Department of Clinical and Administrative Science, Howard University College of Pharmacy, Washington, District of Columbia, USA.
Coordinated Program in Dietetics, La Salle University School of Nursing and Health Sciences, Philadelphia, Pennsylvania, USA.
Nutr Clin Pract. 2019 Aug;34(4):597-605. doi: 10.1002/ncp.10237. Epub 2019 Jan 15.
The American Society for Parenteral and Enteral Nutrition (ASPEN) parenteral nutrition (PN) safety consensus recommendations advise a comprehensive education program and competency assessment for all healthcare professionals involved in the care of patients receiving PN. The ASPEN-model papers provide guidance for designing PN competencies for prescribers, pharmacists, and pharmacy technicians. The purpose of this research was to evaluate the impact of a comprehensive educational program that aligns with the ASPEN model on PN competency, attitudes, and perceptions in a multidisciplinary healthcare professional audience.
Dietitians, pharmacists, and physicians attended a 3-hour ASPEN model-based educational program focused on PN order writing and review. Matched preeducation and posteducation competency assessments were completed by attendees. Attitudes and perceptions were also assessed before and after the educational program using 5-point Likert scales.
Ninety-seven subjects were included in the analysis. The majority of attendees were dietitians (53.6%), followed by pharmacists (45.4%). Overall, multidisciplinary competency assessment scores improved by an average of 12.6% (preassessment average of 62.7%, postassessment average of 75.3%, P < 0.0001). Nine out of 10 statements regarding PN attitudes and perceptions significantly improved on the 5-point Likert scales (P < 0.05).
A comprehensive PN educational program in alignment with the ASPEN model positively impacted multidisciplinary healthcare professional PN competency, attitudes, and perceptions. To optimize patient safety, local organizations and institutions should implement formalized training as outlined by the ASPEN model for healthcare professionals involved in the care of patients receiving PN.
美国肠外肠内营养学会（ASPEN）肠外营养（PN）安全共识建议为所有参与 PN 治疗患者护理的医疗保健专业人员提供全面的教育计划和能力评估。ASPEN 模式论文为制定 PN 能力提供了指导，包括处方者、药剂师和药剂技术员。本研究旨在评估与 ASPEN 模式一致的综合教育计划对多学科医疗保健专业人员 PN 能力、态度和看法的影响。
营养师、药剂师和医生参加了 3 小时的 ASPEN 模式为基础的教育计划，重点是 PN 医嘱的书写和审查。与会者完成了匹配的教育前和教育后能力评估。使用 5 分制李克特量表，在教育计划前后还评估了态度和看法。
97 名受试者被纳入分析。与会者主要是营养师（53.6%），其次是药剂师（45.4%）。总体而言，多学科能力评估分数平均提高了 12.6%（教育前平均 62.7%，教育后平均 75.3%，P <0.0001）。关于 PN 态度和看法的 10 个陈述中有 9 个在 5 分制李克特量表上显著改善（P <0.05）。
与 ASPEN 模式一致的全面 PN 教育计划对多学科医疗保健专业人员的 PN 能力、态度和看法产生了积极影响。为了优化患者安全，地方组织和机构应按照 ASPEN 模式为参与 PN 治疗患者护理的医疗保健专业人员实施规范化培训。
