2005 American Society for Parenteral and Enteral Nutrition(A.S.P.E.N.) Standards and Guidelines Survey
David Seres, MD, CNSP; Charlene Compher, PhD, RD, FADA, LDN, CNSD;Douglas Seidner, MD, CNSP; Laura Byham-Gray, PhD, RD, CNSD;Jane Gervasio, PharmD, BCNSP; Stephen McClave, MD; and the A.S.P.E.N. Standards andGuidelines Committees
An online survey about the use and formatof the American Society for Parenteral and Enteral Nutri-tion (A.S.P.E.N.) Standards and Guidelines documentswas conducted. The survey was sent to A.S.P.E.N. mem-bers, and an acceptable number of responses werereceived (470, or 9% of those surveyed). Most respondentsindicated an overall satisfaction with the standards andguidelines and suggested format changes, many of whichwill be incorporated into future guidelines and standards.The results of this survey are presented here for generalinterest. Changes in the process with which A.S.P.E.N.produces standards and guidelines are discussed.
The American Society for Parenteral and EnteralNutrition (A.S.P.E.N.) has been publishing stan-dards and guidelines for over 20 years. Standardsare deﬁned as benchmarks representing a range of performance of competent care that should be pro- vided to assure safe and efﬁcacious nutrition care.
A.S.P.E.N. has developed practice-based standards(eg, pediatric hospitalized patients or long-term carepatients) and discipline-speciﬁc standards (eg, die-titian, nurse, pharmacist, and physician).Clinical practice guidelines are systematicallydeveloped statements to assist practitioners withdecisions regarding practice and patient care issuesrelative to appropriate healthcare for speciﬁc clini-cal circumstances. For example, A.S.P.E.N. devel-oped adult and pediatric guidelines and safe prac-tices for parenteral nutrition.
See Table 1 for acomplete listing of current A.S.P.E.N. standards andguidelines.In 2005, the A.S.P.E.N. Board of Directorscharged the A.S.P.E.N. Guidelines Committee withcreating and implementing a mechanism to de- velop, revise, and publish evidence-based clinicalguidelines. The guidelines committee membersdecided that assessing the needs of the A.S.P.E.N.membership could provide them with informationon guideline use, complexity, and optimal format. At the same time, the A.S.P.E.N. Standards Com-mittee wished to better assess the frequency of useand utility of A.S.P.E.N. Standards. Thus, a joint A.S.P.E.N. Standards and Guidelines (S&G) surveywas developed.
An online survey using the tool SurveyMonkey(SurveyMonkey.com LLC, Portland, OR) was devel-oped using closed- and open-ended questions. Thesequestions centered around 4 areas: demographics of the respondents, general questions about A.S.P.E.N.S&G, speciﬁc questions about the practice- anddiscipline-based standards, and speciﬁc questionsabout the guidelines. The survey was sent to the A.S.P.E.N. membership (n
e-mail in lateMay 2005. Because this survey was not rigorouslydeveloped, these data should not be construed asrobust, and the results of this survey are presentedhere only for general interest.
There were 470 respondents completing the sur- vey. This represents a response rate of 9% of the A.S.P.E.N. membership. Respondents were fairlyrepresentative of the distribution of disciplineswithin the membership of A.S.P.E.N. (Figure 1).Most respondents identiﬁed themselves primarily asclinicians. Administrators, researchers, and educa-tors each made up
7% of respondents. There was afairly even distribution of A.S.P.E.N membershipduration, that is, how long respondents had beensociety members, with about one-third of the respon-dents being relatively new (2 years or less).
Correspondence: Peggi A. Guenter, PhD, RN, 727 Homestead Avenue, Havertown, PA 19083. Electronic mail may be sent firstname.lastname@example.org.
0884-5336/06/2105-0529$03.00/0Nutrition in Clinical Practice 21:529–532, October 2006Copyright © 2006 American Society for Parenteral and Enteral Nutrition