Confronting Incongruity in Evidence-Based Practice: A Case Study in Chronic Kidney Disease

Nutrition and dietetics professionals strive to provide all patients with evidence-based nutrition care that considers context, clinical expertise and the best available evidence. One of the tools that can assist clinicians in providing evidence-based care are nutrition practice guidelines.

However, previous evidence has demonstrated that factors like astute clinical intuition and facility policies can prevent the implementation of guideline recommendations. Therefore, nutrition and dietetics professionals are evaluating how clinicians implement different recommendations into their practice and observing the impact on nutrition-related patient outcomes.

This session explores implementation science through the lens of the 2020 Academy and National Kidney Foundation Clinical Practice Guideline for Nutrition in Chronic Kidney Disease and the Assessing Uptake and Impact of Guidelines in Renal Nutrition or AUGmeNt study. The session describes an innovative automated analyzer tool to evaluate chronic kidney disease guideline recommendation adherence and explain how guideline implementation training can attempt to influence clinician adherence to the best practice recommendations. Additionally, speakers review potential barriers and facilitators for implementation as well as recommendations for successful implementation.

CPE Level: Level 3 (advanced knowledge/expertise)
CPEU: 1.0

Performance Indicators

• 1.1.3 Keeps abreast of changes in practice and in the practice environment that affect individual competence and legislative scope of practice.
• 6.3.1 Accurately and ethically shares research findings with a variety of audiences.
• 6.2.3 Analyzes and interprets data to form valid conclusions and to make recommendations.

Learning Objectives

• Describe the methods of the AUGmeNT study.
• Describe the main results from the AUGmeNt study regarding dietitian adherence to the CKD guidelines.
• List additional recommendations that must be taken at various levels to better support practitioner guideline recommendation implementation.

Moderator

• Gabriela Proaño

Speakers

• Becky Brosch
• Brandon Kistler