Predictors of nutrition care process knowledge and use among dietitians internationally. Issue 3 (23rd November 2021)

• Record Type: Journal Article
• Authors: Middeke, Julia; Palmer, Kayla; Lövestam, Elin; Vivanti, Angela; Orrevall, Ylva; Steiber, Alison; Lyons‐Wall, Philippa; Lo, Johnny; Devine, Amanda; Lieffers, Jessica; Papoutsakis, Constantina; Lang, Nanna R.; Thoresen, Lene; Lloyd, Lyn; O'Sullivan, Therese A.
• Is Part Of: Journal of human nutrition and dietetics. Volume 35:Issue 3(2022)
• Page Start: 466
• Page End: 478
• Publication Date: 2021-11-23
• Subjects: clinical practice -- communication and education -- dietetics -- education -- IT; Dietetics -- Periodicals; Nutrition -- Periodicals; 613.205
• DOI: 10.1111/jhn.12961
• Languages: English
• ISSNs: 0952-3871

Abstract

Abstract: Background: The nutrition care process (NCP) and its associated standardised terminology (NCPT, referred to collectively as NCP/T) forms a problem‐solving framework fundamental to dietetic practice. Global implementation would assist in confirming outcomes from dietetic care, but implementation rates have varied between countries. We investigated which factors predict NCP/T knowledge and use among dietetic professionals in an international cohort, aiming to understand how implementation can be strengthened. Methods: The validated International NCP Implementation Survey was disseminated to dietitians in 10 countries via professional networks. Implementation, attitudes and knowledge of the NCP/T along with workplace and educational data were assessed. Independent predictive factors associated with higher NCP/T knowledge and use were identified using backward stepwise logistic regression. Results: Data from 6149 respondents was used for this analysis. Enablers that were independent predictors of both high knowledge and frequent use of NCP/T were peer support, recommendation from national dietetic association and workplace requirements (all p < 0.001). Country of residence and working in clinical settings ( p < 0.001) were demographic characteristics that were independent predictors of high knowledge and frequent use of NCP/T. A high knowledge score was an independent predictor of frequent NCP/T use ( p = 0.002). Conclusions: Important modifiable enablers for NCP knowledge and use rely on organisational management. National dietetic organisations and key stakeholders such as employers are encouraged to integrate active NCP/T support in their leadership initiatives. This could take the form of policies, formalised and structured training strategies, and informatics initiatives for the integration in electronic health records. Key points: The nutrition care process (NCP) and its associated terminology comprises a problem‐solving framework central to modern dietetic practice. The present study used a validated questionnaire to investigate independent predictors of NCP knowledge and use in dietitians internationally. Although some predictors, such as recency of qualification, clinical work and country of residence are not easily modifiable, others are, including peer support, NCP use as workplace requirement and influence from national dietetic associations. National associations should commit to specific tactics that support the NCP such as evidence‐based training programs run by suitably qualified professionals. Abstract :