Implementation of Standardized Language by Clinical Preceptors at a Large Dietetic Internship Program

McCarthy, Mary; Pavlinac, Jessie M.; Ryan-Borchers, T.

doi:10.1016/j.jada.2008.06.084

Cited by 1 publication

(2 citation statements)

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“…The respondents were in agreement that standardisation of assessment tools enables consistency in students’ appraisal between different placement settings. Cornell and Molaison surveyed 45 preceptors and found that the use of NCP and standardised language was low, based on a mean score of 4.23 ± 1.86, which varied considerably amongst them (range 3–15) . Preceptors reported difficulty in implementation (range 4–20), limited familiarity with the process (53.3%) and lack of training (64.4%), which adversely affected its use.…”

Section: Discussionmentioning

confidence: 99%

“…Cornell and Molaison surveyed 45 preceptors and found that the use of NCP and standardised language was low, based on a mean score of 4.23 AE 1.86, which varied considerably amongst them (range [3][4][5][6][7][8][9][10][11][12][13][14][15]. 20 Preceptors reported difficulty in implementation (range [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20], limited familiarity with the process (53.3%) and lack of training (64.4%), which adversely affected its use. The Oregon Health and Science University surveyed 71 clinical preceptors in 30 different facilities to assess their familiarity with the standardised language of NCP and use of resources that support NCP and standardised language implementation.…”

Section: Ncp Knowledge Domainsmentioning

confidence: 99%

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Incorporating the Nutrition Care Process model into dietetics internship evaluation: A Malaysian university experience

Karupaiah

Reinhard

Krishnasamy

et al. 2016

Nutrition & Dietetics

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Aim: Implementation of the Nutrition Care Process (NCP) into dietetics curricula and clinical internship evaluation in Asian countries is new. Two dietetics faculties from Malaysia and USA collaborated to assimilate NCP into clinical dietetics curriculum and internship evaluation. Methods: Dietetic interns under supervised practice in hospitals were assessed using a quantitative NCP-based evaluation tool. This tool organised learning outcomes under NCP knowledge domains and achieved high internal consistency and inter-rater reliability. Using a 5-point Likert scale, interns' scores measured over a 12-week inpatients training were collated and analysed. Subgroup analysis differentiated strong (Progressers) and weak (Regressers) performers based on a median criterion of averaged NCP component scores. Results: Most external hospital sites (75% response rate) utilised the evaluation tool for interns' assessment. Improvements in NCP knowledge domains were significant by week-9 and week-12 compared to baseline (P<0.001). Largest gain was associated with Step 2, nutrition diagnosis (95% CI: 2.63-3.09 vs 3.44-3.81, η 2 p = 0.297) and ADIME (nutrition Assessment, Diagnosis, Implementation, Monitoring and Evaluation) documentation (95% CI: 2.85-3.22 vs 3.72-4.15, η 2 p = 0.339). A median score of 3.5 at week-12 identified 'Progressers' (>3.5) or 'Regressers' (<3.5). Progressers demonstrated increasing linear trends from baseline to week-12 (P < 0.001 for all components) with change for ADIME documentation (95% CI: 4.07-4.49, η 2 p = 0.456) > Step 2, nutrition diagnosis (95% CI: 3.70-4.12, η 2 p = 0.348) > Step 3, nutrition intervention (95% CI: 3.65-3.96, η 2 p = 0.332) > Step 1, nutrition assessment (95% CI: 3.77-4.09, η 2 p = 0.307) > Step 4, monitoring and evaluation (95% CI: 3.72-4.04, η 2 p = 0.269). Weaker interns achieved maximum scores at week-9 before regressing. Conclusions: This study found that the application of an NCP-based evaluation tool successfully tracked interns' clinical competencies under supervised practice.

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Section: Discussionmentioning

confidence: 99%