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Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil

Julia Bertoldi1,2, Aline Ferreira3, Luiza Scancetti3,2

  • 1Laboratório de Ciências do Exercício, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.

Peerj
|May 3, 2018
PubMed

Insights

This study identifies the top 10 quality indicators for nutritional therapy (QINT) in pediatrics. Key indicators include monitoring diarrhea in patients on enteral nutrition and ensuring nutritional prescriptions at discharge.

Area of Science:

  • Pediatric Nutrition
  • Healthcare Quality Improvement
  • Clinical Nutrition

Background:

  • Quality indicators for nutritional therapy (QINT) are crucial for assessing care and resource management.
  • Existing QINT frameworks lack specific evaluations for pediatric applications.
  • This study addresses the need for pediatric-specific QINTs.

Purpose of the Study:

  • To establish a prioritized list of the top 10 quality indicators for nutritional therapies (QINTs) in pediatric care.
  • To identify the most pertinent QINTs for evaluating nutritional interventions in children.

Main Methods:

  • A two-phase cross-sectional study was conducted with healthcare professionals experienced in pediatric nutritional therapy.
  • Participants used a Likert scale to assess QINT attributes, leading to a ranked Top 10 list.
  • Cronbach's Alpha was calculated to ensure questionnaire consistency, followed by participant feedback on the results.

Main Results:

  • The study identified a Top 10 list of pediatric QINTs, with high professional consensus (92% approval).
  • The leading indicators were: 'Frequency of diarrhea in patients on enteral nutrition,' 'Frequency of nutritional prescriptions at hospital discharge,' and 'Frequency of oral intake recovery in patients.'

Conclusions:

  • The developed list of Top 10 QINTs demonstrates consistency and concordance among professionals.
  • This validated list is proposed to aid in the effective evaluation of nutritional therapy quality in pediatric settings.
Abstract

Keywords:
Nutritional therapyPediatricsQuality indicators

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