1
|
Rudzińska A, Guzy P, Skowron A, Gąsowski J, Piotrowicz K. Joint interprofessional education of pharmacy and dietetics undergraduates - a scoping review. BMC MEDICAL EDUCATION 2024; 24:557. [PMID: 38778278 PMCID: PMC11110287 DOI: 10.1186/s12909-024-05411-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Accepted: 04/10/2024] [Indexed: 05/25/2024]
Abstract
INTRODUCTION Interprofessional education (IPE) is an integrative approach that enables collaboration of students of two or more different health professions in aim to acquire skills and competencies related not only to their field of study but also to ensure the standard of care based on collaborative practice. IPE has not yet been explored in relation to collaboration between dietetics-nutrition and pharmacy students, while there is evidence that in many cases nutrition is complementary to pharmacotherapy in the treatment process. AIM The aim of this scoping review was to gather, describe and discuss all relevant literature regarding joint interprofessional training of pharmacy and dietetics-nutrition undergraduates. METHODS We performed a literature search for studies where IPE between dietetics-nutrition and pharmacy students was described. 2204 articles on this topic were identified. After eligibility assessment, 8 articles were included in the review. RESULTS Eight studies were included in the review. Two of these described IPE activities between dietetics and pharmacy students only. The included studies varied in setting, methodology and outcome measures and covered a wide range of topics relevant to clinical practice, such as management of inflammatory bowel diseases, care of the older adults or counselling skills. The most common teaching method was the use of case studies. Some of the included studies did not identify specific learning objectives. The most common way of gathering feedback from participants was through questionnaires and interviews. CONCLUSIONS IPE of pharmacy and dietetics-nutrition students is feasible and may be beneficial in many aspects related to learning. However, there is no well-established model or standard that would facilitate the implementation of such activities in individual educational institutions.
Collapse
Affiliation(s)
- Anna Rudzińska
- Department of Internal Medicine and Gerontology, Faculty of Medicine, Jagiellonian University Medical College, 2 Jakubowskiego St., building I, 5th floor, 30- 688, Kraków, Poland
| | - Piotr Guzy
- Faculty of Pharmacy, Jagiellonian University Medical College, 30-688, Krakow, Poland
| | - Agnieszka Skowron
- Faculty of Pharmacy, Jagiellonian University Medical College, 30-688, Krakow, Poland
| | - Jerzy Gąsowski
- Department of Internal Medicine and Gerontology, Faculty of Medicine, Jagiellonian University Medical College, 2 Jakubowskiego St., building I, 5th floor, 30- 688, Kraków, Poland
| | - Karolina Piotrowicz
- Department of Internal Medicine and Gerontology, Faculty of Medicine, Jagiellonian University Medical College, 2 Jakubowskiego St., building I, 5th floor, 30- 688, Kraków, Poland.
| |
Collapse
|
2
|
Martinuzzi A, Crivelli A, Lopez A, Sgarzini D, Aragon V, Galeano F, Billinger MC, Doeyo M, Matano M, Salomone P, Cabrera D, Fabro AD, Manrique E. Nutritional support team intervention in surgical ICUs and its effect on nutrition delivery and quality in critically ill patients. Nutrition 2024; 125:112501. [PMID: 38905909 DOI: 10.1016/j.nut.2024.112501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 05/11/2024] [Accepted: 05/13/2024] [Indexed: 06/23/2024]
Abstract
RATIONAL Critically ill surgical patients pose one of the greatest challenges in achieving nutritional goals. Several published papers have demonstrated clear benefits when nutrition support (NS) is managed by a multidisciplinary nutrition support team (NST). We hypothesized that implementing a NST in a surgical intensive care unit (ICU) would increase the number of patients achieving their nutritional goals. MATERIAL AND METHOD Multicenter "BEFORE & AFTER" study. In the BEFORE phase, an audit of the previous state of NS was conducted in three ICUs without a NST. INTERVENTION Implementation of a NST and protocol. In the AFTER phase, a new audit of NS was conducted. Continuous variables (presented as mean ± SD or median Q1-Q3) were tested using the t-test and Mann-Whitney U test. Categorical variables (presented as frequencies and percentages) were assessed using the chi-square test. A binomial logistic regression model was performed, with independent variables introduced using a stepwise forward method. A difference was considered to be significant with a two-sided P-value <0.05. Statistical analysis was conducted using IBM-SPSS 26. RESULTS A total of 83 patients were included in the BEFORE phase, and 85 in the AFTER phase. The latter group showed a higher frequency of nutritional risk and malnutrition (SGA B+C odds ratio 2.314, 95% CI 1.164-4.600). Laparoscopy was more frequently utilized as a surgical technique in the AFTER phase. No differences were observed in ICU and hospital LOS or 90 days' survival rates. Two variables remained independent factors to predict NS achievement: NST implementation (odds ratio 3.582, 95% CI 1.733-7.404), and surgical technique (odds ratio 3.231, 95% CI 1.312-7.959). CONCLUSION NST positively impacts the chance of achieving NS goals in critically ill surgical patients.
