Yıl: 2023 Cilt: 54 Sayı: 1 Sayfa Aralığı: 1 - 6 Metin Dili: İngilizce DOI: 10.32552/2022.ActaMedica.676 İndeks Tarihi: 30-05-2023

Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study

Öz:
Objective: COVID-19 increases risk of malnutrition. With proper nutritional management, clinical outcomes are more positive but nutritional management is often overlooked. Aim of our study is to determine competences and attitudes of internal medicine research assistants working in COVID-19 services in terms of nutritional management and the factors that may affect this. Materials and Methods: A 12-question survey was applied to internal medicine research assistants worked/still working in the inpatient service and intensive care units where COVID-19 patients were followed up. Their competences and attitudes about nutrition were learned. Results: A hundred research assistants participated in the study. Ratio of those who considered their knowledge sufficient about nutrition management was 48% (n=48), enteral nutrition was 62% (n=62) and parenteral nutrition was 55% (n=55). There were 92 (92%) research assistants who thought that nutrition was a problem in COVID-19 patients, however there are only 6 (6%) research assistants who have read publications on nutritional management in COVID-19 patients. Research assistants who have performed intensive care or geriatrics rotation stated themselves more competent in nutrition (p = 0.001 & p <0.001, respectively) and who have performed geriatrics rotation thought that they have sufficient knowledge about enteral nutrition (p = 0.03). Conclusion: Research assistants who play important roles in the management of patients, find themselves highly incompetent in nutritional management, although they know that nutritional management will yield positive results on the patient’s clinical outcomes. Importance of education of research assistants about nutrition should be emphasized in order to apply nutritional support better.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • [1] Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62.
  • [2] Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.
  • [3] Singer P, Blaser AR, Berger MM, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2019;38(1):48-79.
  • [4] Barazzoni R, Bischoff SC, Breda J, et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection. Clin Nutr. 2020;39(6):1631-8.
  • [5] Vetter ML, Herring SJ, Sood M, et al. What do resident physicians know about nutrition? An evaluation of attitudes, self-perceived proficiency and knowledge. J Am Coll Nutr. 2008;27(2):287-98.
  • [6] Kiraly LN, McClave SA, Neel D, et al. Physician nutrition education. Nutr Clin Pract. 2014;29(3):332-7.
  • [7] Cuerda C, Muscaritoli M, Donini LM, et al. Nutrition education in medical schools (NEMS). An ESPEN position paper. Clin Nutr. 2019;38(3):969-74.
  • [8] Hu J, Raman M, Gramlich L. Current Status of and Recommendations for Nutrition Education in Gastroenterology Fellowship Training in Canada. Nutr Clin Pract. 2018;33(2):191-7.
  • [9] Li T, Zhang Y, Gong C, et al. Prevalence of malnutrition and analysis of related factors in elderly patients with COVID-19 in Wuhan, China. Eur J Clin Nutr. 2020;74(6):871-5.
  • [10] Bedock D, Bel Lassen P, Mathian A, et al. Prevalence and severity of malnutrition in hospitalized COVID-19 patients. Clin Nutr ESPEN. 2020;40:214-9.
  • [11] Hudson L, Chittams J, Griffith C, et al. Malnutrition Identified by Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Is Associated With More 30-Day Readmissions, Greater Hospital Mortality, and Longer Hospital Stays: A Retrospective Analysis of Nutrition Assessment Data in a Major Medical Center. JPEN J Parent Enteral Nutr. 2018;42(5):892-7.
  • [12] Korfali G, Gündoğdu H, Aydintuğ S, et al. Nutritional risk of hospitalized patients in Turkey. Clin Nutr. 2009;28(5):533-7.
  • [13] Council of Higher Education Undergraduate Medical Education National Core Education Program, 2020. Accessed March 15, 2021. https://www.yok.gov.tr/ Documents/Kurumsal/egitim_ogretim_dairesi/Ulusalcekirdek- egitimi-programlari/mezuniyet-oncesi-tipegitimi- cekirdek-egitimi-programi.pdf.
  • [14] Medical Speciality Board. Core Curriculums of Specialties in Medicine and Dentistry, 2020. Accessed March 15, 2021. https://tuk.saglik.gov.tr/TR,30147/mufredatlar.html.
  • [15] Crowley J, Ball L, Hiddink GJ. Nutrition in medical education: a systematic review. Lancet Planet Health. 2019;3(9):e379-e89.
  • [16] Adams KM, Lindell KC, Kohlmeier M, et al. Status of nutrition education in medical schools. Am J Clin Nutr. 2006;83(4):941s-4s.
