Predictors of nutrition care process knowledge and use among dietitians internationally

Authors

Julia Middeke, Edith Cowan University
Kayla Palmer, Edith Cowan University
Elin Lövestam
Angela Vivanti
Ylva Orrevall
Alison Steiber
Philippa Lyons-Wall, Edith Cowan UniversityFollow
Johnny Lo, Edith Cowan UniversityFollow
Amanda Devine, Edith Cowan UniversityFollow
Jessica Lieffers
Constantina Papoutsakis
Nanna R. Lang
Lene Thoresen
Lyn Lloyd
Therese A. O'Sullivan, Edith Cowan UniversityFollow
The INIS Consortium

Document Type

Journal Article

Publication Title

Journal of Human Nutrition and Dietetics

Volume

35

Issue

3

First Page

466

Last Page

478

PubMed ID

34812563

Publisher

Wiley

School

School of Medical and Health Sciences / Institute for Nutrition Research / School of Science

RAS ID

42724

Comments

Middeke, J., Palmer, K., Lövestam, E., Vivanti, A., Orrevall, Y., Steiber, A., ... & INIS Consortium. (2022). Predictors of nutrition care process knowledge and use among dietitians internationally. Journal of Human Nutrition and Dietetics, 35(3), 466-478.

https://doi.org/10.1111/jhn.12961

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.

DOI

10.1111/jhn.12961

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