瘤营养的正式部分:在一个主要的癌症中心 (2012-2022) 开发计划
Michele L Szafranski1, Kunal C Kadakia2,3, L Elizabeth York4
1Section of Oncology Nutrition, Department of Supportive Oncology, Atrium Health Levine Cancer , Charlotte, NC, 28204, USA.
概括
瘤中心面临着注册营养师 (RDN) 的人员短缺问题. 这项研究详细介绍了一个成功的RDN人员配置模型,该模型改善了大型癌症中心的患者护理和结果.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 医疗保健管理的管理
背景情况:
- 癌症及其治疗方法显著损害了患者的营养状况,经常导致营养不良和减肥.
- 癌症中心经常缺乏足够的瘤学认证的注册营养师 (RDNs) 来提供足够的营养支持.
- 有证据表明,RDN干预可以改善癌症患者的瘦身量,体重维持,生活质量和治疗坚持.
研究的目的:
- 描述一个大型多站点癌症中心内的瘤营养学科成功的临床和学术部门的建立和运营模式.
- 为 ambulatory 癌症场所的 RDN 人员配置模型分享实用的见解.
- 审查在开发这种新瘤营养服务过程中所面临的挑战和经验教训.
主要方法:
- 在2016年正式化瘤营养的心房健康Levine癌症部分的瘤营养.
- 开发一个多站点的RDN团队,发展到23个地点的15个RDN.
- 追踪临床活动,包括2022年14个临床RDN和1个健康RDN的16,000多次患者接触.
主要成果:
- 瘤营养学部分成功地在23个实践地点整合了15个RDN.
- 在2022年,RDN为9700名新生和老年患者提供了护理,完成了超过16000次接触.
- RDN积极参与营养/健康教育,质量改善,子专业整合和远程营养服务.
结论:
- 一个结构化,多站点的RDN人员配置模型可以在一个主要的癌症中心有效地实施.
- 这种模式支持全面的营养护理,解决由癌症及其疗法加剧的关键需求.
- 开发过程为建立和扩展瘤营养服务带来了宝贵的经验教训.
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