Knowledge Translation and Evidence-Based Practice: A Qualitative Study on Clinical Dietitians’ Perceptions and Practices in Switzerland

Soguel, Ludivine; Vaucher, Carla; Bengough, Theresa; Burnand, Bernard; Desroches, Sophie

doi:10.1016/j.jand.2019.04.017

Cited by 23 publications

(29 citation statements)

References 20 publications

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“…Previous studies of clinical dietitians support that limited time to source and read scientific literature, which was expected but not explicitly stated as part of their workload, is a barrier to knowledge translation [46,47]. Dietitians also perceived a lack of research matching their daily practice issues [46]. Dietitians in our study similarly commented that there may be competing clinical priorities to recommending MDP which highlights the complex nature of managing patients with chronic conditions in a 'real-world' setting.…”

Section: Discussionmentioning

confidence: 46%

“…In the current study, access to relevant evidence and practice guidelines was a common enabler to practicing the MDP, however, participants highlighted that keeping up to date is challenging and that direction to evidence summaries and clinical guidelines would assist. Previous studies of clinical dietitians support that limited time to source and read scientific literature, which was expected but not explicitly stated as part of their workload, is a barrier to knowledge translation [46,47]. Dietitians also perceived a lack of research matching their daily practice issues [46].…”

Section: Discussionmentioning

confidence: 99%

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Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians

et al. 2020

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Evidence supports recommending the Mediterranean dietary pattern (MDP) in the management of cardiovascular disease (CVD), type 2 diabetes (T2D), non-alcoholic fatty liver disease (NAFLD) and solid organ transplant (SOT). However, the evidence-practice gap is unclear within non-Mediterranean countries. We investigated integration of MDP in Australian dietetic practice, and barriers and enablers to MDP implementation for chronic disease management. Dietitians managing CVD, T2D, NAFLD and/or SOT patients (n = 182, 97% female) completed an online survey in November 2019. Fewer than 50% of participants counsel patients with CVD (48%), T2D (26%), NAFLD (31%) and SOT (0–33%) on MDP in majority of their practice. MDP principles always recommended by >50% of participants were promoting vegetables and fruit and limiting processed foods and sugary drinks. Principles recommended sometimes, rarely or never by >50% of participants included limiting red meat and including tomatoes, onion/garlic and liberal extra virgin olive oil. Barriers to counselling on MDP included consultation time and competing priorities. Access to evidence, professional development and education resources were identified enablers. An evidence-practice gap in Australian dietetic practice exists with <50% of participants routinely counselling relevant patient groups on MDP. Strategies to support dietitians to counsel complex patients on MDP within limited consultations are needed.

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Section: Discussionmentioning

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians

et al. 2020

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“…Patient education resources based on MDP assisted education and goal setting, while sharing these with multidisciplinary colleagues facilitated MDP recommendations. Developing educational tools for patients and other clinicians has been shown to facilitate dietitians actively seeking and reading the scientific literature (31) , and dietitians have indicated that greater access to practical education resources for patients would facilitate MDP implementation in their practice (18) . Dietitians in the current study described that involvement in developing education resources had supported their MDP knowledge and skills.…”

Section: Discussionmentioning

confidence: 99%

‘Focus on diet quality’: a qualitative study of clinicians’ perspectives of use of the Mediterranean dietary pattern for non-alcoholic fatty liver disease

et al. 2021

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Practice guidelines for nonalcoholic fatty liver disease (NAFLD) recommend promoting the Mediterranean dietary pattern (MDP) which is cardioprotective and may improve hepatic steatosis. This study aimed to explore multidisciplinary clinicians’ perspectives on whether the MDP is recommended in routine management of NAFLD and barriers and facilitators to its implementation in a multiethnic setting. Semistructured individual interviews were conducted with 14 clinicians (7 doctors, 3 nurses, 3 dietitians and 1 exercise physiologist) routinely managing patients with NAFLD in metropolitan hospital outpatient clinics in Australia. Interviews were audio-recorded, transcribed and analysed using thematic content analysis. Clinician’s described that lifestyle modification was their primary treatment for NAFLD and promoting diet was recognised as everyone’s role, whereby doctors and nurses raise awareness and dietitians provide individualisation. The MDP was regarded as the most evidence-based diet choice currently and was frequently recommended in routine care. Facilitators to MDP implementation in practice were: improvement in diet quality as a parallel goal to weight loss; in-depth knowledge of the dietary pattern; access to patient education and monitoring resources; service culture, including an interdisciplinary clinic goal; and knowledge sharing from expert dietitians. Barriers included perceived challenges for patients from diverse cultural and socioeconomic backgrounds; and limited clinician training, time and resourcing to support behaviour change. Integration of MDP in routine management of NAFLD in specialist clinics was facilitated by a focus on diet quality, knowledge sharing, belief in evidence and an interdisciplinary team. Innovations to service delivery could better support and empower patients to change dietary behaviour long-term.

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“…Another approach is to use intermediaries, professionals who have been trained interdisciplinarily (e.g., in education, pedagogy, cognitive science, development, the science of teaching and learning, psychology, and neuroscience), to make the connections. The use of intermediaries is commonplace in fields as diverse as nutrition and agriculture (e.g., Tabek et al, 2012;Elueze, 2016;Soguel et al, 2019). Agricultural extension agents may be an ideal model, serving as intermediaries between industry and academia, on the one hand, and farmers and producers on the other, bringing both innovative research findings from the former to the latter and real-world problems to be solved from the latter to the former (https://nifa.usda.gov/cooperativeextension-system).…”

Section: Introductionmentioning

confidence: 99%

Lost in Translation: Educational Psychologists as Intermediaries Between Neuroscience and Education

Coch

Daniel

2020

Front. Educ.

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Knowledge Translation and Evidence-Based Practice: A Qualitative Study on Clinical Dietitians’ Perceptions and Practices in Switzerland

Cited by 23 publications

References 20 publications

Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians

Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians

‘Focus on diet quality’: a qualitative study of clinicians’ perspectives of use of the Mediterranean dietary pattern for non-alcoholic fatty liver disease

Lost in Translation: Educational Psychologists as Intermediaries Between Neuroscience and Education

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