Harnessing the Benefits of the Nutrition Care Process Quality Evaluation and Standardization Tool: A National Auditing Initiative to Improve Quality of Documentation - 18/10/23
Abstract |
The Nutrition Care Process Quality Standardization and Evaluation Tool (NCP QUEST) is a validated audit instrument assessing the quality of NCP documentation by registered dietitian nutritionists. The present quality improvement project describes change in documentation quality as measured by NCP QUEST and word count of notes after a monthly national digital training provided to Veterans Affairs registered dietitian nutritionists. The training and adoption of NCP QUEST was voluntary. Facilities were recruited among those that had participated during the design and validation study of NCP QUEST. The NCP QUEST score was calculated and the word count was determined for 52 documentation notes (28 from NCP QUEST nonuser facilities and 24 from NCP QUEST user facilities) before and after training. The mean pretraining NCP QUEST score for notes from NCP QUEST nonuser facilities was 13.71 and 13.88 for NCP QUEST user facilities. The mean posttraining total NCP QUEST score for nonuser facilities was 14.00 and 17.65 for user facilities, with no improvement for the nonuser facilities (P = 0.69). A significant improvement was identified for the NCP QUEST user facilities (P ≤ 0.001). All facilities experienced a significant reduction in the word count of assessment notes (P = 0.04). Use of the electronic NCP Terminology website increased 123-fold and was sustained after the training. NCP QUEST users reported that the audit tool is useful. The NCP QUEST should be at the center of registered dietitian nutritionists’ training and more strategic effort is needed to engage practitioners in the optimal application of the NCP.
Le texte complet de cet article est disponible en PDF.Plan
| STATEMENT OF POTENTIAL CONFLICT OF INTEREST C. Papoutsakis is an employee of the Academy of Nutrition and Dietetics, which has a financial interest in the Nutrition Care Process Terminology described here. |
|
| FUNDING/SUPPORT Financial and material support for the development of the Nutrition Care Process Terminology has been provided by the Academy of Nutrition and Dietetics. This study is the result of work supported with resources from Veterans Affairs facilities yet does not represent the views of the Department of Veterans Affairs or the United States Government. |
|
| ACKNOWLEDGEMENTS The authors thank Linda Larison, RDN, for contributing to the Nutrition Care Process scoring as auditor. Also, authors would like to acknowledge all participating sites: Laura Noreen (Fargo Veterans Affairs Medical Center), Deidra Devereaux (Southern Nevada Veterans Affairs Medical Center), Erin Johnson (Salisbury Veterans Affairs Medical Center), Susan Boyd (Providence Veterans Affairs Medical Center), and Maureen Gallagher (White River Junction Veterans Affairs Medical Center). |
|
| AUTHOR CONTRIBUTIONS All authors developed the manuscript concept. S. Lewis led analyses and wrote first draft. All authors participated in data interpretation, revised different sections of the first draft of the manuscript, and reviewed and commented on subsequent drafts of the manuscript. |
Vol 123 - N° 11
P. 1662-1668 - novembre 2023 Retour au numéro
Article précédent
- Weight Management Interventions Provided by a Dietitian for Adults with Overweight or Obesity: An Evidence Analysis Center Systematic Review and Meta-Analysis
- Maria Morgan-Bathke, Suzanne Domel Baxter, Tanya M. Halliday, Amanda Lynch, Neal Malik, Hollie A. Raynor, Jessica L. Garay, Mary Rozga
- Academy of Nutrition and Dietetics Honorary Memberships, 2023
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?