Nutrition Care Process and Model Update: Toward Realizing People-Centered Care and Outcomes Management

Swan, William I.; Vivanti, Angela; Hakel-Smith, Nancy; Hotson, Brenda; Orrevall, Ylva; Trostler, Naomi; Howarter, Kay Beck; Papoutsakis, Constantina

doi:10.1016/j.jand.2017.07.015

Cited by 248 publications

(258 citation statements)

References 21 publications

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“…Participants were mainly female (n = 178; 98.9%), with a median age of 34 (27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46) years. Participants reported working a median of 27.5 h in dietetic-related work each week and had a median of 8 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) years of experience as a dietitian. Almost half (n = 82; 46.6%) of the participants reported that they had undergone additional training, such as postgraduate certificates/diplomas (e.g.…”

Section: Demographic Characteristicsmentioning

confidence: 99%

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Development and psychometric testing of an inventory to measure patient‐centred care in dietetic practice – dietitian version

Sladdin

Gillespie

Ball

et al. 2019

J Human Nutrition Diet

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Background The lack of a valid instrument to measure patient‐centred care (PCC) in dietetic practice makes it challenging to evaluate how patient‐centred dietitians are. The present study aimed to develop and psychometrically test a dietitian‐reported inventory to measure PCC in dietetic practice. Methods The inventory was compiled based on a literature review of existing validated scales that measured the dimensions of PCC. Next, the inventory was distributed as a cross‐sectional survey to 180 Australian Accredited Practicing Dietitians who worked in primary care. Exploratory factor analysis was performed using principal factor analysis with Promax rotation. Cronbach's alpha (criteria ≥0.80), inter‐item correlations and corrected item‐total correlations (criteria 0.30–0.70) were computed to evaluate the internal consistency of each scale. Results Five factors were extracted accounting for 56.9% of the variance. Most variables had strong loadings on only one factor. Factors were labelled as: shared decision‐making; holistic and individualised care; patient–dietitian communication; knowing the patient; and caring patient–dietitian relationships. Cronbach's alpha was 0.94 for the total inventory and ranged from 0.73 to 0.91 for the individual factors. Inter‐item correlations and corrected item‐total correlations mostly fell in the desired range. Conclusions The present study offers a preliminary, conceptually grounded dietitian‐reported inventory, which is the first instrument developed and tested to measure PCC in dietetic practice. These findings illustrate the underlying factor structure of the inventory and support the reliability of the scales. With further testing, this inventory may provide useful to clinicians and researchers working to better understand and improve dietetic practice.

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Section: Demographic Characteristicsmentioning

confidence: 99%

“…Patients want to have positive relationships with their dietitians, be involved in decision-making, and receive care that is tailored to their unique needs and preferences (8)(9)(10)(11)(12)(13) . It is therefore important that dietitians are competent in patient-centred practices (14) .…”

Section: Introductionmentioning

confidence: 99%

Development and psychometric testing of an inventory to measure patient‐centred care in dietetic practice – dietitian version

Sladdin

Gillespie

Ball

et al. 2019

J Human Nutrition Diet

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“…The nutrition screening and assessment steps of the Nutrition Care Pathway result in identification of nutrition problems that require treatment by nutrition clinicians. The Academy's Nutrition Care Process utilizes nutrition diagnosis to standardize nutrition diagnostic terminology . A nutrition diagnosis as defined by the Academy describes a specific nutrition problem that can be improved or resolved through nutrition interventions.…”

Section: Nutrition Diagnosismentioning

confidence: 99%

“…The first Nutrition Care Process flowchart was published in 1994 to propose nutrition care indicators to the Joint Commission on Accreditation of Healthcare Organizations (now referred to as The Joint Commission) for patient care with paper‐based workflows . More recently, the Academy of Nutrition and Dietetics (the Academy) published the Nutrition Care Process, which is a systematic framework and language to guide nutrition and dietetics practitioners in documenting delivery of nutrition care. The American Society for Parenteral and Enteral Nutrition (ASPEN) developed Nutrition Care Pathways to provide the interprofessional nutrition clinician a framework to guide nutrition care for pediatric (Figure ) and adult patients (Figure ).…”

mentioning

confidence: 99%

Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care

Kight

Bouche

Curry³

et al. 2019

Nut in Clin Prac

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Provision of nutrition care is vital to the health and well-being of any patient who enters the health care system, whether in the ambulatory, inpatient, or long-term care setting. Interdisciplinary professionals-nurses, physicians, advanced practice providers, pharmacists, and dietitians-identify and treat nutrition problems or clinical conditions in each of these health care settings. The documentation of nutrition care in a structured format from screening and assessment to discharge allows communication of the nutrition treatment plans. The goal of this document is to provide recommendations to clinicians for working with an organization's Information Systems department to create tools for documentation of nutrition care in the electronic health record. These recommendations can also serve as guidance for health care organizations choosing and implementing health care software. (Nutr Clin Pract. 2020;35:12-23)

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“…The SOP in Nutrition Care is composed of four standards that apply the Nutrition Care Process and Terminology in the care of patients/clients/populations (see Figure 1). 3 The SOPP for RDNs consist of standards representing six domains of professional performance (see Figure 1).…”

Section: What Are the Sop And Sopp For Rdns?mentioning

confidence: 99%

Academy of Nutrition and Dietetics: Revised 2017 Standards of Practice in Nutrition Care and Standards of Professional Performance for Registered Dietitian Nutritionists

Andersen¹,

Baird²,

Bates³

et al. 2018

Journal of the Academy of Nutrition and Dietetics

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Registered dietitian nutritionists (RDNs) face complex situations every day. Competently addressing the unique needs of each situation and applying standards appropriately are essential to providing safe, timely, patient-/client-/customer-centered, quality nutrition and dietetics care and services. The Academy of Nutrition and Dietetics (Academy) leads the profession by developing standards that can be used by RDNs (who are credentialed by the Commission on Dietetic Registration) for self-evaluation to assess quality of practice and performance. The Standards of Practice reflect the Nutrition Care Process and workflow elements as a method to manage nutrition care activities with patients/clients/populations that include nutrition screening, nutrition assessment, nutrition diagnosis, nutrition intervention/plan of care, nutrition monitoring and evaluation, and discharge planning and transitions of care. The Standards of Professional Performance consist of six domains of professional performance: Quality in Practice, Competence and Accountability, Provision of Services, Application of Research, Communication and Application of Knowledge, and Utilization and Management of Resources. Within each standard, specific indicators provide measurable action statements that illustrate how the standard can be applied to practice. The Academy's Revised 2017 Standards of Practice and Standards of Professional Performance for RDNs, along with the Academy's Code of Ethics and the Revised 2017 Scope of Practice for the RDN, provide minimum standards and tools for demonstrating competence and safe practice and are used collectively to gauge and guide an RDN's performance in nutrition and dietetics practice.

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Nutrition Care Process and Model Update: Toward Realizing People-Centered Care and Outcomes Management

Cited by 248 publications

References 21 publications

Development and psychometric testing of an inventory to measure patient‐centred care in dietetic practice – dietitian version

Development and psychometric testing of an inventory to measure patient‐centred care in dietetic practice – dietitian version

Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care

Academy of Nutrition and Dietetics: Revised 2017 Standards of Practice in Nutrition Care and Standards of Professional Performance for Registered Dietitian Nutritionists

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