1. Building Evidence-Based Practice into All Areas of Dietetics Linda Farr RD/LD TDA Delegate 2007-2012 Owner Nutrition Associates of San Antonio 210-735-2402 [email_address]
25. Guidelines Methodologies Used http://www.cebm.net/ http://www.nhlbi.nih.gov / http://www.icsi.org/ Whenever possible we don’t “reinvent the wheel.”
Thank you (to whoever did the introduction. Acknowledgements as needed.) Today, I would like to update you on just some of the many, many things that are going on at the American Dietetic Association to expand the leadership role of registered dietitians, DTRs and all ADA members in the wide and growing world of food and nutrition. Under the leadership of the House and the Board and with the hard work of ADA’s Headquarters Team, we have found solutions, taken advantage of opportunities and made progress that is nothing short of amazing by any measure.
EBP is an approach to health care where health practitioners use the best evidence possible to make decisions for individual patients. It involves complex and conscientious decision-making based not only on the available evidence but also on client characteristics, situations, and preferences. Emphasis is on systematically reviewed scientific evidence. But note that it must be applied when using professional expertise and knowledge of client values.
The Nutrition Care Process developed and published was intended to establish a routine thinking and action process that all RDs used as they provided nutrition services/care regardless of setting and type of patient. It is intended to be applicable to acute care setting, long term care setting, ambulatory setting, community and public health and nutrition education.
The Nutrition Care Process developed and published was intended to establish a routine thinking and action process that all RDs used as they provided nutrition services/care regardless of setting and type of patient. It is intended to be applicable to acute care setting, long term care setting, ambulatory setting, community and public health and nutrition education.
The Nutrition Care Process developed and published was intended to establish a routine thinking and action process that all RDs used as they provided nutrition services/care regardless of setting and type of patient. It is intended to be applicable to acute care setting, long term care setting, ambulatory setting, community and public health and nutrition education.
Explosion of literature--published at a rate individual clinicians can’t keep up with. EBP can be made in a focused and time efficient manner.
Quality improved through promoting practices that support the best outcomes
Quality improved through promoting practices that support the best outcomes
Topics and questions come from a variety of sources inlcuding member requests, practice group suggestions, ADA strategy, etc
The evidence summary includes of all the evidence supporting the conclusion statement and recommendation. Each evidence summary has the information presented in a narrative summary and an overview table (see overview table on next slide).
After analysis is complete and a set of conclusion statements developed to summarize the research on a topic, then a series of recommendations are formed to help the practitioner understand how to use this information. The series of recommendations, introduction and treatment algorithms make up a “Evidence-Based Nutrition Practice Guideline.” You can see from the rigor of the process that the evidence-based guidelines are more than just “guidelines based on evidence”.
This is an example of a recommendation- the structure is “what” the RD should do and “why” to do it. The recommendation is also given a rating, in this case Strong. The next slide shows the rating scale definitions and implications for practice.
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