Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil

Background Quality indicators for nutritional therapy (QINT) are important in assessing care and monitoring of resources. Among the 30 indicators proposed by International Life Sciences Institute, Brazil, there is still no evaluation of the most pertinent for Pediatrics. Objective To list the 10 mai...

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Main Authors: Julia Bertoldi, Aline Ferreira, Luiza Scancetti, Patricia Padilha
Format: Article
Language:English
Published: PeerJ Inc. 2018-04-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/4630.pdf
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author Julia Bertoldi
Aline Ferreira
Luiza Scancetti
Patricia Padilha
author_facet Julia Bertoldi
Aline Ferreira
Luiza Scancetti
Patricia Padilha
author_sort Julia Bertoldi
collection DOAJ
description Background Quality indicators for nutritional therapy (QINT) are important in assessing care and monitoring of resources. Among the 30 indicators proposed by International Life Sciences Institute, Brazil, there is still no evaluation of the most pertinent for Pediatrics. Objective To list the 10 main quality indicators for nutritional therapies (QINTs) for Pediatrics. Methods This was a two-phase cross-sectional study. Firstly, a questionnaire was answered by physicians, nutritionists, nurses, and pharmacists, all with having experience in nutritional therapy (NT) with Pediatrics, in Rio de Janeiro, Brazil. Participants assessed four attributes of QINT by using the Likert scale. A Top 10 ranked QINT list for Pediatrics was established. To verify the consistency of the questionnaire, Cronbach’s Alpha coefficient was calculated. Secondly, the opinions of the participants on the results that were obtained were requested and the percentages of the positive responses were calculated. Results A total of 33 professionals participated in the first phase and 92% (n = 23 of 25) in the second phase approved the results of the selected indicators. Among the Top 10 QINTs, the three main ones were: #1: “Frequency of diarrhea in those patients on enteral nutrition” (mean = 13.194; α = 0.827); #2: “Frequency of dietary nutritional prescriptions upon the hospital discharge of the NT patients” (mean = 12.871; α = 0.822); #3: “Frequency of the NT patients who recovered their oral intake” (mean = 12.839; α = 0.859). Conclusion When considering the consistency and the concordance that were obtained, it can be suggested that the list of Top 10 QINTs as proposed in this study will help in the evaluation of NT quality indicators for Pediatrics.
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spelling doaj.art-4ae9d819a6434efa968564b77e8ae3c72023-12-03T11:05:17ZengPeerJ Inc.PeerJ2167-83592018-04-016e463010.7717/peerj.4630Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in BrazilJulia Bertoldi0Aline Ferreira1Luiza Scancetti2Patricia Padilha3Laboratório de Ciências do Exercício, Universidade Federal Fluminense, Niterói, Rio de Janeiro, BrazilInstituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, BrazilBackground Quality indicators for nutritional therapy (QINT) are important in assessing care and monitoring of resources. Among the 30 indicators proposed by International Life Sciences Institute, Brazil, there is still no evaluation of the most pertinent for Pediatrics. Objective To list the 10 main quality indicators for nutritional therapies (QINTs) for Pediatrics. Methods This was a two-phase cross-sectional study. Firstly, a questionnaire was answered by physicians, nutritionists, nurses, and pharmacists, all with having experience in nutritional therapy (NT) with Pediatrics, in Rio de Janeiro, Brazil. Participants assessed four attributes of QINT by using the Likert scale. A Top 10 ranked QINT list for Pediatrics was established. To verify the consistency of the questionnaire, Cronbach’s Alpha coefficient was calculated. Secondly, the opinions of the participants on the results that were obtained were requested and the percentages of the positive responses were calculated. Results A total of 33 professionals participated in the first phase and 92% (n = 23 of 25) in the second phase approved the results of the selected indicators. Among the Top 10 QINTs, the three main ones were: #1: “Frequency of diarrhea in those patients on enteral nutrition” (mean = 13.194; α = 0.827); #2: “Frequency of dietary nutritional prescriptions upon the hospital discharge of the NT patients” (mean = 12.871; α = 0.822); #3: “Frequency of the NT patients who recovered their oral intake” (mean = 12.839; α = 0.859). Conclusion When considering the consistency and the concordance that were obtained, it can be suggested that the list of Top 10 QINTs as proposed in this study will help in the evaluation of NT quality indicators for Pediatrics.https://peerj.com/articles/4630.pdfQuality indicatorsNutritional therapyPediatrics
spellingShingle Julia Bertoldi
Aline Ferreira
Luiza Scancetti
Patricia Padilha
Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil
PeerJ
Quality indicators
Nutritional therapy
Pediatrics
title Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil
title_full Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil
title_fullStr Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil
title_full_unstemmed Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil
title_short Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil
title_sort selection of quality indicators for nutritional therapy in pediatrics a cross sectional study conducted in brazil
topic Quality indicators
Nutritional therapy
Pediatrics
url https://peerj.com/articles/4630.pdf
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AT luizascancetti selectionofqualityindicatorsfornutritionaltherapyinpediatricsacrosssectionalstudyconductedinbrazil
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