Academy of Nutrition and Dietetics and National Kidney Foundation: Revised 2014 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Nephrology Nutrition
Academy of Nutrition and Dietetics and National Kidney Foundation: Revised 2014 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Nephrology Nutrition
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DOI：
10.1016/j.jand.2014.05.006
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发表时间：
2014-09-01
影响因子：
4.8
通讯作者：
Benner, Debbie
中科院分区：
文献类型：
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作者：
Kent, Pamela S.;McCarthy, Maureen P.;Benner, Debbie
令人信服的证据表明，由于人口老龄化和心血管疾病、糖尿病和高血压的患病率较高，慢性肾脏病（CKD）的发病率正在增加。CKD患者的营养管理需要早期疾病识别，适当解释CKD的标志物和阶段，并与其他医疗保健从业者合作。更好地管理CKD可以减缓其进展，预防代谢并发症，并减少心血管相关结局。护理CKD患者需要专业知识和技能，以应对与这种日益增长的流行病相关的挑战。营养与饮食学会肾脏营养师实践小组和国家肾脏基金会肾脏营养理事会，在营养与饮食学会质量管理委员会的指导下，更新了2009年营养护理实践标准和专业表现标准，作为从事肾脏营养学工作的注册营养师的工具，以评估其当前的技能水平并确定在这一实践领域的额外专业发展领域。实践标准适用于肾病患者/客户的护理。专业绩效标准包括六个专业领域，包括：实践质量、能力和问责制、服务提供、研究应用、知识传播和应用以及资源利用和管理。在每个标准中，具体的指标提供了可衡量的行动声明，说明了肾脏营养原则如何应用于实践。这些指标描述了从事肾脏营养学工作的注册营养师的三个技能水平（即胜任、精通和专家）。
Compelling evidence indicates that the incidence of chronic kidney disease (CKD) is increasing because of an aging population and a higher prevalence of cardiovascular disease, diabetes, and hypertension. Nutrition management of patients with CKD requires early disease recognition, appropriate interpretation of the markers and stages of CKD, and collaboration with other health care practitioners. Better management of CKD can slow its progression, prevent metabolic complications, and reduce cardiovascular related outcomes. Caring for patients with CKD necessitates specialized knowledge and skills to meet the challenges associated with this growing epidemic. The Academy of Nutrition and Dietetics Renal Dietitians Practice Group and the National Kidney Foundation Council on Renal Nutrition, with guidance from the Academy of Nutrition and Dietetics Quality Management Committee, have updated the 2009 Standards of Practice in Nutrition Care and Standards of Professional Performance as a tool for registered dietitian nutritionists working in nephrology nutrition to assess their current skill levels and to identify areas for additional professional development in this practice area. The Standards of Practice apply to the care of patients/clients with kidney disease. The Standards of Professional Performance consist of six domains of professionalism, including: 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 how nephrology nutrition principles can be applied to practice. The indicators describe three skill levels (ie, competent, proficient, and expert) for registered dietitian nutritionists working in nephrology nutrition.