Am I making a difference? Measuring dietetic outcomes in clinical practice

Hickman, Ingrid J.; Cotugno, Jacqueline D; Lassemillante, Annie-Claude; Ferguson, Maree

doi:10.1038/ejcn.2015.148

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…A scan of the literature revealed very little inquiry into people's satisfaction with dieticians or evaluation of their effectiveness for people with low health literacy. Dieticians themselves have recognised the difficulty of evaluating their unique contribution to people's glycaemic management due to a lack of research skills, multidisciplinary treatment and medications making it difficult to discern dietetic‐specific outcomes (Hickman, Cotugno, Lassemillante, & Ferguson, 2015). One group of Australian dietetic scholars have recognised the importance of understanding patient experiences (Hickman et al., 2015).…”

Section: Discussion Of Findingsmentioning

confidence: 99%

Living with diabetes and disadvantage: A qualitative, geographical case study

Power

Kelly

Usher

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To elucidate the experiences of people living with diabetes, residing in an urban diabetogenic area. Background Community‐level social and environmental factors have a role to play in the development of type 2 diabetes mellitus. Socio‐economic deprivation; high obesity rates; high access to fast foods; and multiculturalism contribute to higher rates of diabetes in some geographical areas. However, there is a lack of research examining people's experiences of living with diabetes in diabetogenic areas. The word diabetogenic implies that the phenomenon of interest contributes to the development of diabetes. Design Qualitative, geographical case study approach. Methods A convenience sample of 17 people living with diabetes in a diabetogenic, low‐socio‐economic urban area participated in face‐to‐face, semi‐structured interviews. Interviews were audio‐recorded, transcribed and analysed thematically. This paper adheres to the COREQ guidelines. Findings Four main themes were identified: 1. Diabetes fatalism: Inevitability and inertia; 2. Living with Inequity: Literacy and intersectionality; 3. Impersonal services: Intimidating and overwhelming; and, 4. Education in the community: Access and anecdotes. Conclusions This study has highlighted the need to develop local solutions for local problems. In this geographical area, solutions need to address generally lower health literacy, how the community would prefer to receive diabetes education and the issue of diabetes fatalism. Relevance to clinical practice Findings from this study have highlighted a need to re‐examine how diabetes education is delivered in communities that are already experiencing multiple disadvantages. There are research and practice connotations for how fatalism is positioned for people at high risk of developing diabetes.

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Section: Discussion Of Findingsmentioning

confidence: 99%

Living with diabetes and disadvantage: A qualitative, geographical case study

Power

Kelly

Usher

et al. 2020

Journal of Clinical Nursing

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“…This is also supported by the survey of Cant [10] with Australian dietitians (n = 258) in which biological test results are very frequently used for outcome evaluation (99 % rated as 'sometimes to always'). Laboratory pa-rameter, however, have the disadvantage that they are confounded by the therapy of other healthcare professionals [9]. Therefore, also other outcomes need to be assessed to make the effect of nutritional therapy measurable for example eating behaviour which is less influenced by other professions.…”

Section: Discussionmentioning

confidence: 99%

“…This is undoubtedly important in nutritional therapy, but it may also contribute to the mentioned heterogeneous data, thus complicating data aggregation. This was, for example, shown by the Australian study of Hickman et al [9] where dietetic relevant outcomes were recorded. They concluded that they were unable to assess the effectiveness of the collected data because of their heterogeneity and the presence of confounding factors in them.…”

Section: Introductionmentioning

confidence: 87%

“…This macro-level evaluation allows evaluating the outcomes of dietetic practice by using aggregated data on an institutional, regional or inter-regional level 2 . The use of dietetic process models and outcome-related steps has already resulted in a range of studies assessing the effectiveness of dietetic practice 4 9 10 . Such studies, however, show certain limitations.…”

Section: Introductionmentioning

confidence: 99%

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Monitoring/Evaluation in Nutritional Therapy for People with Gastrointestinal Complaints: Online Survey with Dietitians

Zbären

Padmanabhan

Jent

2022

Aktuelle Ernährungsmedizin

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Introduction Dietary interventions are part of the therapy approach in gastrointestinal disorders. However, guidance on what outcomes to assess (in the form of a core outcome set) for dietitians to demonstrate the effectiveness of their interventions is lacking. This study provides preliminary work for the development of a core outcome set to systematically assess outcomes of nutrition therapy in clients with gastrointestinal complaints by examining how monitoring/evaluation are conducted by dietitians. Methods This is a quantitative online survey for dietitians to assess the current situation around the globe concerning monitoring and evaluation. An online survey with 26 questions divided into six sections (rated importance, implementation, resources/obstacles, instrument requirements, statistical questions and experiences with the Nutrition Care Process) was developed. The questionnaire was available in English, French and German. Results In total 740 responses were analysed. Monitoring/evaluation of clients with gastrointestinal symptoms was rated by 98% to be quite important to very important. The systematic implementation of monitoring and evaluation according to a concept/model was rated by 57% as 'rather often' to 'very often/always'. Conclusion Dietitians are aware of the importance of the measurability of dietetic interventions. The most dominant barriers are lacking time in daily practice and lack of a suitable monitoring/evaluation instrument. A suitable core outcome set in the field of gastrointestinal complaints is needed to increase systematic monitoring/evaluation.

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“…Another limitation is that not all student dietitians documented in ANDHII thoroughly, with some not using ANDHII, leading to incomplete data collection. Studies involving registered dietitians have found that the adoption of ANDHII into dietetics practice has required considerable familiarisation and documentation time (Hickman et al, 2015;Murphy et al, 2018).…”

Section: Limitationsmentioning

confidence: 99%

Using a web-based platform to apply the Nutrition Care Process and capture nutrition outcomes and patient satisfaction in a student-led dietetic outpatient clinic: a pilot study

Roy

Sekula

Papoutsakis

2021

Australian Journal of Clinical Education

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Evaluation of health care services utilising student providers is essential in determining effectiveness, quality of care, and student performance. We investigated the effectiveness of a student-led dietetic clinic in patient satisfaction and nutrition outcomes. A mixed-methods observational cohort pilot study utilising surveys and focus groups was conducted in outpatient student-led dietetic clinics at a university used for student education. Nutrition care and outcomes were documented using the Nutrition Care Process Terminology (NCPT) in a web-based platform. The patient satisfaction survey (n=88) of patients attending student-led dietetic clinics revealed an overall ranking of 4.0 (mean score 4.33 ± 0.34) out of 5, ranging between "very satisfied" and "satisfied." Survey and focus group data showed that the highest satisfaction rates were for students' interpersonal skills (4.80 ± 0.43). Fourteen patients attended >2 consultations. 23.5% of the patients resolved their nutrition diagnoses, and an average weight loss of 2.2 kg per patient was achieved (n = 8). Positive patient satisfaction ratings, combined with improved nutrition outcomes, support the value of student-led clinics as an education and health care delivery modality. These findings are worthy of exploring further on a large scale.

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Am I making a difference? Measuring dietetic outcomes in clinical practice

Cited by 5 publications

References 13 publications

Living with diabetes and disadvantage: A qualitative, geographical case study

Living with diabetes and disadvantage: A qualitative, geographical case study

Monitoring/Evaluation in Nutritional Therapy for People with Gastrointestinal Complaints: Online Survey with Dietitians

Using a web-based platform to apply the Nutrition Care Process and capture nutrition outcomes and patient satisfaction in a student-led dietetic outpatient clinic: a pilot study

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