{"title":"Survey of outpatient diet counselling services in British Columbia hospitals.","authors":"N E Schwartz, B I Bell, K D Webber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A fall 1985 mail survey of British Columbia (B.C.) hospitals offering outpatient diet counselling services documented a diversity of policies and procedures regarding both structural factors (i.e. personnel and facilities) and generic factors (i.e. referrals accepted and services provided). Results indicate a need to address many issues in outpatient dietetics in B.C. with a view to implementing changes and an ongoing program of evaluation, to ensure cost-effectiveness. Implications inferred from these results may be of value to dietitians elsewhere in Canada faced with the challenges of increasing competition for scarce health care resources.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"48 4","pages":"225-31"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The WHO Code and its effect on breast-feeding promotion in hospitals.","authors":"R S Sauve","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This review outlines the development of the Code on the Marketing of Breast Milk Substitutes, and the impact of the Code and factors that led to its development on breast-feeding promotion in hospitals. Breast-feeding prevalence and duration in Canada, and influencing factors, are discussed. Hospital routines that may discourage breast-feeding are described, along with changes or official statements regarding the routines, where these are available. Areas in which further efforts are needed include routine use of supplements, routine before- and after-feed weighing of the baby, attitudes of health professionals, nursing staffing approaches, disruption of breast-feeding due to minor problems in the mother or baby, and written materials given to parents. Groups of mothers requiring special attention include Indian and Inuit mothers, mothers of preterm infants, and adolescent or young teenage mothers.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"48 3","pages":"156-62"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21154753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dietitians' development of an enteral nutrition management package.","authors":"V Albert, D Haddad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Several dietitians at the Royal Victoria Hospital, Montreal, examined current hospital practices in enteral feeding and defined three major areas of concern that are known to influence the management of enterally-fed patients. These concerns deal with physicians' perceptions, nursing management and cost. In order to address these concerns and consequently improve the management of enterally-fed patients, an Enteral Nutrition Management Package consisting of an order form, flow sheet and monitoring record was developed. The package provides standardized guidelines for enterally-fed patients and emphasizes the need for monitoring patients' clinical progress. The usefulness of the package is dependent upon the participation of every member of the health care team including the physician, nurse and dietitian. The development of the package is the result of initiative taken by clinical dietitians in addressing patient care concerns in enteral nutrition within a multidisciplinary system.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"48 3","pages":"172-5"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21184057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Marketing the professional services of the dietitian.","authors":"J G Eisenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Professionals are beginning to realize that a good service does not necessarily sell itself and that active strategic marketing is often needed. It is no longer sufficient for a dietitian to be up-to-date and provide high quality services; cost effectiveness of sound nutrition must be demonstrated and the services of the dietitian aggressively marketed. A strategic market plan based on an assessment of opportunities and capabilities should be developed and continuously adjusted. This article discusses the steps in strategic market planning with practical examples for the dietitian. Dietitians should examine the marketing strategies being implemented by other professional groups since many can be adapted to marketing nutrition services. There exists much opportunity and unprecedented challenges for all dietitians, calling for creativity, innovation, and professionalism.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"47 2","pages":"92-5"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Opinions of residents of an extended care agency regarding food and food services.","authors":"N K Grant, N Hrycak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to elicit opinions of residents in an extended care agency regarding the food and food services they received. In order to get specific information about both the positive and negative responses to these aspects of care, the Critical Incident Technique was used. The findings from interviews of 226 residents are discussed. The significance of the undertaking and findings is the use of the Critical Incident Technique which elicited qualitative information useful to the administrator of the agency.