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AN INTERDISIPLINARY APPROACH TO TEACHING RESIDENTS AND STUDENTS ABOUT TOTAL PARENTERAL NUTRITION USING AN EDUCATIONAL PAMPHLET
Journal of the American Dietetic Association Online
TEXT: The technology utilized to support web-assisted and web-based courses preserves for faculty a substantial and rich record of experiences and communications that contribute to student learning and the development of competence. Faculty studied intern communications- such as questions asked, comments made, concerns expressed, and arguments put forth as well as the assignments submitted that are archived within the internship's four distance-learning courses. They utilized this information to identify and then strengthen the connections among and between student cognition and faculty observation and interpretation -the three elements of the Assessment Triangle as it is described in Knowing What Students Know: The Science and Design of Educational Assessment (National Academy Press, 2001). Faculty examined the progression of the interns' learning as they developed and refined assignments. These data were used to improve the quality of observations and interpretations used for student assessments. After reviewing and reflecting upon course-preserved information that chronicles learning, faculty altered numerous learning experiences to increase interns' cognition. Faculty teaching distance learning courses have the advantage of course-preserved information about student learning. Use of this information can result in superior assessments that are a solid foundation for improving teaching and learning. TITLE: PATIENT EDUCATION BROCHURES — A COST SAVING ALTERNATIVE AUTHOR(S): CE White RD, LD, CDE; HK Denison MS, RD, CDE, Central Arkansas Veterans Healthcare System, Little Rock, Arkansas LEARNING OUTCOME: To increase awareness of cost saving ways to produce quality patient education materials. TEXT: Patient education brochures can be expensive in a large regional hospital that serves urban and rural areas. Budget constraints often limit the quality and quantity of the educational brochures available to patients and healthcare providers. Finding alternative, low cost ways to get information into the hands of patients and healthcare providers can be a challenge. To identify cost saving ways to obtain educational brochures, a team was formed to investigate alternatives to current purchasing practices. It was determined that our facility was spending approximately $.50 per brochure when purchased from an outside vendor. Our budget allowance provided for 13,000 brochures per year at current market price, allowing for volume discounts. Annual growth and increased need for educational brochures was estimated at 36,500 copies in the coming year. In an effort to remain within current budget guidelines, the team investigated several sources of on-line educational brochures available by subscription. We also identified an “in-house” subscription that was being used by pharmacy for medication information but also contained an extensive patient education component. The team discovered the patient education component of the pharmacy subscription could be tailored to meet the needs of our hospital and patient population. By utilizing the “in-house” subscription as a source for educational brochures we were able to reduce cost for each brochure to only $.06 per copy, an 88% savings. The ability to tailor the patient education materials allowed us to produce quality educational brochures, in the quantities we needed while keeping within our budget guidelines. TITLE: AN INTERDISIPLINARY APPROACH TO TEACHING RESIDENTS AND STUDENTS ABOUT TOTAL PARENTERAL NUTRITION USING AN EDUCATIONAL PAMPHLET
http://www2.us.elsevierhealth.com/inst/serve?ac...r=art&artType=misc&id=jjada0310309ab02&nav=full (39 of 76) [3/21/2008 8:46:42 AM]
Journal of the American Dietetic Association Online
AUTHOR(S): M.H. Strasner BS, University of Arkansas for Medical Science and Central Arkansas Veterans Healthcare System (CAVHS); C.E. White RD, LD, CDE, CAVHS; G.D. Cunningham PharmD, CAVHS; N.M. Campalans MA, RD, LD, CNSD, CAVHS LEARNING OUTCOME: To increase awareness of educational tools used to teach residents and students about total parenteral nutrition. TEXT: Patients receiving total parenteral nutrition (TPN) at our facility benefit from an interdisciplinary team approach that provides state of the art healthcare enhanced through exemplary education. The interdisciplinary Nutrition Support Team (NST), including a dietitian, pharmacist, physician and other staff, round daily with residents and students in our Surgical Intensive Care Unit (SICU). In an effort to keep practices consistent with researched protocols, we devised an educational tool to help residents and students maintain standards of care for TPN patients. A tri-fold pamphlet was developed using “best practice” guidelines for