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Predictors of nutrition care process knowledge and use among dietitians internationally

  • Julia Middeke
  • , Kayla Palmer
  • , Elin Lövestam
  • , Angela Vivanti
  • , Ylva Orreval
  • , Alison Steiber
  • , Philippa Lyons-Wall
  • , Johnny Lo
  • , Amanda Devine
  • , Jessica Lieffers
  • , Constantina Papoutsakis
  • , Nanna Ruengkratok Lang
  • , Lene Thoresen
  • , Lyn Lloyd
  • , Therese A. O'Sullivan

Research output: Contribution to journalJournal articleResearchpeer-review

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.
Original languageEnglish
JournalJournal of Human Nutrition and Dietetics
Volume35
Issue number3
Pages (from-to)466-478
Number of pages13
ISSN0952-3871
DOIs
Publication statusPublished - 2022

Keywords

  • disease, health science and nursing
  • clinical practice
  • learning, educational science and teaching
  • communication and education
  • health, nutrition and quality of life
  • dietetics
  • education
  • it

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  • 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)

    02/05/1630/12/25

    Project: Research

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