Evaluating the Implementation of Evidence-based Kidney Nutrition Practice Guidelines: The AUGmeNt Study Protocol.

Evaluating the Implementation of Evidence-based Kidney Nutrition Practice Guidelines: The AUGmeNt Study Protocol.
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DOI:
10.1053/j.jrn.2021.09.006
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发表时间:
2022-09
期刊:
Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation
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循证营养实践指南(EBNPGs)为接受透析治疗的5级慢性肾脏病患者提供注册营养师(RDN)护理;然而,很少有对实施EBNPGs的最佳实践的评价。在这项具有准实验设计的有效性-实施混合研究中,美国血液透析诊所的RDN将在随机分配到培训模型之前和之后,使用营养与饮食学学会健康信息学基础设施记录接受透析治疗的5级慢性肾病患者的初始和随访营养护理:(1)EBNPG知识培训或(2)EBNPG知识培训加实施工具包。本研究的目的包括检查RDN营养护理文件与EBNPG的一致性;描述常见的RDN报告的EBNPG可接受性,采用和适应问题;并确定估计RDN护理对营养相关患者结局影响的可行性。AUGmeNt研究可以为未来EBNPG的有效开发和实施提供信息。
Evidence-based nutrition practice guidelines (EBNPGs) inform registered dietitian nutritionist (RDN) care for patients with chronic kidney disease grade 5 treated by dialysis; however, there has been little evaluation of best practices for implementing EBNPGs. In this effectiveness-implementation hybrid study with a quasi-experimental design, United States RDNs in hemodialysis clinics will document initial and follow-up nutrition care for patients with chronic kidney disease grade 5 treated by dialysis using the Academy of Nutrition and Dietetics Health Informatics Infrastructure before and after being randomly assigned to a training model: (1) EBNPG knowledge training or (2) EBNPG knowledge training plus an implementation toolkit. The aims of the study include examining congruence of RDN documentation of nutrition care with the EBNPG; describing common RDN-reported EBNPG acceptability, adoption, and adaptation issues; and determining the feasibility of estimating the impact of RDN care on nutrition-related patient outcomes. The AUGmeNt study can inform effective development and implementation of future EBNPGs.
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