Nutritional care process model: Consensus for Latin America

Authors

  • Angélica Pérez
  • Gustavo Alfonso Díaz Muñoz https://orcid.org/0000-0002-9216-7873
  • Claudia Patricia Maza Moscoso
  • Marcia Gabriela Castro Muñoz
  • Marisa Ester Canicoba
  • Maria Cristina Gonzalez
  • Janeth Barbosa Barbosa
  • Isabel Guadalupe Calvo Higuera
  • Gertrudis Baptista
  • Eduardo Manuel Ferraresi
  • Fernando José Pereira
  • Charles Bermúdez
  • Claudia Patricia Contreras Luque
  • Martha Elena Muñoz Peláez
  • Serrana Tihista
  • Haydee Villafana
  • Humberto Arenas Márquez
  • Lilia Yadira Cortés https://orcid.org/0000-0003-2789-3219
  • Rosa Larreagueti
  • Paola Sánchez Corrales
  • Erika Aguirre Marulanda
  • Vanessa Fuchs Tarlovsky
  • Milena Puentes Sanchez https://orcid.org/0000-0002-0802-8345
  • M. Isabel T. D. Correia
  • Diana Cárdenas

DOI:

https://doi.org/10.35454/rncm.v5n4.433

Keywords:

Cuidado nutricional, Indicadores, Desnutrición

Abstract

Introduction: Nutritional care models are standardized and systematized processes aimed at providing consistency and linkage of information. This creates a positive impact in terms of quality, service and costs. The objective of the expert consensus was to propose a nutrition care model for Latin America, taking into account principle No. 2 of the International Declaration of Cartagena. 

Method: A questionnaire was developed and submitted to expert opinion following the Delphi methodology. The questionnaire initially consisted of 16 questions that evaluated the following issues: What are the stages and tools of the model? What should be the approach? On what pillars should the model be based? Consensus was considered when the questionnaire items achieved a score of ≥ 70% on the Likert scale 4 (agree) and 5 (strongly agree). 

Results: 3 rounds of expert consultation were carried out, where a model consisting of 5 steps was defined (starting with screening for malnutrition risk, ending with home care), based on 5 pillars: education, public policies, ethical foundations, economics of clinical nutrition and multidisciplinary/multisectoral approach. Quality indicators for each of the 5 steps were proposed and analyzed. 

Conclusion: The nutrition care model for Latin America is based on 5 steps and 5 pillars. This model should be considered as a didactic tool and strategy to facilitate the implementation and teaching of nutritional care at all levels in the clinical setting in Latin America. 

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Author Biography

Angélica Pérez

Pontificia Universidad Javeriana

Facultad de ciencias, Departamento de nutrición y bioquimica

Bogotá, Colombia

References

Cárdenas D, Correia MITD, Ochoa JB, Hardy G, Rodríguez-Ventimilla D, Bermúdez CE, et al. Clinical nutrition and human rights. An international position paper. Clin Nutr. 2021;40(6):4029-36. doi: 10.1016/j.clnu.2021.02.039.

Cárdenas-Braz D, Bermúdez C, Echeverri S, Pérez A, Puentes M, López L, et al. Declaración Internacional sobre el Derecho al Cuidado Nutricional y la Lucha contra la Malnutrición: Declaración de Cartagena. Rev Nutr Clin Metab. 2019;2(1):14-23. doi: 10.35454/rncm.v2supl1.015.

Lacey K, Pritchett E. Nutrition care process and model: ADA adopts road map to quality care and outcomes management. J Am Diet Assoc. 2003;103(8):1061-72. doi: 10.1016/s0002-8223(03)00971-4. Erratum in: J Am Diet Assoc. 2003;103(10):1293.

Swan WI, Vivanti A, Hakel-Smith NA, Hotson B, Orrevall Y, Trostler N, et al. Nutrition care process and model update: toward realizing people-centered care and outcomes management. J Acad Nutr Diet. 2017;117(12):2003-14. doi: 10.1016/j.jand.2017.07.015.

Alkhaldy AA, Allahyani MN, Alghamdi NA, Jeddawi AK, Malibary RM, Al-Othman AM. Status of nutrition care process implementation in hospitals in Jeddah, Saudi Arabia. Clin Nutr ESPEN. 2020;36:53-9. doi: 10.1016/j.clnesp.2020.02.007.

Rozich JD, Howard RJ, Justeson JM, Macken PD, Lindsay ME, Resar RK. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Saf. 2004;30(1):5-14. doi: 10.1016/s1549-3741(04)30001-8.

