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Nephnologists’ and Internal Medicine Physicians’ Expectations of Renal Dietitians and General Dlinical Dietitians |
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| Authors: | JOYA J. HART MS RD ROBERTA S. HURLEY PhD RD M.E.BETSY GARRISON PhD ISABELLE STOMBAUGH PhD |
| Affiliation: | a J. J. Hart is a renal dietitian with University Hospitals of Cleveland in Cleveland, Ohio; at the time of this study, she was a graduate student in nutrition in the School of Home Economics and Family Ecology at The University of Akron, Akron, Ohio, USA b R. S. Hurley is a professor and I. Stombaugh is an associate professor, in the School of Human Ecology, Louisiana State University, Baton Rouge, USA c M. E. B. Garrison is an assistant professor in the School of Human Ecology, Louisiana State University, Baton Rouge, USA |
| Abstract: | Objective To document and compare nephrologists’ and internal medicine physicians’ expectations of renal dietitians and general clinical dietitians. Design Subjects completed a mailed survey. Respondents provided demographic information and used a 5-point Likert scale to note whether each of 14 job functions was appropriate for general clinical dietitians, renal dietitians, or both. Subjects Five hundred forty-one physicians registered with the Ohio State Medical Board (OSMB) were surveyed. Within this group were 283 nephrologists (the population of nephrologists registered with the OSMB) and 258 internal medicine physicians (selected randomly by the OSMB). A total of 133 physicians (25%) returned the survey; 119 surveys were usable: 70 from nephrologists and 49 from internists. Statistical analyses performed A composite variable was created by coding and summing physicians’ responses regarding dietitian job functions. This variable was averaged for both physician categories. A t test was conducted to compare composite variable results between the two physician groups. Results At least 50% of nephrologists and internists agreed that both types of dietitians should conduct nutrition assessments, determine patients’ energy needs, evaluate medication-nutrient interactions, recommend diet and tube-feeding orders, instruct patients about physician-ordered diets, and teach nutrition concepts to hospital interns. Few physicians agreed that either type of dietitian should order diets, tube feedings, or diet instructions. Applications/conclusions Clinical dietitians can educate physicians about dietitians’ roles informally in their institutions and formally by supporting programs like The American Dietetic Association Physician Nutrition Education Program. In addition, dietetics educators can hone their students’ communication and problem-solving skills to promote positive physician-dietitian interaction. J Am Diet Assoc. 1997;97:1389-1393. |
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