individuals with diabetes or specializing in diabetes care or practicing in other diabetes-related areas, including research. The SOP and SOPP are intended to be used for RDN self-evaluation for ensuring competent practice and for determining potential education and training needs for advancement to a higher practice level in a variety of settings.
在美国,有 3030 万人患有糖尿病,8600 万人患有糖尿病前期,这突显了对全面糖尿病护理和营养管理的需求,以管理糖尿病和与糖尿病相关的疾病。糖尿病的管理对于预防糖尿病相关并发症(如心血管疾病和肾脏疾病)也至关重要。糖尿病护理和教育饮食实践小组与营养和饮食学会质量管理委员会一起更新了注册营养师在糖尿病护理中的实践标准 (SOP) 和专业表现标准 (SOPP)。糖尿病护理中注册营养师的 SOP 和 SOPP 提供了描述三个实践水平的指标:胜任、精通和专家。SOP 利用营养护理过程和临床工作流程元素来护理和管理糖尿病和糖尿病前期患者。SOPP 描述了六个关注专业精神的领域:实践质量、能力和责任、服务提供、研究应用、沟通和知识应用,以及资源的利用和管理。SOP 中概述的具体指标描绘了这些标准如何适用于实践。SOP 和 SOPP 是为照顾糖尿病患者或专门从事糖尿病护理或在其他与糖尿病相关领域(包括研究)实践的注册营养师提供的互补资源。SOP 和 SOPP 旨在用于 RDN 自我评估,以确保胜任实践,并确定在各种环境中提高实践水平的潜在教育和培训需求。