持有者和非持有者之间基于证据的实践态度和营养支持指南知识的认证营养支持临床医生资格证书
Lea Steiner1, Joachim Sackey1, Deborah Cohen1
1Department of Clinical and Preventive Nutrition Sciences, School of Health Professions Rutgers University, Newark, New Jersey, USA.
概括
经过认证的营养支持临床医生 (CNSC) 资格证书持有者证明了对营养支持基于证据的实践 (EBP) 准则的更高知识. 无论是CNSC还是CNSC以外的专业人士都表现出了积极的EBP态度,这表明了采用指南的基础.
科学领域:
- 营养科学 营养科学
- 临床实践指南 临床实践指南
- 医疗保健 专业教育 医疗保健 专业教育
背景情况:
- 基于证据的实践 (EBP) 对于更新临床实践至关重要,但对EBP的负面态度可能会阻碍准则的采用.
- 这项研究调查了持有和没有认证营养支持临床医生 (CNSC) 资格证书的临床医生在营养支持中对EBP的态度和知识.
研究的目的:
- 为了比较EBP的态度和营养支持的知识,持有CNSC证书的临床医生与没有证书的临床医生相比较.
- 探索这个临床人群中EBP态度和知识之间的关系.
主要方法:
- 一个横截面的在线调查被分发给美国亲肠道和肠道营养学会 (ASPEN) 的成员和CNSC认证持有者.
- 该调查使用基于证据的实践态度评分 (EBPAS-15) 评估EBP态度,并通过营养支持案例场景评估EBP知识.
- 统计分析包括独立的样本t测试和皮尔森相关性来比较组和评估关系.
主要成果:
- 该研究实现了7.8%的响应率 (N=706).
- 与非CNSC持有者相比,CNSC持有者对营养支持EBP指南的平均知识得分明显高 (P < 0.001).
- 在CNSC持有者和非持有者之间的EBP总体态度 (EBPAS-15分数) 中没有发现显著差异,知识和态度分数之间也没有显著的相关性.
结论:
- 受访者,不论是中华人民共和国国家广播公司的资格地位,都表现出对EBP的积极态度.
- 虽然CNSC证书持有者表现出对当前营养支持EBP指南的卓越知识,但积极的态度对于临床决策至关重要.
- 建议进行进一步的研究,以调查EBP指南在临床实践中的实际实施情况.
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