Comparison of professional judgment versus an algorithm for nutrition status classification.
Objectives: The classification of a patient's nutrition status is important for identifying patients who require nutrition care, for designing effective nutrition interventions, and for measuring severity of illness. The objective of this study was to evaluate the reliability and validity of two var...
| Publicado en: | Medical Care Vol. 36; no. 11; pp. 1578 - 1589 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Nov1998
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114140348&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 114140348 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257079 21B jtl: Medical Care issn: 00257079 maglogo: N pubinfo: dt: Nov1998 vid: 36 iid: 11 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 114140348 114140348 NLM9821945 114140348 10.1097/00005650-199811000-00007 NLM9821945 114140348 ppf: 1578 ppct: 11 formats: tig: atl: Comparison of professional judgment versus an algorithm for nutrition status classification. aug: au: Lowery, Julie C. Hiller, Lynn D. Davis, Jennifer A. Shore, Carole J. Lowery, J C Hiller, L D Davis, J A Shore, C J affil: ∗From the VA Health Services Research and Development Field Program, Ann Arbor, Michigan. † From the Nutrition and Food Service, James A. Haley VA Hospital, Tampa, Florida. ‡ From the Center for Food Safety and Applied Nutrition, Food and Drug Administration, Washington, DC. sug: subj: Judgment Inpatients Classification Algorithms Nutritional Status United States Employee Orientation Hospital Information Systems Female Middle Age Reproducibility of Results Hospitals, Veterans Adult Male Severity of Illness Indices Dietetics Patient Admission Health Status Indicators Aged Human Validation Studies Comparative Studies Evaluation Research Multicenter Studies Scales Middle Aged: 45-64 years Adult: 19-44 years Aged: 65+ years Female Male ab: Objectives: The classification of a patient's nutrition status is important for identifying patients who require nutrition care, for designing effective nutrition interventions, and for measuring severity of illness. The objective of this study was to evaluate the reliability and validity of two variants of the Department of Veterans Affairs' nutrition status classification: professional judgment versus an algorithm.Methods: The study consisted of two phases, both of which included providing a sample of approximately 60 registered dietitians and 60 clinical dietetic technicians with data on 16 (phase I) and 20 (phase II) patients, to which they assigned nutrition statuses using both professional judgment and the algorithm. Improvements in instructions and training were implemented between the two phases. Interrater reliability of the responses was calculated, and content validity was measured by comparing the staff's responses with those of an expert panel.Results: Reliability improved significantly between phases for both professional judgment and the algorithm. Greater reliability and validity were observed with use of the algorithm, by both dietitians and technicians, during both phases.Conclusion: Classification of a patient's nutrition status is important in the delivery of cost-effective health care. The Department of Veterans Affairs' nutrition status classification is a good one for assessing nutrition status quickly and reliably, especially when an algorithm is used. The results underscore the advantages of a classification system based on an algorithm when the system is designed to be used by many different staff across multiple facilities. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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