Skip to main navigation Skip to search Skip to main content

Barriers and Enablers in the Implementation of a Standardised Process for Nutrition Care: Findings from a Multi-National Survey of Dietetic Professionals in 10 Countries

  • Elin Lövestam
  • , Angela Vivanti
  • , Alison Steiber
  • , Anne-Marie Boström
  • , Amanda Devine
  • , Orla Haughey
  • , Caroline M. Kiss
  • , Nanna Ruengkratok Lang
  • , Jessica Lieffers
  • , Lynn Lloyd
  • , Theresa A O’Sullivan
  • , Constantina Papoutsakis
  • , Merete Charlotte Peersen
  • , Lene Thoresen
  • , Ylva Orreval
  • Uppsala University
  • Princess Alexandra Hospital
  • NHMRC Centre for Clinical Research Excellence in Spinal Pain, Injury and Health, University of Queensland
  • Academy of Nutrition and Dietetics
  • Karolinska Institute
  • Karolinska University Hospital
  • Stockholms Sjukhem, Research & Development unit, Stockholm, Sweden
  • Western Norway University of Applied Sciences
  • School of Medical and Health Sciences, Edith Cowan University, Western Australia, Australia.
  • Irish Nutrition and Dietetic Institute, Royal Victoria Eye and Ear Hospital, Dublin, Ireland
  • Royal Victoria Eye and Ear Hospital
  • Clinical Nutrition, Research and Development University Department of Geriatric Medicine FELIX PLATTER, Switzerland
  • College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
  • Auckland City Hospital
  • Nutrition and Dietetics Data Science Center, Academy of Nutrition and Dietetics, Chicago, IL.
  • The municipality of Trondheim, Norway
  • Department of Intensive Care Medicine, St. Olavs University Hospital, Trondheim, Norway
  • Oslo University Hospital

Research output: Contribution to journal › Journal article › Research › peer-review

81 Downloads (Pure)

Abstract

Background: To explore the barriers and enablers experienced by nutrition
and dietetic professionals in the implementation of the standardised Nutrition Care Process (NCP) across 10 different countries. NCP related beliefs,
motivations and values were investigated and compared.
Methods: A validated online survey was disseminated to nutrition and
dietetics professionals in 10 countries in the local language during 2017.
Cross-sectional associations and differences between countries were explored
for level of implementation, barriers/enablers and attitudes/motivation
among the respondents.
Results: Higher NCP implementation was associated with greater occurrence of enabling aspects, as well as fewer occurrences of barriers. The
most common enabler was ‘recommendation by the national dietetic
association’ (69%) and the most common barrier was ‘lack of time’
(39%). A longer experience of NCP use was associated with a more positive attitude towards all NCP aspects. Differences between countries were
identified, regarding both the occurrence of barriers/enablers and attitudes/motivations.
Conclusions: Implementation efforts need to be tailored to country-specific
contexts when implementing a new standard of care framework among
nutrition and dietetic professionals. Additional research is needed to further
assess the management and workplace strategies to support the development
of nutrition and dietetics professionals in multidisciplinary healthcare
organisations.
Original languageEnglish
JournalJournal of Human Nutrition and Dietetics
Volume33
Issue number2
Pages (from-to)252-262
Number of pages11
ISSN0952-3871
DOIs
Publication statusPublished - 2020

Keywords

  • nutrition
  • communication
  • professionalism
  • research

Access to Document

    Fingerprint

    Dive into the research topics of 'Barriers and Enablers in the Implementation of a Standardised Process for Nutrition Care: Findings from a Multi-National Survey of Dietetic Professionals in 10 Countries'. Together they form a unique fingerprint.
    View full fingerprint

    • INIS - The International Nutrition Care Process and Terminology (NCP(NCPT) Implementation Survey

      Lövestam, E. (Principle researcher), Lang, N. R. (Co-researcher), Peersen, M. C. (Co-researcher), Orrevall, Y. (Co-researcher), Steiber, A. (Co-researcher), Vivanti, A. (Co-researcher), Papoutsakis, C. (Co-researcher), Kopp, L. (Co-researcher), O’Sullivan, T. A. (Co-researcher), Devine, A. (Co-researcher), Gäbler, G. (Co-researcher), Martins, C. (Co-researcher), Rabito, E. I. (Co-researcher), van Geel, N. (Co-researcher), Lieffers, J. (Co-researcher), Eisenbraun, C. (Co-researcher), Hanning, R. (Co-researcher), Buchholz, D. (Co-researcher), Asante, M. (Co-researcher), Haughey, O. (Co-researcher), Corish, C. (Co-researcher), Anbar, R. (Co-researcher), Trostler, N. (Co-researcher), El-Kour, T. (Co-researcher), Ochola, S. (Co-researcher), Nyamota, W. (Co-researcher), Diaque, P. (Co-researcher), Barrera, E. S. A. (Co-researcher), Ibrahim, Z. (Co-researcher), Runia, S. (Co-researcher), Lloyd, L. (Principle researcher), Thoresen, L. (Co-researcher), Alali, S. (Co-researcher), Blaauw, R. (Co-researcher), Liljeberg, E. (Co-researcher), Jent, S. (Co-researcher) & Rufener, A. (Co-researcher)

      02/05/16 → 30/12/25

      Project: Research

    Cite this