Critical Illness

CI: Implementation of the Guideline (2006)

Implementation of the Guideline

The publication of this guideline is an integral part of the plans for getting the ADA evidence-based recommendations on critical illness to all dietetics practitioners engaged in, teaching about or researching critical illness as quickly as possible. National implementation workshops at various sites around the country and during the ADA Food Nutrition Conference Expo (FNCE) are planned. Additionally, there are recommended dissemination and adoption strategies for local use of the ADA Critical Illness Evidence-Based Nutrition Practice Guideline.

The guideline development team recommended multi-faceted strategies to disseminate the guideline and encourage its implementation. Management support and learning through social influence are likely to be effective in implementing guidelines in dietetic practice. However, additional interventions may be needed to achieve real change in practice routines.

Implementation of the critical illness guideline will be achieved by announcement at professional events, presentations and training. Some strategies include:

  • National and local events: State dietetic association meetings and media coverage will help launch the guideline
  • Local feedback adaptation: Presentation by members of the work group at peer review meetings and opportunities for CEUs for courses completed
  • Education initiatives: The guideline and supplementary resources will be freely available for use in the education and training of dietetic interns and students in approved Commission on Accreditation of Dietetics Education (CADE) programs
  • Champions: Local champions will be identified and expert members of the guideline team will prepare articles for publications. Resources will be provided that include PowerPoint presentations, full guidelines and pre-prepared case studies.
  • Practical tools: Some of the tools that will be developed to help implement the guideline include specially designed resources such as clinical algorithms, a pocket guide, slide presentation, training and toolkits.
Specific distribution strategies include:
  • Publication in full: The guideline will be available electronically at the ADA Evidence Analysis Library website (www.adaevidencelibrary.com) and will be announced to all the dietetic practice groups. The ADA Evidence Analysis Library will also provide downloadable supporting information.