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Create a Free AccountNutrition Care Process and Terminology
Implementation of Minimum Nutrition Standards and Best Practices in Childcare Centers
The federal Child and Adult Care Food Program (CACFP) provides reimbursable meals to 4.6 million children annually and sets nutrition standards for foods served. Licensing regulations in many states extend these rules to nonparticipating programs.Data Analysis Outside of Clinical Practice: An Innovative Application of the Nutrition Care Process and Model
The use of data analysis in nutrition practice is essential. The specific goal of analysis dictates what type of data should be collected, how it should be analyzed, and how results should be implemented. This paper explores different ways that practitioners collect, analyze, and use data, for the benefit of the client, customer, and overall organization in nonclinical settings. Using the Nutrition Care Process and Model (NCPM) as a template, a practitioner can Assess the situation, Diagnose the problem, create Interventions, and Monitor and Evaluate the results regardless of their setting, using a range of data.Etiology Intervention Link Predicts Resolution of Nutrition Diagnosis: A Nutrition Care Process Outcomes Study from a Veterans’ Health Care Facility
In this article, we evaluate relationships between Nutrition Care Process (NCP) chain links and improvement or resolution of the nutrition diagnosis. We conducted a retrospective record review for 12 months in a single Veterans Health Administration health care system using the Veterans Health Administration–specific monitoring and evaluation terms, NCP terminology, and its etiology categories to evaluate outcomes. Logistic regression analysis revealed that the strongest predictor for diagnosis improvement was the etiology–intervention link.Nutrition Care Process (NCP) Update Part 2: Developing and Using the NCP Terminology to Demonstrate Efficacy of Nutrition Care and Related Outcomes
Nutrition and dietetics practitioners around the world use the Nutrition Care Process Terminology (NCPT) to communicate the Nutrition Care Process (NCP).1 In this article, nutrition and dietetics practitioners or professionals; dietitians; dietitians-nutritionists; and dietetic technicians, registered, are collectively referred to as professionals. The NCPT is a standardized terminology or controlled vocabulary that complements the NCP, a systematic problem-solving roadmap for planning and providing nutrition and dietetic care to individuals and populations, and researching related outcomes.Use of the Nutrition Care Process and Nutrition Care Process Terminology in an International Cohort Reported by an Online Survey Tool
Dietitians in countries across the world have been implementing the Nutrition Care Process (NCP) and Terminology (NCPT) during the past decade. The implementation process has been evaluated in specific countries and in smaller international studies; however, no large international study comparing implementation between countries has been completed.The International Nutrition Care Process and Terminology Implementation Survey: Towards a Global Evaluation Tool to Assess Individual Practitioner Implementation in Multiple Countries and Languages
The Nutrition Care Process (NCP) and NCP Terminology (NCPT) is a systematic framework for critical thinking, decision making, and communication for dietetics practitioners worldwide, aiming to improve quality and patient safety in nutrition care. Although dietetics practitioners in several countries have implemented the NCP/NCPT during recent years, to date there is no globally validated instrument for the evaluation of NCP/NCPT implementation that is available in different languages and applicable across cultures and countries.Considerations Identified from the Dialogue Focused on Evidence-Based Decision Making and Vitamin D: Implications for the Nutrition Care Process
In this issue of the Journal, Taylor and colleagues1 present four considerations relevant to dietetic counseling for vitamin D, resulting from a dialogue on vitamin D held at the National Institutes of Health (NIH). These considerations are as follows:Adopting Nutrition Care Process Terminology at the National Level: The Norwegian Experience in Evaluating Compatibility with International Statistical Classification of Diseases and Related Health Problems, 10th Revision, and the Existing Norwegian Coding System
Advances in information technology have accelerated the use of electronic health records and activities in terminology mapping. Dietitians need to be knowledgeable about the capabilities of different terminologies to effectively capture nutrition care data. If nutrition care is not reflected in the health care system, our professional contributions will not be visible. Data documenting nutrition care needs to be visible at the patient care level, in health care records, as well as in the statistics used by decision makers at health care institutions on national and international levels.Food Insecurity and the Nutrition Care Process: Practical Applications for Dietetics Practitioners
