Online nutritional counseling in the Nutrition and Dietetics career at the University of Chile: A teaching-learning resource in professional practices

Introduction: Due to the COVID-19 pandemic, the School of Nutrition and Dietetics of the University of Chile suspended all face-to-face professional practices, incorporating Online Nutritional Counseling (ONC) as a telemedicine activity. The objective of this study was to analyze the perception of students, users and supervising teachers regarding the implementation, user satisfaction and student performance in ONC as a new teaching and learning activity. Material and methods: Cross-sectional, descriptive and observational study, using non-probabilistic sampling. Students (n=42), users (n=133) and supervising teachers (n=6) were invited to participate. The level of user satisfaction, the perception of the counseling implementation process and student performance were evaluated through semi-structured online surveys. Quantitative and qualitative results were analyzed using Excel Office software. Results: The surveys were answered by 55.6% of users, 100% of teachers and 87.2% of students. The participating users perceived a high level of satisfaction with the ONC (95.9%), in terms of good implementation (98.1%) and good attention received by the students (98.6%). Students (83.3%) and teachers (79.6%) perceived a high level of satisfaction related to the implementation of the activity. Regarding student`s performance, students (89.7%) and teachers (86.7%) perceived a high level of performance. Conclusions: Users, teachers and students perceptions were evaluated regarding user satisfaction, implementation and student performance in the ONC, obtaining a high valuation by all the actors involved. It is suggested to consider the ONC as a permanent teaching-learning strategy and complementary to face-to-face professional practice activities.

Logistic model of factors associated with Burnout Syndrome in health personnel

Introducción: La carga de trabajo excesiva en el personal de salud, debido a la pandemia del COVID19 ha generado la presencia del Síndrome de Burnout. El propósito de este estudio fue determinar un modelo logístico para los factores asociados a las dimensiones del Síndrome de Burnout en el personal de salud, durante la pandemia COVID-19, en Trujillo - Perú. Método: Se aplicó un diseño transversal, correlacional;se utilizó el cuestionario estandarizado del inventario de Burnout de Maslach aplicado virtualmente, que mide: agotamiento emocional, despersonalización y realización personal, la muestra estuvo conformada por 143 profesionales de salud de los establecimientos de la Micro red de Trujillo y de El Seguro Social de Salud (ESSALUD), Resultados: El 24,5% de profesionales de la salud tienen un nivel de agotamiento emocional alto, 27,3% nivel de despersonalización alto y 39,9% nivel de realización personal bajo. El estado civil, ingreso familiar, tipo de institución donde labora, la edad y el número de hijos se asocian al nivel de agotamiento emocional (p<0,05). El sexo, la profesión, tipo de institución, edad y número de hijos se asocian al nivel de despersonalización (p<0,05). El tipo de institución y la edad se asocian al nivel de realización personal (p<0,05). Conclusiones: El modelo logístico ordinal propuesto indica el 69,2% de éxito en nivel de agotamiento emocional, el 60,8% de éxito para el nivel de despersonalización y el 58,7% con el modelo para nivel de realización personal.Alternate :Introduction: Excessive workload in health personnel, due to the COVID-19 pandemic, has generated the presence of Burnout Syndrome. The purpose of this study was to determine a logistic model for the factors associated with the dimensions of Burnout Syndrome in health personnel during the COVID-19 pandemic in Trujillo - Peru. Method: A cross-sectional, correlational design was applied. The standardized Maslach Burnout Inventory questionnaire was used and applied virtually. It measures emotional exhaustion, depersonalization and personal fulfillment. The sample consisted of 143 health professionals from the Trujillo Micro-network and Social Health Insurance establishments (ESSALUD). Results: 24.5% of health professionals have a high level of emotional exhaustion, 27.3% a high level of depersonalization and 39.9% a low level of personal fulfillment. Marital status, family income, type of institution where they work, age and number of children are associated with the level of emotional exhaustion (p<0.05). Gender, profession, type of institution, age and number of children are associated with the level of depersonalization (p<0.05). The type of institution and age are associated with the level of personal fulfillment (p<0.05). Conclusions: The proposed ordinal logistic model indicates 69.2% success in emotional exhaustion level, 60.8% success for depersonalization level and 58.7% with the model for personal fulfillment level.

