Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries

Document Type

Journal Article

Publication Title

Journal of Human Nutrition and Dietetics

Publisher

Wiley-Blackwell

School

School of Medical and Health Sciences

RAS ID

30448

Funders

Canadian Foundation for Dietetic Research, CFDR

Comments

Lövestam, E., Vivanti, A., Steiber, A., Boström, A. M., Devine, A., Haughey, O., ... O'Sullivan, T. A. (2020). Barriers and enablers in the implementation of a standardised process for nutrition care: Findings from a multinational survey of dietetic professionals in 10 countries. Journal of Human Nutrition and Dietetics, 33(2) 252-262. https://doi.org/10.1111/jhn.12700

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. © 2020 The British Dietetic Association Ltd.

DOI

10.1111/jhn.12700

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