The contested space: The impact of competency‐based education and accreditation on dietetic practice in Australia

Ash, Susan; Palermo, Claire; Gallegos, Danielle

doi:10.1111/1747-0080.12430

Cited by 28 publications

(30 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…as core themes of nutrition and dietetic practice (Ash, Palermo, & Gallegos, 2019). The organization of concepts into logical groupings that make sense to the discipline can facilitate curriculum design and development (Giddens et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Using document analysis to identify core concepts for dietetics: The first step in promoting conceptual learning

Tweedie

Palermo

Wright

et al. 2020

Nursing & Health Sciences

Self Cite

View full text Add to dashboard Cite

Concept‐based approaches to curriculum design have been proposed in nursing and health sciences education to address the issue of content overload in curricula but have not been described in dietetics. This study aimed to identify core concepts for the dietetics discipline in Australia and investigate the commonality and differences in these concepts across different dietetic organizations across the world. This study used document analysis of a purposive sample of international dietetics competency or proficiency standards identified from English‐speaking dietetic organizations worldwide. Content analysis was applied to the performance criteria or equivalent from 10 documents (nine organizations) to identify the most common elements. A total of 1,007 statements were analyzed. Fifty‐six concepts were developed. The four most frequent concepts coded across all statements were “critical thinking,” “communication,” “nutrition and dietetic service,” and “quality assurance and improvement.” There were 55 concepts common to all standards. The concept of “food security” was not present in one of the standards from the United States. The concepts that emerged from this study were common across different English‐speaking dietetic organizations across the world. Small differences on the emphasis of concepts, between different competency standards may reflect the health needs; health, political, economic, and social systems; and the cultural context of a country. Identifying core concepts in dietetics is the first step to help to inform curriculum design, which may address overcrowded curricular and promote conceptual learning.

show abstract

Section: Discussionmentioning

confidence: 99%

Using document analysis to identify core concepts for dietetics: The first step in promoting conceptual learning

Tweedie

Palermo

Wright

et al. 2020

Nursing & Health Sciences

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, diminishing healthcare resources, combined with rising student numbers and placement shortages , are likely impacting the abilities of practice educators to effectively prepare the practitioners of tomorrow. Further, dietetics practice educators are likely to be challenged by increasingly diverse and evolving practice landscapes, as recently described in Australia , the UK and the USA . Despite a lack of robust data on both the emerging and existing dietetics workforce in Australia , it has been suggested that new and emerging practice areas include private practice, the food industry and aged care , with private practice being reported as one of the dominant areas where Australian dietitians currently work (P. King, Dietitians Association of Australia, personal communication, 17 September 2018).…”

Section: Introductionmentioning

confidence: 99%

Preparing our future workforce: a qualitative exploration of dietetics practice educators’ experiences

Morgan

Campbell

Sargeant

et al. 2019

J Human Nutrition Diet

View full text Add to dashboard Cite

Background: Dietetics practice educators are instrumental in the development of future dietitians. The present study aimed to explore dietetics practice educators' experiences of, and challenges faced in, dietetics workforce preparation. Methods: This study was guided by interpretive description methodology. Purposive and maximum variation sampling were used to recruit 18 dietetics practice educators from a variety of practice areas and locations across Australia. In-depth, semi-structured interviews were digitally recorded then transcribed verbatim and inductive coding of data was managed with NVIVO (QSR International Pty Ltd, Doncaster, VIC, Australia). Multiple researchers analysed the data to develop preliminary themes using template analysis before final themes were identified. Results: Three main themes were developed: nurturing others; seeing the flaws; and soldiering on. Practice educators take great satisfaction in witnessing students develop and are focused on cultivating future practitioners with authentic learning activities. However, they are impacted by perceived shortcomings of the systems in which they operate and consider that broadening the scope of dietetics placements to better align with contemporary practice could benefit graduates and the profession. Despite these challenges, practice educators are pragmatic in getting on with their roles and recognise the advantages gained from student placements. Conclusions: Despite facing numerous challenges, practice educators derive benefits from their role in workforce preparation. Evidence is required on how students can demonstrate competence in contemporary areas of practice and on how to enable the scope of student placements to be broadened. Such strategies could support practice educators to overcome challenges and help ensure the dietetics profession of tomorrow is relevant and responsive. 247

show abstract

“…In 2015, the Victorian Department of Health and Human Services (DHHS) awarded allied health advanced practice funding grants to six Victorian health‐care networks to develop hospital‐based advanced practice dietitian roles in g‐tube management with an aim of increasing such roles in the health workforce. In the context of this herein study undertaken in Victoria, Australia, advanced practice health workforce roles are defined as roles that fall within the recognised scope of practice for a profession, but traditionally through custom and practice have been performed by other professions …”

Section: Introductionmentioning

confidence: 99%

Introducing novel advanced practice roles into the health workforce: Dietitians leading in gastrostomy management

Simmance

Cortinovis

Green

et al. 2018

Nutrition & Dietetics

View full text Add to dashboard Cite

Aim: The number of advanced practice roles in the Australian health-care system is growing alongside contemporary health-care reforms. The present study aimed to evaluate the impact of introducing novel advanced practice dietitian roles in gastrostomy tube (g-tube) management and develop a competency framework for progressing opportunities in dietetics practice and policy. Methods: A questionnaire was distributed to service lead dietitians at six participating health-care networks at the completion of a dedicated advanced practice funding grant, and at 12-month follow up. Service changes (e.g. number of dietitians credentialed, service and adverse events, change in patient waiting times and staff satisfaction), enablers and barriers for the implementation of the novel roles (including pre-, during, and post-implementation), and clinical costing estimates to measure the financial impact on the health system were investigated. Participant feedback was also used to synthesise the development of an advanced scope of practice pathway to competency. Results: Responses were received from all participating health-care networks. Five out of six sites successfully implemented an advanced practice role in g-tube management, with conservative health system savings estimated at $185 000. Ten dietitians were credentialed, with a further seven trainees in progress. Over 200 service events were recorded, including those diverted from other health professionals. Enabling factors for successful introduction included strong executive and stakeholder support, resources provided by grant funding, and established credentialing governance committees. Barriers included recruitment and governance processes. Conclusions: Opportunities exist for further expansion of advanced and extended practice roles for dietitians to meet future health-care demands.

show abstract

The contested space: The impact of competency‐based education and accreditation on dietetic practice in Australia

Cited by 28 publications

References 10 publications

Using document analysis to identify core concepts for dietetics: The first step in promoting conceptual learning

Using document analysis to identify core concepts for dietetics: The first step in promoting conceptual learning

Preparing our future workforce: a qualitative exploration of dietetics practice educators’ experiences

Introducing novel advanced practice roles into the health workforce: Dietitians leading in gastrostomy management

Contact Info

Product

Resources

About