Collapse
Affiliation(s)
- Andrés Martinuzzi
- Universidad Nacional de La Plata, Critical Care Specialist SATI-UBA (Argentine Society of Critical Care - University of Buenos Aires) and Nutritional Support Expert AANEP (Argentine Association of Enteral and Parenteral Nutrition), Neuquén, Argentina.
| | - Adriana Crivelli
- Nutritional Support Expert AANEP, Nutritional Support Team, San Martin Hospital, La Plata, Argentina
| | - Ariel Lopez
- Sanatorio Guemes, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
| | - Darío Sgarzini
- Sanatorio Guemes, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
| | - Virginia Aragon
- Sanatorio Guemes, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
| | - Fátima Galeano
- Sanatorio Guemes, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
| | | | - Mariana Doeyo
- Hospital Italiano La Plata (HILP), La Plata, Argentina
| | | | - Paula Salomone
- Hospital Privado Universitario de Córdoba, Córdoba, Argentina
| | - Dafne Cabrera
- Hospital Privado Universitario de Córdoba, Córdoba, Argentina
| | | | | |
Collapse
|
3
|
Cogle SV, Mulherin DW, Kumpf VJ, Murphree JN, Currier KA, Adams DW. There is (patient) safety in numbers: Importance of the core four in managing micronutrient deficiencies. Nutr Clin Pract 2024; 39:500-501. [PMID: 38224184 DOI: 10.1002/ncp.11113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 11/05/2023] [Indexed: 01/16/2024] Open
Affiliation(s)
- Sarah V Cogle
- Department of Pharmacy, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Diana W Mulherin
- Department of Pharmacy, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Vanessa J Kumpf
- Department of Pharmacy, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Jill N Murphree
- Department of Nutrition Services, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Kimberly A Currier
- Division of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Dawn W Adams
- Division of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| |
Collapse
|
4
|
Ferreira Heyn AM, Kliger G, Jiménez MC, Bareiro Arce A, Franco Núñez R, Adrianza Baptista G, Cárdenas D, Carrasco F, Castillo Pineda JC, Correia MIT, Jáquez A, Figueredo-Grijalba R. [Commitment of Asunción. A call to action]. NUTR HOSP 2024; 41:249-254. [PMID: 38224307 DOI: 10.20960/nh.05100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2024] Open
Abstract
Introduction The Latin American Federation of Nutritional Therapy, Clinical Nutrition, and Metabolism - FELANPE, was founded in 1988. It brings together interdisciplinary societies and associations in Clinical Nutrition and Nutritional Therapy from Latin America and the Caribbean, as well as Spain and Portugal. Currently, it comprises representations from 18 countries. The objectives of the Federation are described, taking into account the assumed commitment. This is an observational cross-sectional, multicenter study that included 132 hospitals with more than 100 beds, of high complexity, both state-owned and private, from 14 countries in Latin America that are members of FELANPE. The study assessed hospital characteristics, implementation of nutritional assessment, nutritional diagnosis of patients, the team responsible for nutritional therapy, nutritional therapy (oral, enteral, and parenteral), monitoring, and nutritional follow-up. For this purpose, a digital questionnaire and an explanatory video were designed and validated to ensure the quality of the collected data. Validation was carried out through a pilot study conducted in Paraguay, approved by the Ethics Committee for Research at the Faculty of Medical Sciences of the National University of Asunción. The current research has the approval of the Research Ethics Committee of the Faculty of Chemical Sciences of the National University of Asunción and the Ethics Committee of FELANPE. The results presented at the XVIII Latin American Congress of FELANPE in Asunción, Paraguay, on October 12, 2023, serve as a basis for characterizing the implementation of Parenteral and Enteral Nutritional Therapy (medical nutritional therapy) in hospitals in Latin America and are used as technical support for the present Asunción Commitment.
