Dietetic Training: Understanding Racial Inequity in Power and Privilege

Lund, Anne E.; Latortue, Krista Yoder; Rodriguez, Judith C.

doi:10.1016/j.jand.2020.09.041

Cited by 10 publications

(8 citation statements)

References 6 publications

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“…These results are similar to other research which notes the lack of education around topics such as cultural humility and competence, LGBQ+ and trans health concerns, and how to provide nutrition care to people with disabilities (C. T. Jones & Branco, 2020; Lund et al, 2020; Okoro et al, 2018; Perkin & Rodriguez, 2013). Some of this research, in dietetics students specifically, reported a lack of courses and time allotted within their formal dietetics education about cultural awareness and sensitivity (Lund et al, 2020).…”

Section: Discussionsupporting

confidence: 90%

“…T. Jones & Branco, 2020; Lund et al, 2020; Okoro et al, 2018; Perkin & Rodriguez, 2013). Some of this research, in dietetics students specifically, reported a lack of courses and time allotted within their formal dietetics education about cultural awareness and sensitivity (Lund et al, 2020). The results of this study contribute to the growing body of research indicating gaps within dietetics education.…”

Section: Discussionmentioning

confidence: 99%

“…This has led to variability in nutrition professional’s knowledge and confidence in working with racially/ethnically diverse populations (McCabe et al, 2020). In response, dietetic professionals have challenged ACEND’s standards and expressed the need for more specific guidelines (Lund et al, 2020; McCabe et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, exactly how ACEND or individual programs define culture or cultural competence is unclear, as are the expectations for knowledge outcomes for students who receive cultural competence education; for example ACEND indicates “cultural competence,” “diversity,” and “sensitivity” should be taught but doesn’t provide guidance as to how (2017 Standards and Templates, n.d.). More specific guidance from ACEND has been cited as a way to improve cultural humility (Lund et al, 2020). Some educators and preceptors may narrowly define culture as racial/ethnic culture while others may consider culture as a social construct describing identification within a community.…”

Section: Introductionmentioning

confidence: 99%

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Nutrition Professionals Feel Underprepared to Serve Persons With Marginalized Identities

Burt

Losak

2022

Pedagogy in Health Promotion

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With increasing attention on diversity, equity, inclusion (DEI), it is necessary that nutrition professionals are educated and trained to provide inclusive care for all individuals. Yet, little is known about how nutrition students are educated and trained to serve persons with marginalized identities. Using the Diffusions of Innovations Theory, the purpose of this study is to identify early adopters of inclusive approaches to dietetics care and understand their preparedness to serve marginalized persons. This descriptive pilot study used a virtual intercept interview approach using poll style questions in a Facebook group (#InclusiveDietetics) dedicated to sharing content about DEI in dietetics, as members of the group were identified as “early adopters” of inclusive care. Five questions assessed the type of education, diversity of educators, and sources of information that nutrition professionals used to learn to serve marginalized clients. Descriptive statistics (counts and frequencies) were used to analyze the data. About 79.31% of participants reported receiving no education or training from their accredited dietetics programs interacting with patients with mental disabilities, physical disabilities, identifying within the LGBQ+ and Trans community, and of different cultural/racial/ethnic backgrounds. When they received it, nearly 75% of participants reported receiving training on working with patients of different racial/ethnic backgrounds but only 5.56% reportedly received training to serve persons within the LGBTQ+ community. Nutrition professionals feel prepared to interact with marginalized groups to some extent; however, more research, education, and training are needed to develop best practices and adequately prepare professional to serve marginalized patients.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nutrition Professionals Feel Underprepared to Serve Persons With Marginalized Identities

Burt

Losak

2022

Pedagogy in Health Promotion

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“…Briefly, Feminist Standpoint theory challenges researchers to begin from the everyday lives of oppressed groups rather than the conceptual frameworks of the dominant social institutions and disciplines that provide researchers with the "resources needed for administration and management of the oppressed" (Harding 2006, p.48). There is evidence that oppression exists in dietetics spaces, though much of the work to date focuses upon oppression of racial/ethnic groups (Lund et al, 2021;White & Brown, 2021;DeBiasse et al, 2021). To date and to our knowledge, there have been few studies designed to evaluate the social challenges reified by bias toward LGBTQ-identifying individuals within the professional dietetics rank and file, or that describe the lived experience of LGBTQ-identifying dietetics students, interns, or professionals as they navigate their academic programs, supervised practice, and professional lives.…”

Section: Introductionmentioning

confidence: 99%

Experiences of LGBTQ-identifying students, interns and practitioners of dietetics

DeBiasse¹,

Branham²,

McFarland³

2022

Crit Diet

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Individuals who identify as lesbian, gay, bisexual, transgender and/or queer (LGBTQ) currently comprise over five percent of the population in America. It is unknown how many dietetics students, interns, or practitioners identify as LGBTQ as these data are not collected by the Academy of Nutrition and Dietetics nor its “sister” organizations. Research suggests that LGBTQ-identifying folx, experience higher rates of anxiety, depression, stigmatization, discrimination and isolation and many have unmet healthcare needs. This holds for LGBTQ-identified individuals studying and practicing in healthcare professions but to date there have been no studies of the dietetics profession. To explore the experiences of LGBTQ-identifying dietetics students, interns and practitioners we conducted a mixed-methods study grounded in Feminist Standpoint theory. National convenience and snowball sampling strategies generated n=131 students, interns and professionals of ACEND-accredited programs for our survey and n=10 for our semi-structured interviews. Qualitative analyses identified themes of overt and covert “underminers” of success including heteronormative assumptions/talk, misgendering, microaggressions, self-editing and closeting, and identified a lack of adequate LGBTQ-related healthcare content in academics/training. Supporters of success included people/groups with supportive characteristics, therapists/mental health professionals, and passion for the field. Survey data indicated significant differences between heterosexual and non-heterosexual respondents to a number of questions including homosexuality in society, awareness of LGBTQ community experiences, importance of academic content/training on nutrition assessment/care of LGBTQ-identified folx and responsibility for advocacy for LGBTQ-identifying patients/clients. Our results indicate need for better data collection, improved coursework/training on inclusion and greater content on nutrition/healthcare needs for LGBTQ-identifying patients and clients.

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Advancing Equity: The Academy's Commitment to Supporting Inclusion, Diversity, Equity, and Access

ANDJ¹,

Boyce²

2022

Journal of the Academy of Nutrition and Dietetics

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Dietetic Training: Understanding Racial Inequity in Power and Privilege

Cited by 10 publications

References 6 publications

Nutrition Professionals Feel Underprepared to Serve Persons With Marginalized Identities

Nutrition Professionals Feel Underprepared to Serve Persons With Marginalized Identities

Experiences of LGBTQ-identifying students, interns and practitioners of dietetics

Advancing Equity: The Academy's Commitment to Supporting Inclusion, Diversity, Equity, and Access

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