Development and evaluation of continuing education course in renal nutrition

M. Karavetian, Rana Rizk

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND/OBJECTIVE: Competent renal dietitians are crucial for better patient compliance and clinical outcomes, specifically in critical settings. The aim of this study was to develop and evaluate an evidence-based course in renal dietetics for dietitians working in health care systems where dietetic specialization is absent.

SUBJECTS/METHODS: Fifteen licensed dietitians working with hemodialysis patients in Lebanon were randomly recruited to participate in the course. The latter was developed by the study's primary investigator, according to evidence-based practice guidelines, and focused on all aspects of renal nutrition. Total course duration was 28 hours spread over a 2 month period. Dietitians' knowledge in renal nutrition was tested pre- and post-training through a 23-item questionnaire; the total score was expressed in percentage (<60% score indicated insufficient knowledge). Paired-samples t test was used for statistical analysis.

RESULTS: Overall knowledge of the dietitians significantly improved post-training and reached satisfactory levels (pre: 38.75 +/- 17.20%, post: 62.08 +/- 21.85%). Sub-analysis of the change in the knowledge showed significant and satisfactory improvement only in 3 topics: 1) correct body weight use in calculations, 2) energy estimation method and 3) phosphorus management. Knowledge in the fluid management significantly improved but did not achieve a satisfactory level.

CONCLUSION: The course significantly improved dietitians' knowledge in renal nutrition. If adopted as part of the continuing education of dietitians in countries that lack dietetic specializations, it may serve the first step towards improving health care practice.

Original languageEnglish
Pages (from-to)99-107
Number of pages9
JournalNutrition Research and Practice
Volume10
Issue number1
DOIs
Publication statusPublished - Feb 2016

Keywords

  • Dietitian
  • renal nutrition
  • continuing education
  • CHRONIC KIDNEY-DISEASE
  • PRACTICE GUIDELINES
  • HEMODIALYSIS
  • DIETITIANS
  • OSTEODYSTROPHY
  • NONADHERENCE
  • MANAGEMENT
  • COUNTRIES
  • LEBANON

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