Collapse
Affiliation(s)
- Ana María Ferreira Heyn
- Federación Latinoamericana de Terapia Nutricional, Nutrición Clínica y Metabolismo - FELANPE
| | - Gustavo Kliger
- Federación Latinoamericana de Terapia Nutricional, Nutrición Clínica y Metabolismo - FELANPE
| | - María Cristina Jiménez
- Federación Latinoamericana de Terapia Nutricional, Nutrición Clínica y Metabolismo - FELANPE
| | - Alberto Bareiro Arce
- Federación Latinoamericana de Terapia Nutricional, Nutrición Clínica y Metabolismo - FELANPE
| | - Raquel Franco Núñez
- Federación Latinoamericana de Terapia Nutricional, Nutrición Clínica y Metabolismo - FELANPE
| | | | - Diana Cárdenas
- Federación Latinoamericana de Terapia Nutricional, Nutrición Clínica y Metabolismo - FELANPE
| | - Fernando Carrasco
- Federación Latinoamericana de Terapia Nutricional, Nutrición Clínica y Metabolismo - FELANPE
| | | | | | - Anayanet Jáquez
- Federación Latinoamericana de Terapia Nutricional, Nutrición Clínica y Metabolismo - FELANPE
| | | |
Collapse
|
5
|
Barrocas A. Response to "Clinical pharmacists in nutrition support: Don't throw the baby out with the bath water!". Nutr Clin Pract 2023; 38:934. [PMID: 37227177 DOI: 10.1002/ncp.11012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 04/16/2023] [Indexed: 05/26/2023] Open
Affiliation(s)
- Albert Barrocas
- Department of Surgery, School of Medicine, Tulane University, Atlanta, Georgia, USA
| |
Collapse
|
6
|
Dickerson RN. Clinical pharmacists in nutrition support: Don't throw the baby out with the bath water! Nutr Clin Pract 2023; 38:932-933. [PMID: 37138443 DOI: 10.1002/ncp.11005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Accepted: 04/16/2023] [Indexed: 05/05/2023] Open
Affiliation(s)
- Roland N Dickerson
- Department of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center, Memphis, Tennessee, USA
| |
Collapse
|
7
|
Kumpf VJ, Neumann ML, Kakani SR. Advocating for a patient- and family centered care approach to management of short bowel syndrome. Nutr Clin Pract 2023; 38 Suppl 1:S35-S45. [PMID: 37115033 DOI: 10.1002/ncp.10966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 01/20/2023] [Accepted: 01/21/2023] [Indexed: 04/29/2023] Open
Abstract
Patient- and family centered care (PFCC) is a model of providing healthcare that incorporates the preferences, needs, and values of the patient and their family and is built on a solid partnership between the healthcare team and patient/family. This partnership is critical in short bowel syndrome (SBS) management since the condition is rare, chronic, involves a heterogenous population, and calls for a personalized approach to care. Institutions can facilitate the practice of PFCC by supporting a teamwork approach to care, which, in the case of SBS, ideally involves a comprehensive intestinal rehabilitation program consisting of qualified healthcare practitioners who are supported with the necessary resources and budget. Clinicians can engage in a range of processes to center patients and families in the management of SBS, including fostering whole-person care, building partnerships with patients and families, cultivating communication, and providing information effectively. Empowering patients to self-manage important aspects of their condition is an important component of PFCC and can enhance coping to chronic disease. Therapy nonadherence represents a breakdown in the PFCC approach to care, especially when nonadherence is sustained, and the healthcare provider is intentionally misled. An individualized approach to care that incorporates patient/family priorities should ultimately enhance therapy adherence. Lastly, patients/families should play a central role in determining meaningful outcomes as it relates to PFCC and shaping the research that affects them. This review highlights needs and priorities of patients with SBS and their families and suggests ways to address gaps in existing care to improve outcomes.
Collapse
Affiliation(s)
- Vanessa J Kumpf
- Department of Pharmacy, Clinical Programs, Vanderbilt University Medical Center, Nashville, Tennessee, USA
- Center for Human Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Marie L Neumann
- Department of Surgery, Division of Transplant Surgery, University of Nebraska Medical Center, Nebraska, Omaha, USA
- Department of Communication Studies, University of Nebraska-Lincoln, Lincoln, Nebraska, USA
| | | |
Collapse
|