Evaluation of the agreement, adoption, and adherence to the evidence‐based guidelines for the nutritional management of adult patients with head and neck cancer among Australian dietitians.
Aim: Evidence‐based guideline translation to practice can improve outcomes but is often impaired by poor implementation. This project aimed to evaluate the implementation of the Evidence‐based guidelines for the nutritional management of adult patients with head and neck cancer among Australian diet...
| Publicado en: | Nutrition & Dietetics Vol. 79; no. 2; pp. 197 - 206 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2022
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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=156194792&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156194792 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14466368 QMK jtl: Nutrition & Dietetics issn: 14466368 maglogo: Y pubinfo: dt: Apr2022 vid: 79 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 156194792 152454459 156194792 156194792 10.1111/1747-0080.12702 156194792 ppf: 197 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Evaluation of the agreement, adoption, and adherence to the evidence‐based guidelines for the nutritional management of adult patients with head and neck cancer among Australian dietitians. aug: au: Edwards, Anna Baldwin, Nathan Findlay, Merran Brown, Teresa Bauer, Judy affil: Department of Nutrition & Dietetics, Toowoomba Hospital, Darling Downs Health, Toowoomba Queensland,, Australia sug: subj: Head and Neck Neoplasms Diet Therapy Dietitians Australia Nutritional Support In Adulthood Nutritional Status Guideline Adherence Program Implementation Human Australia Adult Questionnaires Content Validity Conceptual Framework Summated Rating Scaling Descriptive Statistics Inferential Statistics Multidisciplinary Care Team Implementation Science Malnutrition Professional Practice, Evidence-Based Data Analysis Software Chi Square Test Fisher's Exact Test Two-Tailed Test Adult: 19-44 years ab: Aim: Evidence‐based guideline translation to practice can improve outcomes but is often impaired by poor implementation. This project aimed to evaluate the implementation of the Evidence‐based guidelines for the nutritional management of adult patients with head and neck cancer among Australian dietitians providing clinical care to this population. Methods: A questionnaire was developed, with face and content validity confirmed by an expert panel (n = 13), to gauge participant perceptions of the guidelines against an implementation evaluation framework. Dietitians were identified through Dietitians Australia and by contacting experts in the field. Eligibility was determined by questionnaire completion and prior guideline awareness. Responses were provided using a 5‐point Likert scale. Results were analysed using descriptive statistics; with inferential analysis to determine if demographic information could reveal trends in guideline use and perception. Results: Of the 43 initial respondents, n = 28 completed the questionnaire, with n = 24/28 (86%) meeting full eligibility criteria for analysis. Median (range) scores for all four domains were high: awareness (4.0 [3.2‐4.8]), agreement (4.4 [4.1‐4.7]), adoption (3.5 [3.1‐3.9]), and adherence (4.3 [4.1‐4.9]). However, perception of guideline awareness and use among multidisciplinary team colleagues was low (mean 3.2/5.0 and 3.1/5.0, respectively). Dietitians with <10 years' experience had significantly higher perceptions of the guidelines' ability to positively influence practice; support evidence‐based practice; and enhance dietitian credibility (P = 0.04) vs dietitians with ≥10 years' experience. Conclusion: Dietitians demonstrated high rates of guideline implementation and positive perceptions for its use in clinical practice. Future implementation strategies and evaluation should expand to engage the wider multidisciplinary team and more experienced clinicians. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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