title: Academy of Nutrition and Dietetics and National Kidney Foundation: revised 2014 Standards of Practice and Standards of Professional Performance for registered dietitian nutritionists (competent, proficient, and expert) in nephrology nutrition.
abstract: Compelling evidence indicates that the incidence of chronic kidney disease (CKD) is increasing because of an aging population and a higher prevalence of cardiovascular disease, diabetes, and hypertension. Nutrition management of patients with CKD requires early disease recognition, appropriate interpretation of the markers and stages of CKD, and collaboration with other health care practitioners. Better management of CKD can slow its progression, prevent metabolic complications, and reduce cardiovascular related outcomes. Caring for patients with CKD necessitates specialized knowledge and skills to meet the challenges associated with this growing epidemic. The Academy of Nutrition and Dietetics Renal Dietitians Practice Group and the National Kidney Foundation Council on Renal Nutrition, with guidance from the Academy of Nutrition and Dietetics Quality Management Committee, have updated the 2009 Standards of Practice in Nutrition Care and Standards of Professional Performance as a tool for registered dietitian nutritionists working in nephrology nutrition to assess their current skill levels and to identify areas for additional professional development in this practice area. The Standards of Practice apply to the care of patients/clients with kidney disease. The Standards of Professional Performance consist of six domains of professionalism, including: Quality in Practice, Competence and Accountability, Provision of Services, Application of Research, Communication and Application of Knowledge, and Utilization and Management of Resources. Within each standard, specific indicators provide measurable action statements that illustrate how nephrology nutrition principles can be applied to practice. The indicators describe three skill levels (ie, competent, proficient, and expert) for registered dietitian nutritionists working in nephrology nutrition.
authors.affiliation: Centers for Dialysis Care, Shaker Heights, Ohio. Electronic address: pkent@cdcare.org.
authors.forename: Pamela S
authors.initials: PS
authors.lastname: Kent
authors.affiliation: Clinical Nutrition, Oregon Health and Science University, Portland, Oregon.
authors.forename: Maureen P
authors.initials: MP
authors.lastname: McCarthy
authors.affiliation: Department of Nutrition, Graduate Program in Nutrition, Long Island University (LIU) Post, Brookville, New York.
authors.forename: Jerrilynn D
authors.initials: JD
authors.lastname: Burrowes
authors.affiliation: Clinical Applications, Satellite Healthcare, Inc., San Jose, California.
authors.forename: Linda
authors.initials: L
authors.lastname: McCann
authors.affiliation: Clinical Nutrition, Oregon Health and Science University, Portland, Oregon.
authors.forename: Jessie
authors.initials: J
authors.lastname: Pavlinac
authors.affiliation: Phoenix, Arizona (independent dietitian consulting/instruction).
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Goeddeke-Merickel
authors.affiliation: Clinical Nutrition Services, Geisinger Health System, Danville, Pennsylvania.
authors.forename: Karen
authors.initials: K
authors.lastname: Wiesen
authors.affiliation: AbbVie Inc, North Chicago, Illinois.
authors.forename: Sarah
authors.initials: S
authors.lastname: Kruger
authors.affiliation: Clinical Nutrition Program, Department of Nutritional Sciences, Rutgers Biomedical and Health Sciences, Rutgers, The State University of New Jersey, Stratford, New Jersey.
authors.forename: Laura
authors.initials: L
authors.lastname: Byham-Gray
authors.affiliation: Satellite Dialysis, Gilroy, California.
authors.forename: Rory C
authors.initials: RC
authors.lastname: Pace
authors.affiliation: Renal Nutrition, American Renal Associates, Reynoldsburg, Ohio.
authors.forename: Valarie
authors.initials: V
authors.lastname: Hannahs
authors.affiliation: Clinical Support, DaVita HealthCare Partners, Yorba Linda, California.
authors.forename: Debbie
authors.initials: D
authors.lastname: Benner
mesh_terms: D000047:Academies and Institutes; D004046:Dietetics / Q000592:standards*; D017408:Guidelines as Topic / Q000592:standards; D006801:Humans; D009398:Nephrology / Q000592:standards*; D009752:Nutritional Status; D064686:Nutritionists / Q000592:standards*; D051436:Renal Insufficiency, Chronic / Q000178:diet therapy