  • [17] Kohlmeier M. Counterbalancing the Uncertainties of Medical Nutrition Education with Effective Online Instruction. Nestle Nutr Inst Workshop Ser. 2019;92:133- 42.
  • [18] Orimo H, Ueno T, Yoshida H, et al. Nutrition education in Japanese medical schools: a follow-up survey. Asia Pac J Clin Nutr. 2013;22(1):144-9.
  • [19] Sodjinou R, Bosu WK, Fanou N, et al. Nutrition training in medical and other health professional schools in West Africa: the need to improve current approaches and enhance training effectiveness. Glob Health Action. 2014;7:24827.
  • [20] Alkhaldy AA. Nutritional Knowledge and Self-Reported Nutritional Practice against Malnutrition among Physicians in Jeddah, Saudi Arabia. Healthcare. 2019;7(4).
  • [21] Duerksen DR, Keller HH, Vesnaver E, et al. Physicians’ perceptions regarding the detection and management of malnutrition in Canadian hospitals: results of a Canadian Malnutrition Task Force survey. JPEN J Parent Enteral Nutr. 2015;39(4):410-7.
APA Ceylan S, kahyaoğlu z, Güner M, OKYAR BAŞ A, Dogu B, Cankurtaran M, Halil M (2023). Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. , 1 - 6. 10.32552/2022.ActaMedica.676
Chicago Ceylan Serdar,kahyaoğlu zeynep,Güner Merve,OKYAR BAŞ Arzu,Dogu Burcu Balam,Cankurtaran Mustafa,Halil Meltem Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. (2023): 1 - 6. 10.32552/2022.ActaMedica.676
MLA Ceylan Serdar,kahyaoğlu zeynep,Güner Merve,OKYAR BAŞ Arzu,Dogu Burcu Balam,Cankurtaran Mustafa,Halil Meltem Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. , 2023, ss.1 - 6. 10.32552/2022.ActaMedica.676
AMA Ceylan S,kahyaoğlu z,Güner M,OKYAR BAŞ A,Dogu B,Cankurtaran M,Halil M Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. . 2023; 1 - 6. 10.32552/2022.ActaMedica.676
Vancouver Ceylan S,kahyaoğlu z,Güner M,OKYAR BAŞ A,Dogu B,Cankurtaran M,Halil M Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. . 2023; 1 - 6. 10.32552/2022.ActaMedica.676
IEEE Ceylan S,kahyaoğlu z,Güner M,OKYAR BAŞ A,Dogu B,Cankurtaran M,Halil M "Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study." , ss.1 - 6, 2023. 10.32552/2022.ActaMedica.676
ISNAD Ceylan, Serdar vd. "Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study". (2023), 1-6. https://doi.org/10.32552/2022.ActaMedica.676
APA Ceylan S, kahyaoğlu z, Güner M, OKYAR BAŞ A, Dogu B, Cankurtaran M, Halil M (2023). Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. Acta Medica, 54(1), 1 - 6. 10.32552/2022.ActaMedica.676
Chicago Ceylan Serdar,kahyaoğlu zeynep,Güner Merve,OKYAR BAŞ Arzu,Dogu Burcu Balam,Cankurtaran Mustafa,Halil Meltem Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. Acta Medica 54, no.1 (2023): 1 - 6. 10.32552/2022.ActaMedica.676
MLA Ceylan Serdar,kahyaoğlu zeynep,Güner Merve,OKYAR BAŞ Arzu,Dogu Burcu Balam,Cankurtaran Mustafa,Halil Meltem Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. Acta Medica, vol.54, no.1, 2023, ss.1 - 6. 10.32552/2022.ActaMedica.676
AMA Ceylan S,kahyaoğlu z,Güner M,OKYAR BAŞ A,Dogu B,Cankurtaran M,Halil M Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. Acta Medica. 2023; 54(1): 1 - 6. 10.32552/2022.ActaMedica.676
Vancouver Ceylan S,kahyaoğlu z,Güner M,OKYAR BAŞ A,Dogu B,Cankurtaran M,Halil M Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study. Acta Medica. 2023; 54(1): 1 - 6. 10.32552/2022.ActaMedica.676
IEEE Ceylan S,kahyaoğlu z,Güner M,OKYAR BAŞ A,Dogu B,Cankurtaran M,Halil M "Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study." Acta Medica, 54, ss.1 - 6, 2023. 10.32552/2022.ActaMedica.676
ISNAD Ceylan, Serdar vd. "Competences and Attitudes of Internal Medicine Research Assistants Working in COVID-19 Inpatient Services About Nutrition: A Survey Study". Acta Medica 54/1 (2023), 1-6. https://doi.org/10.32552/2022.ActaMedica.676