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第四十四届 ASPEN 主席演讲:2020 年的前奏曲——未来的新旋律。

Forty-Fourth ASPEN Presidential Address: The 2020 Overture-A New Tune for the Future.

机构信息

Interdisciplinary Faculty in Nutritional Sciences, Department of Pharmacy, School of Pharmacy, University of Washington, Seattle, Washington, USA.

出版信息

JPEN J Parenter Enteral Nutr. 2021 Jan;45(1):193-203. doi: 10.1002/jpen.2044. Epub 2020 Dec 4.

Abstract

The provision of safe nutrition care to patients is the fundamental vision of the American Society for Parenteral and Enteral Nutrition (ASPEN). Yet we are facing important challenges in our field and society, requiring us to reflect, rethink, and adjust to make new breakthroughs to meet the needs for the future. In developing new plans to address these challenges, we must focus on 2 critical elements: people and the scientific process. Government and organizations cannot carry on their missions without people. But with the challenges of healthcare finance, biotechnology disruption, the desire to facilitate knowledge transfer and now the impact of the global pandemic, we need to develop a forward-thinking and sustainable approach to connect people and foster continued learning. Burnout is a recognized occupational problem that affects providers and researchers across all disciplines. The coronavirus disease 2019 pandemic has amplified the challenges associated with burnout. Supporting the needs and promoting the well-being of people, therefore, are critical to move forward successfully. At the same time, the scientific advances in our field rely on sound scientific principles and integrity. Information overload, pressure to produce immediate outcomes (such as cost-saving initiatives), and misinformation can compromise the scientific process and research evidence. The two common missteps that affect researchers, clinicians, and administrators include premature factulation and binary thinking. We will discuss how these missteps can occur and the approaches to minimize their influence in making sound decisions and policies to meet the future's needs.

摘要

为患者提供安全的营养护理是美国肠外与肠内营养学会 (ASPEN) 的基本愿景。然而,我们在专业领域和社会上面临着重要的挑战,需要进行反思、重新思考和调整,以实现新的突破,满足未来的需求。在制定应对这些挑战的新计划时,我们必须关注两个关键要素:人和科学过程。没有人民,政府和组织就无法开展工作。但是,由于医疗保健财务、生物技术颠覆、促进知识转移的愿望以及现在全球大流行的影响,我们需要采取前瞻性和可持续的方法来联系人民并促进持续学习。倦怠是一个公认的职业问题,影响着所有学科的提供者和研究人员。2019 冠状病毒病大流行放大了与倦怠相关的挑战。因此,满足人们的需求和促进他们的福祉对于成功推进工作至关重要。与此同时,我们领域的科学进步依赖于健全的科学原则和诚信。信息过载、产生即时结果的压力(例如节省成本的举措)和错误信息会损害科学过程和研究证据。影响研究人员、临床医生和管理人员的两个常见错误包括过早定论和二元思维。我们将讨论这些错误是如何发生的,以及如何采取方法将其影响降到最低,以做出明智的决策和制定政策来满足未来的需求。

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