IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Department of Biomedical Sciences, Humanitas University, Milan, Italy.
Int Nurs Rev. 2024 Sep;71(3):521-530. doi: 10.1111/inr.12919. Epub 2023 Dec 18.
BACKGROUND/SCOPE: The Clinical Nurse Specialist in Nutrition is a professional capable of providing specialist clinical assistance and leadership-related clinical nutrition. To date, although their role has already been identified, there is still uncertainty about how this figure can actually fit into the various global health systems. The purpose of this review is to clarify and define the role of this professional aimed at analysing clinical experiences and data from nutrition scientific societies.
A systematic literature review was conducted using the Prisma Statement in the Cochrane Library databases and subsequently in PubMed, Embase, CINAHL, Scopus and Web of Science. In addition, a manual search of studies published in Google Scholar was conducted for the analysis of 'grey literature'. Out of 3,320 identified records, 20 studies were included in the present review. [Correction added on 06 June 2024, after first online publication: The preceding sentence has been corrected from "Out of 2,348 identified records, 21 studies were included in the present review." to "Out of 3,320 identified records, 20 studies were included in the present review" in this version.] RESULTS: The development of specific training, certification and qualification protection courses is contributing to the development of this professional in various hospital and community clinical contexts. The clinical experiences identified have shown that this figure is able to provide specialist assistance by offering high levels of safety, efficacy and quality of the care provided.
CONCLUSIONS/ IMPLICATIONS FOR NURSING: The implementation of nurse nutrition specialist, to date, is still limited at the global level, and training programmes coordinated between scientific societies and nursing universities could be the basis for the development of this specialization in countries where today this figure is not yet present.
背景/范围：临床营养专家护士是能够提供专业临床协助和领导相关临床营养的专业人员。迄今为止，尽管他们的角色已经确定，但仍不清楚如何将这一角色融入到各种全球卫生系统中。本综述的目的是阐明和定义这一专业人员的角色，旨在分析营养科学协会的临床经验和数据。
使用 Cochrane 图书馆数据库中的 Prisma 声明以及随后的 PubMed、Embase、CINAHL、Scopus 和 Web of Science 进行系统文献综述。此外，还对 Google Scholar 上发表的研究进行了手动搜索，以分析“灰色文献”。在 3320 篇已确定的记录中，有 20 项研究被纳入本综述。
特定培训、认证和资格保护课程的发展有助于该专业在各种医院和社区临床环境中的发展。确定的临床经验表明，该专业人员能够通过提供高水平的安全性、疗效和所提供护理的质量来提供专业协助。
结论/对护理的意义：到目前为止，全球范围内对护士营养专家的实施仍然有限，科学协会和护理大学之间协调的培训计划可以为尚未存在这一专业人员的国家发展这一专业化奠定基础。
