Ray Sumantra
Governing Body Fellow, Wolfson College at the University of Cambridge, Founding Chair and Executive Director, NNEdPro Global Centre for Nutrition and Health, St John's Innovation Centre, Cambridge, United Kingdom,
Nestle Nutr Inst Workshop Ser. 2019;92:143-150. doi: 10.1159/000499557. Epub 2019 Nov 28.
Whilst there is much focus on applying resources to generate evidence from human nutrition research, whether these involve experiment, observation or intervention, there is considerably little investment in the development and evaluation of effective approaches to apply the available knowledge base. Furthermore, when translating nutrition knowledge to the population at large, there are barriers to implementation, retention, and sustained impact, often due to largely unregulated public information on nutrition causing significant confusion and conflict. Healthcare professionals, therefore, have a key role in becoming reliable knowledge brokers, translating nutrition science to clinical or public health practice. However, with the exception of dietitians, who are relatively few in number, other segments of the healthcare workforce receive little or relatively inconsistent training in practice-ready aspects of nutrition. Over the past decade, the NNEdPro Global Centre in Cambridge (www.nnedpro.org.uk) has been working as a partnership between doctors, dietitians, nutritionists and others, both within and across borders to assess practice gaps affecting patients and the public. This is typically followed by taking a step back to look at the available nutrition evidence base - where this is adequate but can benefit from better evidence synthesis for education versus where there is a need for further primary research to strengthen the evidence base - and then taking a step forward to develop, deliver, and evaluate the impact of bespoke nutrition education interventions on the knowledge, attitudes, and practices of the healthcare workforce. Whilst focusing on the nutrition education of healthcare professionals, the NNEdPro lean-innovation approach spans over 40 projects and initiatives in over 12 countries using the Knowledge-to-Action Cycle as a framework to ignite the implementation potential of high quality research to promote best practice.
尽管目前人们非常关注投入资源以从人类营养研究中获取证据，无论这些研究涉及实验、观察还是干预，但在开发和评估应用现有知识基础的有效方法方面的投资却相当少。此外，在将营养知识普及到广大人群时，存在实施、留存和持续影响方面的障碍，这通常是由于关于营养的公共信息基本不受监管，从而造成了严重的混乱和冲突。因此，医疗保健专业人员在成为可靠的知识传播者、将营养科学转化为临床或公共卫生实践方面起着关键作用。然而，除了数量相对较少的营养师外，医疗保健人员的其他群体在营养实践准备方面接受的培训很少或相对不一致。在过去十年中，位于剑桥的NNEdPro全球中心（www.nnedpro.org.uk）一直作为医生、营养师、营养学家和其他人员之间的合作伙伴，在国内外开展工作，以评估影响患者和公众的实践差距。接下来通常会回过头来审视现有的营养证据基础——哪些证据是充分的，但可以从更好的教育证据综合中受益，哪些需要进一步的基础研究来加强证据基础——然后向前迈进，开发、提供并评估定制的营养教育干预措施对医疗保健人员的知识、态度和实践的影响。在专注于医疗保健专业人员的营养教育的同时，NNEdPro的精益创新方法涵盖了12个以上国家的40多个项目和倡议，以知识转化行动循环为框架，激发高质量研究的实施潜力，以促进最佳实践。
