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- Title
Registered Dietitians’ Roles in Decision-making Processes For PEG Placement in the Elderly.
- Authors
P. SZETO, MARIA O.; O’SULLIVAN MAILLET, JULIE; BRODY, REBECCA A.; PARROTT, J. SCOTT
- Abstract
Purpose: The role of registered dietitians (RDs) in decisionmaking for percutaneous endoscopic gastrostomy (PEG) placement was explored. The ethical climate in their workplace and the relationship between decision-making and the ethical climate were examined. Methods: The survey included 67 RDs in complex continuing care and long-term care settings in Ontario. Descriptive statistics were used to describe roles, ethical climate, and professional characteristics. Pearson’s and nonparametric correlations were used to examine relationships between roles, ethical climate, and professional characteristics. Results: Among the respondents, 97% thought RDs had a role in decision-making processes. The majority of RDs were usually or always involved in two roles: identifying relevant nutrition issues (91.2%) and discussing feeding options and alternatives (80.7%). Dietitians’ roles in decision-making processes were more extensive when their relationship with physicians was positive (r=0.321, P=0.016), they had adequate knowledge (r=0.465, P<0.001) and adequate skills (r=0.520, P<0.001), and they were more satisfied with their role (r=0.554, P<0.001). Conclusions: Registered dietitians performed a variety of roles in decision-making processes concerning PEG placement in the elderly. A positive working relationship with physicians, knowledge, skills, and role satisfaction significantly increase RDs’ involvement with patients and families.
- Subjects
ONTARIO; GERIATRIC nutrition; CLINICAL competence; CORPORATE culture; STATISTICAL correlation; DIETETICS; EMPLOYEES; EXPERIENCE; INTELLECT; INTERPROFESSIONAL relations; JOB satisfaction; LONG-term health care; MEDICAL personnel; PATIENT-professional relations; NONPARAMETRIC statistics; PHYSICIANS; PROFESSIONAL ethics; QUESTIONNAIRES; RESEARCH evaluation; SCALE analysis (Psychology); STATISTICS; SURVEYS; DECISION making in clinical medicine; ETHICAL decision making; DATA analysis; JOB performance; OCCUPATIONAL roles; EDUCATIONAL attainment; PATIENTS' families; FEEDING tubes; DATA analysis software; DIETITIANS' attitudes; DESCRIPTIVE statistics; OLD age
- Publication
Canadian Journal of Dietetic Practice & Research, 2014, Vol 75, Issue 2, p78
- ISSN
1486-3847
- Publication type
Article
- DOI
10.3148/75.2.2014.78