Advancing practice in dietitians’ communication and nutrition counselling skills: a workplace education program

Notaras, Stephanie; Mak, May; Wilson, N.H.F.

doi:10.1111/jhn.12569

Cited by 12 publications

(14 citation statements)

References 25 publications

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“…These overlap with descriptions of emotional intelligence capabilities in the literature, suggesting that emotional intelligence is related to reasoning dimensions in dietitian CDM 51‐54 . Students and practising clinical dietitians tend to focus on clinician–patient communication and associated skills with education appropriately focused on developing these skills 55,56 . However, emotional intelligence skills are yet to emerge as prominent components of the communication skill professional development programmes.…”

Section: Discussionmentioning

confidence: 87%

“…[51][52][53][54] Students and practising clinical dietitians tend to focus on clinician-patient communication and associated skills with education appropriately focused on developing these skills. 55,56 However, emotional intelligence skills are yet to emerge as prominent components of the communication skill professional development programmes. Therefore, dietitians encountering medical dominance and the acute care setting's inherit complexity are more likely to be capable of engaging in influential communication if they possess adequate amounts of emotional intelligence and interpersonal skills.…”

Section: Discussionmentioning

confidence: 99%

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Power, autonomy and interprofessional practice in dietitian clinical decision making: An interpretive study in acute hospitals

Smith

Patton

2021

J Human Nutrition Diet

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Dietitians learn clinical decision making (CDM) predominantly as an autonomous cognitive process that considers the needs and preferences of the patient. Although interprofessional education is increasing in tertiary dietetic programmes, a paucity of research exists that explores the nature of how practising dietitians make decisions, independent or otherwise. This qualitative interpretative study explored the nature of experienced dietitian CDM in the acute care setting. Philosophical hermeneutic principles guided text construction and interpretation via in‐depth, semi‐structured interviews with practising dietitians with at least 3 years of experience. A reference focus group commented on the emerging findings, increasing the rigour of the research. Ten dietitians participated in the interviews and there were five dietitians in the reference focus group. CDM was found to be a highly social phenomenon with varying degrees of autonomy involving complex power relations with various other health professionals, in particular, medical practitioners. Dietitians respond to existing power relations in key ways, including building and maintaining relationships, advocating on behalf of the patient and negotiating decisions with other healthcare staff when in pursuit of improved health and nutrition related outcomes for patients. Strategic interprofessional communication skills are foundational to effective patient care and advancing the role of the dietitian. Power and autonomy in dietitian CDM are important concepts that could inform interprofessional education when seeking to promote both effective dietetic and interprofessional practice.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Power, autonomy and interprofessional practice in dietitian clinical decision making: An interpretive study in acute hospitals

Smith

Patton

2021

J Human Nutrition Diet

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“…Several studies described training programs for students and dietitians that focused on, or included components of relationship development. 53,58,65,80 One study described a training program designed to teach 'relationship-establishing skills' to nutrition students and thus appeared focused on the relationship itself. 65 In contrast, other studies listed the relationship as a component of training programs but often focused on different skill aspects of relationship development, such as counselling or communication skills.…”

Section: Resultsmentioning

confidence: 99%

The therapeutic relationship between a client and dietitian: A systematic integrative review of empirical literature

Nagy

McMahon

Tapsell

et al. 2022

Nutrition & Dietetics

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Scientific evidence underpins dietetics practice; however, evidence of how the therapeutic relationship influences outcomes is limited. This integrative review aims to provide a comprehensive overview of the topic of the therapeutic relationship between clients and dietitians in the individual counselling context by summarising empirical literature into qualitative themes. Methods: An electronic literature search of the Cumulative Index of Nursing and Allied Health Literature, PsychInfo, Scopus and Web of Science databases was conducted in October 2018 and repeated in February 2021. Studies were included if they explicitly referred to the therapeutic relationship (or associated terms), were based on study data and available in full text.Extracted data were checked by a second researcher and the methodological quality was evaluated independently by two researchers using the Mixed Methods Appraisal Tool. An iterative process of qualitatively coding, categorising and comparing data to examine recurring themes was applied. Results: Seventy-six studies met the inclusion criteria. Five themes were identified which showed the extent and nature of research in this area. Studies revealed the therapeutic relationship: (i) is valued within clinical dietetic practice, (ii) involves complex and multifactorial interactions, (iii) is perceived as having a positive influence, (iv) requires skills training and (v) is embedded in practice models and tools. Conclusion:Studies show the therapeutic relationship is a valued and multifactorial component of clinical dietetic practice and is perceived to positively influence the client and dietitian. Observational data are needed to assess the extent to which the strength of the therapeutic relationship might contribute to clients' health outcomes.

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“…Dietitians have reported that further training in communication skills is essential post‐qualification . Current evidence suggests that there is variation in the standard of communication skills in practice and as an important part of developing competence is exposure to competent performance, this may hinder effective teaching and assessment in the practice setting .…”

Section: Discussionmentioning

confidence: 99%

Communication skills teaching for student dietitians using experiential learning and simulated patients

Knight

Baldwin

Reidlinger

et al. 2020

J Human Nutrition Diet

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Advancing practice in dietitians’ communication and nutrition counselling skills: a workplace education program

Abstract: To our knowledge, this is the first dietitian-specific workplace education program of its type to address essential skills for better communication with patients. Ongoing workplace support, such as peer observation, is recommended to assist with skill development and sustainability.

Cited by 12 publications

References 25 publications

Power, autonomy and interprofessional practice in dietitian clinical decision making: An interpretive study in acute hospitals

Power, autonomy and interprofessional practice in dietitian clinical decision making: An interpretive study in acute hospitals

The therapeutic relationship between a client and dietitian: A systematic integrative review of empirical literature

Communication skills teaching for student dietitians using experiential learning and simulated patients

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