administering TPN. The pamphlet includes guidelines for assessing nutrient requirements, and calculating energy, protein, fluid and electrolyte needs. Also included in the pamphlet are Food and Drug Administration (FDA) regulations concerning multivitamin formulations, refeeding syndrome, and contraindications. The NST uses the pamphlet to educate the surgery residents and students during one-on-one teaching sessions. The goal for the pamphlet is to educate residents and students about TPN standards of care while providing them with a practical tool that maximizes benefits and decreases complications for our critically ill patients. Residents and students using the pamphlet have been observed to have an improved competency for administering TPN, which has resulted in optimal care for our patients. Safe use of TPN requires collaboration of team members. Although we emphasize to our physicians that TPN is considered safest when administered using an interdisciplinary approach, we also realize many of our physicians will work in rural areas with limited staff. TITLE: BRIDGING CULTURAL CHASMS: BENEFITS AND BARRIERS TO COUNSELING IMMIGRANT POPULATIONS AUTHOR(S): S. Geekie; C.A. Houston, PhD, RD, LD; Fontbonne University, St. Louis, MO LEARNING OUTCOME: To identify benefits and barriers dietetic professionals experience when counseling immigrant populations. TEXT: More than 8 million immigrants entered the US between 1990-2000. Immigrants face many barriers upon their arrival: poverty, discrimination, lack of education, or misunderstanding of American culture. These factors can limit personal growth, individual health outcomes and ultimately one's contribution to society. Dietetic professionals are in a unique position to facilitate the positive aspects of acculturation if immigrants are encouraged to access the U.S. health system. The purpose of this study was to describe the benefits and barriers to counseling immigrant populations experienced by dietetic professionals. Registered dietitians (n=7) and dietetic technicians, registered (n=2) with 1-20 years of experience counseling immigrant populations in a large metropolitan Midwestern city were interviewed (mean=30 minutes) about their experiences. Emphasis was placed on types of populations counseled, client income & insurance status, use of interpreters, cultural food practices, and dietary acculturation. Participants described recent trends in counseling more Bosnian and Hispanic http://www2.us.elsevierhealth.com/inst/serve?ac...r=art&artType=misc&id=jjada0310309ab02&nav=full (40 of 76) [3/21/2008 8:46:42 AM]
TEXT: The technology utilized to support web-assisted and web-based courses preserves for faculty a substantial and rich record of experiences and communications that contribute to student learning and the development of competence. Faculty studied intern communications- such as questions asked, comments made, concerns expressed, and arguments put forth as well as the assignments submitted that are archived within the internship's four distance-learning courses. They utilized this information to identify and then strengthen the connections among and between student cognition and faculty observation and interpretation -the three elements of the Assessment Triangle as it is described in Knowing What Students Know: The Science and Design of Educational Assessment (National Academy Press, 2001). Faculty examined the progression of the interns' learning as they developed and refined assignments. These data were used to improve the quality of observations and interpretations used for student assessments. After reviewing and reflecting upon course-preserved information that chronicles learning, faculty altered numerous learning experiences to increase interns' cognition. Faculty teaching distance learning courses have the advantage of course-preserved information about student learning. Use of this information can result in superior assessments that are a solid foundation for improving teaching and learning. TITLE: PATIENT EDUCATION BROCHURES — A COST SAVING ALTERNATIVE AUTHOR(S): CE White RD, LD, CDE; HK Denison MS, RD, CDE, Central Arkansas Veterans Healthcare System, Little Rock, Arkansas LEARNING OUTCOME: To increase awareness of cost saving ways to produce quality patient education materials. TEXT: Patient education brochures can be expensive in a large regional hospital that serves urban and rural areas. Budget constraints often limit the quality and quantity of the educational brochures available to patients and healthcare providers. Finding alternative, low cost ways to get information into the hands of patients and healthcare providers can be a challenge. To identify cost saving ways to obtain educational brochures, a team was formed to investigate alternatives to current purchasing practices. It was determined that our facility was spending approximately $.50 per brochure when purchased from an outside vendor. Our budget