Predictors of nutrition care process knowledge and use among dietitians internationally

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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