VLBW: Dissemination, Implementation, and Monitoring & Evaluation (2020)

Dissemination and implementation of guidelines is very important for the Academy. Dissemination focuses on spreading the knowledge and information of these guidelines via various means. Implementation, on the other hand, involves integration of the evidence-based interventions into practice, and examining barriers and facilitators that can influence the effectiveness of these evidence-based recommendations.

The publication of this guideline is an integral aspect of the plans for disseminating the Academy of Nutrition and Dietetics VLBW Preterm Infant Enteral Nutrition Evidence-Based Nutrition Practice Guideline to all dietetics practitioners engaged in, teaching, or researching VLBW preterm infants. Additionally, there are recommended dissemination and adoption strategies for local use of this guideline.

Dissemination of the VLBW Preterm Infant guideline will be achieved by announcement at professional events, on the Academy's social media platforms, available on the Evidence Analysis Library website and published in a professional journal as well as various presentations. 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 workgroup at peer review meetings and opportunities for CEUs for courses will be provided.
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 Accreditation Council for Education in Nutrition and Dietetics (ACEND) programs
Champions: Local champions will be identified, and expert members of the guideline team will prepare articles for publication. Resources will be provided that include PowerPoint presentations, full guidelines and pre-prepared case studies.
Specific distribution strategies include:
Publication in full: The guideline is available electronically at the Academy Evidence Analysis Library website (www.andeal.org) and will be announced to all the dietetic practice groups. The Academy Evidence Analysis Library will also provide downloadable supporting information.
Scientific publication: The guideline will be published in the Journal of Academy and Nutrition and Dietetics.
Presentations: Results from the systematic review were presented via an oral session FNCE 2019, and poster presentations at ASN 2019. An oral guideline presentation was scheduled for the Pediatric Academic Societies Conference in March 2020. However, the conference was cancelled for safety precautions due to the COVID-19 pandemic.
Very Low Birthweight Preterm Infant Enteral Nutrition Guideline Presentation: A 25- slide PowerPoint presentation includes the recommendations and ratings for the guideline. The presentation is ideal for meetings, in-service presentations and classes. This product is not designed for the consumer. Download for free.

Implementation
Implementation considerations for the recommendations in the guideline can be found under Costs: organization or implementation subsection of each individual recommendation.

Monitoring and Evaluation

The Academy of Nutrition and Dietetics Health Informatics Infrastructure (ANDHII) enables RDNs to document and monitor nutrition care outcomes and advance nutrition research. In order to monitor the use of the Academy's evidence-based recommendations, practitioners are encouraged to document care in ANDHII. Learn more at http://www.andhii.org

Academy members interested in getting involved in research are also encouraged to join the Nutrition Research Network. Learn more at https://www.eatrightpro.org/research/projects-tools-and-initiatives/nutrition-research-network

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