European Federation of the Associations of Dietitians. Vision paper: the implementation of a nutrition care process (NCP) and standardized language (SL) among dietitians in Europe [Internet]. 2014 [Última actualización: marzo de 2021]. Disponible en: https://www.ncpro.org/efad-implementation

Ukleja A, Gilbert K, Mogensen KM, Walker R, Ward CT, Ybarra J, et al. Standards for nutrition support: adult hospitalized patients. Nutr Clin Pract. 2018;33(6):906-20. doi: 10.1002/ncp.10204.

Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017;36(1):49-64. doi: 10.1016/j.clnu.2016.09.004.

Sociedad Española de Nutrición Enteral y Parenteral. Proceso de nutrición clínica [Internet]. 2020. Disponible en: https://senpe.com/wp-content/uploads/2022/05/PROCESO_DE_NUTRICION_CLINICA.pdf

Humphrey-Murto S, Varpio L, Wood TJ, Gonsalves C, Ufholz LA, Mascioli K, et al. The use of the Delphi and other consensus group methods in medical education research: a review. Acad Med. 2017;92(10):1491-8. doi: 10.1097/ACM.0000000000001812.

Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs. 2000;32(4):1008-15.

Cárdenas D, Posada C, Osorio L, Rodríguez M, Echeverri S, et al. Consenso nacional sobre tamizaje nutricional hospitalario. Rev Colomb Metab Nutr Clin. 2012;3(1):23-32.

Cederholm T, Jensen GL, Correia MITD, Gonzalez MC, Fukushima R, Higashiguchi T, et al. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle. 2019;10(1):207-17. doi: 10.1002/jcsm.12383.

de van der Schueren MAE, Keller H, Cederholm T, Barazzoni R, Compher C, Correia MITD, et al. Global Leadership Initiative on Malnutrition (GLIM): guidance on validation of the operational criteria for the diagnosis of protein-energy malnutrition in adults. Clin Nutr. 2020;39(9):2872-80. doi: 10.1016/j.clnu.2019.12.022.

ESPEN. Global Leadership Initiative on Malnutrition (GLIM) [Internet]. 2021. [Última consulta el 14 de enero de 2022]. Disponible en: https://www.espen.org/files/GLIM-2-page-Infographic.pdf

Gimenez Verotti CC, de Miranda Torrinhas RS, Pires Corona L, Waitzberg DL. Design of quality indicators for oral nutritional therapy. Nutr Hosp. 2015;31(6):2692-5. doi: 10.3305/nh.2015.31.6.8735.

Verotti CC, Torrinhas RS, Cecconello I, Waitzberg DL. Selection of top 10 quality indicators for nutrition therapy. Nutr Clin Pract. 2012;27(2):261-7. doi: 10.1177/0884533611432317.

Martín Folgueras T, Velasco Gimeno C, Salcedo Crespo S, Segurola Gurrutxaga H, Benítez Brito N, Ballesteros Pomar MD, et al. Proceso de alimentación hospitalaria. Nutr Hosp. 2019;36(3):734-42. doi: 10.20960/nh.02543.

Cárdenas D, Díaz G, Cadavid J, Lipovestky F, Canicoba M, Sánchez P, et al. Nutrition in medical education in Latin America: results of cross sectional survey. J Parenter Enteral Nutr. 2022;46(1):229-37. doi: 10.1002/jpen.2107.

Cárdenas D, Díaz G, Fuchs-Tarlovsky V, Cristina Gonzalez M, Carrasco F, Cano AMP, et al. Nutrition competencies for undergraduate medical education: Results of an international interdisciplinary consensus. J Parenter Enteral Nutr. 2022;46(3):635-45. doi: 10.1002/jpen.2203.

Published

2022-12-08

How to Cite

Pérez, A., Díaz Muñoz, G. A., Maza Moscoso, C. P., Castro Muñoz, M. G., Canicoba, M. E., Gonzalez, M. C., Barbosa Barbosa, J., Calvo Higuera, I. G., Baptista, G., Ferraresi, E. M., Pereira, F. J., Bermúdez, C., Contreras Luque, C. P., Muñoz Peláez, M. E. ., Tihista, S., Villafana, H., Arenas Márquez, H., Cortés, L. Y., Larreagueti, R., Sánchez Corrales, P., Aguirre Marulanda, E., Fuchs Tarlovsky, V., Puentes Sanchez, M. ., T. D. Correia, M. I., & Cárdenas, D. (2022). Nutritional care process model: Consensus for Latin America. Journal Clinical Nutrition and Metabolism, 5(4), 38–50. https://doi.org/10.35454/rncm.v5n4.433

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