Vision of the management of frailty in Primary Health Care

Primary Care (PC) and community are the priority health sites for the detection and management of frailty. There are good guidelines (Strategy and consensus of the National Health Service, ADVANTAGE European Joint Action, recommendations of the Program of Prevention and Health Promotion Activities of the Spanish Society of Family and Community Medicine PAPPS-semFYC, Fisterra guideline);however, its implementation is not taking place with the expected magnitude or speed, also considering the influence of the COVID-19 pandemic. The detection and management of frailty requires multidisciplinary work by professionals who usually carry out their activity at the first level of care (physicians, nurses, social workers), with others whose integration is advisable (nutritionists, physiotherapists, etc.);and counting on others of reference (geriatricians). On the other hand, it is necessary to work with comprehensive approaches based on good coordination between PC and the Community, with various experiences in this regard. The support by the Information and Communication Technologies (ICT) can be very interesting, with tools for both users and careers (e.g., VIVIFRAIL), as well as for social and health professionals (e.g., VALINTAN or WHO ICOPE-Handbook App). Strategies to intervene in fragility in a more effective and systematic way must be consolidated: with an adequate professional training, establishment of campaigns and dissemination ways for visualizing its relevance and extend their intervention, prioritization of the most effective programmed assistance activities (highlighting fragility), multidisciplinary work with coordination and participation of the different healthcare and community levels and of the patients themselves, and providing the PC with adequate resources.

Exploring sports nutritionists' and players' perspectives of nutrition practice within English professional football during the COVID-19 pandemic.

The outbreak of the COVID-19 pandemic, and the subsequent suspension of all football-related activity, caused significant disruption to the daily habits of professional football players and support staff. Even when the most severe restrictions were lifted, strict control measures remained in place which likely continued to impact upon nutrition support and intake of players. Thus, this study aimed to understand how restrictions impacted upon nutrition support within professional football, as well as identify how these experiences could inform future practice. Interviews were conducted with twelve sports nutritionists and twelve male professional football players to explore their perspectives of nutrition provision during the COVID-19 pandemic. Thematic analysis indicated three common outcomes: (a) Sub-optimal Nutrition Provision; (b) Reduction in Time with or Access to Players, and; (c) Adaption of Nutrition Practice and/or Dietary Habits. In sum, football clubs should consider the immediate and short-term impact of COVID-19 restrictive measures as players' transition back to normality. Specifically, clubs should provide sports nutritionists with greater capacity to control the nutrition provision, including portion size and food quality. Looking ahead, sports nutritionists are encouraged to reflect upon the novel opportunities that have emerged and consider how these may enhance long-term practice.

Perspectives of Registered Dietitian Nutritionists on Adoption of Telehealth for Nutrition Care during the COVID-19 Pandemic.

Widespread transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has resulted in a global coronavirus disease 2019 (COVID-19) pandemic that is straining medical resources worldwide. In the United States (US), hospitals and clinics are challenged to accommodate surging patient populations and care needs while preventing further infection spread. Under such conditions, meeting with patients via telehealth technology is a practical way to help maintain meaningful contact while mitigating SARS-CoV-2 transmission. The application of telehealth to nutrition care can, in turn, contribute to better outcomes and lower burdens on healthcare resources. To identify trends in telehealth nutrition care before and during the pandemic, we emailed a 20-question, qualitative, structured survey to approximately 200 registered dietitian nutritionists (RDNs) from hospitals and clinics that have participated in the Malnutrition Quality Improvement Initiative (MQii). RDN respondents reported increased use of telehealth-based care for nutritionally at-risk patients during the pandemic. They suggested that use of such telehealth nutrition programs supported positive patient outcomes, and some of their sites planned to continue the telehealth-based nutrition visits in post-pandemic care. Nutrition care by telehealth technology has the potential to improve care provided by practicing RDNs, such as by reducing no-show rates and increasing retention as well as improving health outcomes for patients. Therefore, we call on healthcare professionals and legislative leaders to implement policy and funding changes that will support improved access to nutrition care via telehealth.