Food insecurity, defined as a household condition involving the “limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways,”1 affects one out of eight US households2 and exists in every county across the nation.3 Nutrition and dietetics practitioners working in clinical as well as community settings will likely encounter clients affected by food insecurity during their career. The Nutrition Care Process (NCP) is a systematic problem-solving method to guide critical thinking and evidence-based decision making for addressing nutrition-related problems experienced by individuals, groups, and communities, including food insecurity.Nutrition Care Process and Model Update: Toward Realizing People-Centered Care and Outcomes Management
The Nutrition Care Process (NCP) is a systematic method that nutrition and dietetics practitioners use to provide nutrition care.1 In this article, nutrition and dietetics practitioners or professionals; dietitians; dietitians-nutritionists; and dietetic technicians, registered, are collectively referred to as professionals. The Nutrition Care Process Model (NCPM) describes the NCP by presenting the workflow of professionals in diverse individual and population care delivery settings. Implementation of the NCPM has been associated with several advantages, including use of a common framework for nutrition care and research, promotion of critical thinking, more-focused nutrition care documentation, increased acknowledgement of the value of nutrition care by other health care professionals, and improved application of evidence-based guidelines.Nutrition Care Process Chains: The “Missing Link” between Research and Evidence-Based Practice
In 2001, the Institute of Medicine of the National Academy of Sciences published Crossing the Quality Chasm: A New Health System for the 21st Century,1 which promoted evidence-based practice as a prerequisite to quality health care. Implementation of evidence-based practice guidelines has become an integral component of the national health care quality strategy mandated by the Patient Protection and Affordable Care Act of 2010, with the goal of providing affordable care that leads to healthier communities.A New Breed of Evidence and the Tools to Generate It: Introducing ANDHII
It has been nearly 2 decades since the Academy of Nutrition and Dietetics (then the American Dietetic Association) published Medical Nutrition Therapy Across the Continuum of Care1 under the leadership of former chief science officer Esther Myers, PhD, RD, FADA. This marked the official emergence of dietetics into the young field of evidence-based practice (EBP) in the very same year that the British Medical Journal published Sackett and colleagues’ now ubiquitous definition of the practice: “[T]he conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”2 Since that time, EBP has evolved, and the Academy has both adapted to and contributed to those changes (Figure 1).Nutrition Care Process and Model: An Academic and Practice Odyssey
In 2003, the Academy of Nutrition and Dietetics, formerly the American Dietetic Association, adopted a Nutrition Care Process and Model (NCPM) that identifies the unique contribution of dietetics practitioners to health care outcomes and establishes a global standard for provision of nutrition care by dietetics practitioners (Figure 1).1Implementation of the Nutrition Care Process and International Dietetics and Nutrition Terminology in a Single-Center Hemodialysis Unit: Comparing Paper vs Electronic Records
There is little doubt surrounding the benefits of the Nutrition Care Process and International Dietetics and Nutrition Terminology (IDNT) to dietetics practice; however, evidence to support the most efficient method of incorporating these into practice is lacking. The main objective of our study was to compare the efficiency and effectiveness of an electronic and a manual paper-based system for capturing the Nutrition Care Process and IDNT in a single in-center hemodialysis unit. A cohort of 56 adult patients receiving maintenance hemodialysis were followed for 12 months.A Decade of Work Coming Together: Nutrition Care, Electronic Health Records, and the HITECH Act
Ten years of strategic direction and resource development by the American Dietetic Association (ADA) has positioned the profession for nutrition care integration into health information technology (HIT), specifically electronic health records (EHRs) and personal health records (PHRs). New legislation included in the American Recovery and Reinvestment Act (ARRA) (1) creates an unprecedented opportunity to bring this work into the spotlight, improve health care, and promote evidence-based decision-making for nutrition care using HIT.Validation of Nutrition Standardized Language—Next Steps