allowance provided for 13,000 brochures per year at current market price, allowing for volume discounts. Annual growth and increased need for educational brochures was estimated at 36,500 copies in the coming year. In an effort to remain within current budget guidelines, the team investigated several sources of on-line educational brochures available by subscription. We also identified an “in-house” subscription that was being used by pharmacy for medication information but also contained an extensive patient education component. The team discovered the patient education component of the pharmacy subscription could be tailored to meet the needs of our hospital and patient population. By utilizing the “in-house” subscription as a source for educational brochures we were able to reduce cost for each brochure to only $.06 per copy, an 88% savings. The ability to tailor the patient education materials allowed us to produce quality educational brochures, in the quantities we needed while keeping within our budget guidelines. TITLE: AN INTERDISIPLINARY APPROACH TO TEACHING RESIDENTS AND STUDENTS ABOUT TOTAL PARENTERAL NUTRITION USING AN EDUCATIONAL PAMPHLET
http://www2.us.elsevierhealth.com/inst/serve?ac...r=art&artType=misc&id=jjada0310309ab02&nav=full (39 of 76) [3/21/2008 8:46:42 AM]
Journal of the American Dietetic Association Online
AUTHOR(S): M.H. Strasner BS, University of Arkansas for Medical Science and Central Arkansas Veterans Healthcare System (CAVHS); C.E. White RD, LD, CDE, CAVHS; G.D. Cunningham PharmD, CAVHS; N.M. Campalans MA, RD, LD, CNSD, CAVHS LEARNING OUTCOME: To increase awareness of educational tools used to teach residents and students about total parenteral nutrition. TEXT: Patients receiving total parenteral nutrition (TPN) at our facility benefit from an interdisciplinary team approach that provides state of the art healthcare enhanced through exemplary education. The interdisciplinary Nutrition Support Team (NST), including a dietitian, pharmacist, physician and other staff, round daily with residents and students in our Surgical Intensive Care Unit (SICU). In an effort to keep practices consistent with researched protocols, we devised an educational tool to help residents and students maintain standards of care for TPN patients. A tri-fold pamphlet was developed using “best practice” guidelines for administering TPN. The pamphlet includes guidelines for assessing nutrient requirements, and calculating energy, protein, fluid and electrolyte needs. Also included in the pamphlet are Food and Drug Administration (FDA) regulations concerning multivitamin formulations, refeeding syndrome, and contraindications. The NST uses the pamphlet to educate the surgery residents and students during one-on-one teaching sessions. The goal for the pamphlet is to educate residents and students about TPN standards of care while providing them with a practical tool that maximizes benefits and decreases complications for our critically ill patients. Residents and students using the pamphlet have been observed to have an improved competency for administering TPN, which has resulted in optimal care for our patients. Safe use of TPN requires collaboration of team members. Although we emphasize to our physicians that TPN is considered safest when administered using an interdisciplinary approach, we also realize many of our physicians will work in rural areas with limited staff. TITLE: BRIDGING CULTURAL CHASMS: BENEFITS AND BARRIERS TO COUNSELING IMMIGRANT POPULATIONS AUTHOR(S): S. Geekie; C.A. Houston, PhD, RD, LD; Fontbonne University, St. Louis, MO LEARNING OUTCOME: To identify benefits and barriers dietetic professionals experience when counseling immigrant populations. TEXT: More than 8 million immigrants entered the US between 1990-2000. Immigrants face many barriers upon their arrival: poverty, discrimination, lack of education, or misunderstanding of American culture. These factors can limit personal growth, individual health outcomes and ultimately one's contribution to society. Dietetic professionals are in a unique position to facilitate the positive aspects of acculturation if immigrants are encouraged to access the U.S. health system. The purpose of this study was to describe the benefits and barriers to counseling immigrant populations experienced by dietetic professionals. Registered dietitians (n=7) and dietetic technicians, registered (n=2) with 1-20 years of experience counseling immigrant populations in a large metropolitan Midwestern city were interviewed (mean=30 minutes) about their experiences. Emphasis was placed on types of populations counseled, client income & insurance status, use of interpreters, cultural food practices, and dietary acculturation. Participants described recent trends in counseling more Bosnian and Hispanic http://www2.us.elsevierhealth.com/inst/serve?ac...r=art&artType=misc&id=jjada0310309ab02&nav=full (40 of 76) [3/21/2008 8:46:42 AM]