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"47 1","pages":"32-5"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21149449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of continuing education needs and preferences of British Columbia dietitians and nutritionists.","authors":"N E Schwartz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A survey was conducted among members of the B.C. Dietitians' and Nutritionists' Association to determine their perceived continuing education needs and preferences. Responses were received from 68.3% of the membership. The self-administered questionnaire elicited information about preferred format and timing of continuing education activities, incentives and deterrents to participation, employers' contributions to continuing education, and perceived need for further study of 78 topics categorized as nutritional care sciences, behavioural/communicative sciences and managerial sciences. Respondents indicated a preference for workshops, seminars and lectures, held outside of working hours. Topic, time and location were the major incentives/deterrents to participation in continuing education. Most respondents reported receiving paid time off work, but few reported receiving paid time off work, but few reported receiving any financial contribution towards their continuing education from their employers. Learning needs were higher for topics in the nutritional care and communication areas than for the managerial sciences topics. The questionnaire developed for this study has provided valuable information for program planners and could be readily adapted for use with other groups of dietitians/nutritionists.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"47 3","pages":"147-54"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceived needs of Canadian dietitians for continuing education in management.","authors":"E M Upton, M R Hedley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this research was to assess the perceived needs of Canadian dietitians for continuing education in management both currently and as they plan for advancement, career change and development. A self-assessment questionnaire was mailed in January 1985 to 1000 members of the Canadian Dietetic Association (CDA) selected by a systematic randomized technique. Analysis of 450 anonymous questionnaires from employed CDA members showed that 77% were employed full-time and 23% part time. The analysis indicated a profession with a young membership of an eight-year mean and a six-year median in full time practice. A ranked ordering of the types of positions to which dietitians aspired was chief administrative dietitian, consultant, positions in other administration, and then private practice. Personnel and financial management were very important areas for current positions and were expected to be even more so in future. Respondents cited salient factors regarding continuing education programs and prioritized their need for several management topics. These topics were further analyzed according to the present positions of the respondents. This research supports the need for high quality continuing education programs in management for practising dietitians.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"47 3","pages":"155, 158-61"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Procedures for home enteral nutrition.","authors":"H R Winkler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As emphasis on early hospital discharge increases, home tube feeding is becoming a popular method of efficiently delivering nutritional support. This paper describes the team approach to home enteral feeding practices at the Foothills Hospital in Calgary, Alberta. Three groups of patients are referred to the program: those who require tube feedings permanently as the sole means of nutrition; those who require supplementation from tube feedings; and those who temporarily require tube feeding. The dietitian selects an enteral formula suitble for the patient. Although continuous enteral feedings are generally better tolerated by patients, intermittent feedings may be more psychologically acceptable. Continuous feedings are initiated at 50 ml per hour and increased to approximately 150 ml per hour, depending upon patient tolerance and nutritional goals. Complications can result from mechanical problems (e.g. equipment failure) and metabolic/physiologic problems (e.g. constipation). A total of 35 patients have been taught the technique of home tube feeding. The program has been well accepted by patients and physicians.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"46 3","pages":"195-8"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21182055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nutritional support of the critically ill. Part II--Guidelines for clinical dietitians.","authors":"P M Brauer, D Swinamer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The second of a two part article, this section focuses on aspects of dietetic practice in a general adult Intensive Care Unit (ICU). Current recommendations for nutritional support are briefly outlined. Techniques of nutritional assessment and monitoring of nutritional support are reviewed, with a case study example taken from actual practice in the ICU at the University of Alberta Hospitals. The results of an audit of nutritional support in ICU patients at the University of Alberta Hospitals are presented. The audit provided documentation of the benefits of expanded dietitian involvement in the nutritional care of adult ICU patients.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"46 4","pages":"304-10"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21149448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An approach to the provision of nutrition services in a cancer treatment centre.","authors":"L Cantin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nutritional care of the cancer patient has been the subject of extensive publications in recent years. Its importance, although generally recognized, has not led to universal availability of nutrition services to cancer patients and their families. Nutritional care can be supportive or palliative and must be coordinated with the care provided by other members of the multidisciplinary team. This article presents some of the important factors involved in the implementation of nutrition programs in a cancer treatment centre. The need for enthusiastic, competent, and human delivery of nutritional care is emphasized.</p>","PeriodicalId":79677,"journal":{"name":"Journal of the Canadian Dietetic Association","volume":"46 2","pages":"51-3"},"PeriodicalIF":0.0,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21139362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}