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美国营养学会和饮食学会:修订的 2022 年注册营养师在公共卫生和社区营养方面的实践标准和专业表现标准(胜任、熟练和精通)。

Academy of Nutrition and Dietetics: Revised 2022 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Public Health and Community Nutrition.

机构信息

Nutritional Sciences Department, The Pennsylvania State University, University Park, Pennsylvania.

Association of State Public Health Nutritionists, Tucson, Arizona.

出版信息

J Acad Nutr Diet. 2022 Sep;122(9):1744-1763.e49. doi: 10.1016/j.jand.2022.04.005.

Abstract

Awareness of the social determinants of health has been increasing in recent years. These include equitable access to health care and foods that support healthy eating patterns. A wide range of issues related to these determinants influence practice in the public health and community nutrition field. In response to these evolving needs, the Public Health and Community Nutrition Dietetic Practice Group, with guidance from the Academy of Nutrition and Dietetics Quality Management Committee, has developed Standards of Practice and Standards of Professional Performance as a tool for Registered Dietitian Nutritionist (RDNs) currently in practice or interested in working in public health and community nutrition, to assess their current skill levels and to identify areas for professional development. The Standards of Practice address the four steps of the Nutrition Care Process for community and public health RDNs: assessment, diagnosis, intervention, and evaluation/monitoring. The Standards of Professional Performance consists of six domains of professional performance for community and public health RDNs: Quality in Practice, Competence and Accountability, Provision of Services, Application of Research, Communication and Application of Knowledge, and Utilization and Management of Resources. Within each standard, specific indicators provide measurable action statements that illustrate the ways in which RDNs can address population nutrition and health. The indicators describe three skill levels (Competent, Proficient, and Expert) for RDNs. These tools highlight the unique scope of expertise that RDNs provide to the field of public health and community nutrition.

摘要

近年来,人们对健康的社会决定因素的认识不断提高。这些因素包括公平获得医疗保健和支持健康饮食习惯的食物。与这些决定因素相关的广泛问题影响公共卫生和社区营养领域的实践。为了应对这些不断变化的需求,公共卫生和社区营养膳食实践小组在营养与饮食学会质量管理委员会的指导下,制定了实践标准和专业绩效标准,作为目前从事公共卫生和社区营养工作或有兴趣从事该领域工作的注册营养师 (RDN) 的工具,以评估他们目前的技能水平并确定专业发展领域。实践标准涵盖了社区和公共卫生 RDN 营养护理过程的四个步骤:评估、诊断、干预和评估/监测。专业绩效标准由社区和公共卫生 RDN 的六个专业绩效领域组成:实践质量、能力和责任、服务提供、研究应用、知识交流和应用以及资源利用和管理。在每个标准中,具体指标提供了可衡量的行动陈述,说明了 RDN 如何解决人群营养和健康问题。这些指标描述了 RDN 的三种技能水平(胜任、熟练和精通)。这些工具突出了 RDN 为公共卫生和社区营养领域提供的独特专业知识范围。

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