To provide a model for quality care and outcomes management, the Nutrition Care Process (NCP) and standardized language were introduced in 2003 by the American Dietetic Association (ADA).Referral Systems in Ambulatory Care—Providing Access to the Nutrition Care Process
As the American Dietetic Association (ADA) continues to revise and clarify steps of the Nutrition Care Process and Model, members are inquiring about how supporting activities such as referrals relate to nutrition services provided by food and nutrition professionals. Previously published articles about the nutrition care process clearly describe the four steps of nutrition care provided by registered dietitians (RDs) (1), but the process does not specifically define how a referral (by a physician or qualified health care professional) relates to the nutrition care process.Nutrition Care Process Part II: Using the International Dietetics and Nutrition Terminology to Document the Nutrition Care Process
A regularly scheduled update of the Nutrition Care Process and Model (NCPM) was presented in Part I of this manuscript (1). Activities of registered dietitians (RDs) within the four steps of the Nutrition Care Process and Model are described using the International Dietetics and Nutrition Terminology (IDNT) (2). This standardized language or controlled vocabulary is being developed to describe the unique functions of dietetics in nutrition assessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring and evaluation.Nutrition Care Process and Model Part I: The 2008 Update
The Nutrition Care Process and Model (NCPM) is a systematic problem-solving method that food and nutrition professionals use to think critically and make decisions that address practice-related problems (1). The NCPM provides a consistent structure and framework for food and nutrition professionals to use when delivering nutrition care and is designed for use with patients, clients, groups, and communities of all ages and conditions of health or disease (herein referred to as “patients/clients”).Nutrition Care Process Implementation: A Change Management Perspective
In response to the release of the first Nutrition Diagnosis publication by the American Dietetic Association (ADA) in October 2005, the Patient Food and Nutrition Services management team at The University of Michigan Hospital and Health Centers (UMHHC) began thinking about how to incorporate the Nutrition Care Process (NCP) at our facility. UMHHC has over 800 staffed beds, including 84 adult intensive care unit (ICU) beds, 40 level-three neonatal ICU beds, 31 pediatric ICU beds, and 40 maternity beds.Implementing Nutrition Diagnosis, Step Two in the Nutrition Care Process and Model: Challenges and Lessons Learned in Two Health Care Facilities
In adherence to the American Dietetic Association’s (ADA) Strategic Plan goal of establishing and implementing a standardized Nutrition Care Process (NCP) in the hopes of “increasing demand and utilization of services provided by members” (1), dietetics professionals in two health care facilities established an NCP pilot program in 2005, in collaboration with ADA. The pilot sites were the Virginia Hospital Center in Arlington and the Veterans Affairs Medical Center in San Diego, CA.A Nutrition Care Priority Model Fuels Improvement in Timeliness of Nutrition Intervention Leading to Increased Efficiency in the Nutrition Care Process
To describe the prioritizing system and tools used for the delivery of nutrition care which lead to improved timeliness of nutrition care intervention and staff productivity.A standardized nutrition care process and language are essential components of a conceptual model to guide and document nutrition care and patient outcomes
Documentation of clinical services within health care systems has become increasingly significant because greater amounts of information are now required by accrediting agencies, third-party payers, researchers, and others in their evaluation of patient care and because of the increasing emphasis on patient outcomes. Given the multiple users who depend on health care information in the patient record, it is imperative that clinical nutrition practitioners implement a standardized nutrition care process and language to document comprehensively and communicate meaningful information concerning their role in improving patient outcomes.Nutrition Care Process and Model: ADA adopts road map to quality care and outcomes management
The establishment and implementation of a standardized Nutrition Care Process (NCP) and Model were identified as priority actions for the profession for meeting goals of the ADA Strategic Plan to “Increase demand and utilization of services provided by members” and “Empower members to compete successfully in a rapidly changing environment” (1). Providing high-quality nutrition care means doing the right thing at the right time, in the right way, for the right person, and achieving the best possible results.
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