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Predictors of nutrition care process knowledge and use among dietitians internationally

Middeke, Julia (author)
Edith Cowan Univ, Inst Nutr Res, Sch Med & Hlth Sci, Joondalup, WA, Australia.
Palmer, Kayla (author)
Edith Cowan Univ, Inst Nutr Res, Sch Med & Hlth Sci, Joondalup, WA, Australia.
Lövestam, Elin, 1983- (author)
Uppsala universitet,Institutionen för kostvetenskap
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Vivanti, Angela (author)
Princess Alexandra Hosp, Brisbane, Qld, Australia.;Univ Queensland, Sch Human Movement & Nutr Studies, St Lucia, Qld, Australia.
Orrevall, Ylva (author)
Karolinska Institutet
Steiber, Alison (author)
Univ Saskatchewan, Div Nutr & Dietet, Coll Pharm & Nutr, Saskatoon, SK, Canada.
Lyons-Wall, Philippa (author)
Edith Cowan Univ, Inst Nutr Res, Sch Med & Hlth Sci, Joondalup, WA, Australia.
Lo, Johnny (author)
Edith Cowan Univ, Sch Sci, Joondalup, WA, Australia.
Devine, Amanda (author)
Lieffers, Jessica (author)
Univ Saskatchewan, Div Nutr & Dietet, Coll Pharm & Nutr, Saskatoon, SK, Canada.
Papoutsakis, Constantina (author)
Acad Nutr & Dietet, Chicago, IL USA.
Lang, Nanna R. (author)
VIA Univ Coll, Dept Nutr & Hlth, Horsens, Denmark.
Thoresen, Lene (author)
Trondheim Reg & Univ Hosp, Trondheim, Norway.
Lloyd, Lyn (author)
Auckland City Hosp, Auckland, New Zealand.
O'Sullivan, Therese A. (author)
Edith Cowan Univ, Inst Nutr Res, Sch Med & Hlth Sci, Joondalup, WA, Australia.
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Edith Cowan Univ, Inst Nutr Res, Sch Med & Hlth Sci, Joondalup, WA, Australia Institutionen för kostvetenskap (creator_code:org_t)
2021-11-23
2022
English.
In: Journal of human nutrition and dietetics. - : John Wiley & Sons. - 0952-3871 .- 1365-277X. ; 35:3, s. 466-478
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nutrition and Dietetics (hsv//eng)

Keyword

clinical practice
communication and education
dietetics
education
IT

Publication and Content Type

ref (subject category)
art (subject category)

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