Use of the Nutrition Care Process and Nutrition Care Process Terminology in an International Cohort Reported by an Online Survey Tool

Lövestam, Elin; Steiber, Alison; Vivanti, Angela; Boström, Anne‐Marie; Devine, Amanda; Haughey, Orla; Kiss, Caroline; Lang, Nanna Ruengkratok; Lieffers, Jessica; Lloyd, Lyn; O’Sullivan, Therese A.; Papoutsakis, Constantina; Peersen, Charlotte; Thoresen, Lene; Orrevall, Ylva; Corish, Clare; Eisenbraun, Corinne; Hanning, Rhona M.; Kristiansen, Ida; Lorentzen, Sissi Stove; MacLean, Arwen K.

doi:10.1016/j.jand.2018.09.002

Cited by 23 publications

(65 citation statements)

References 31 publications

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“…For example, the NCP was introduced in the USA in 2003, in Australia 2009 and, in Greece, it had not been officially introduced (at the time of this publication) (see Supporting information, Table S1). Earlier analyses of the INIS survey results have shown implementation differences between countries, with Australia, New Zealand and USA showing higher implementation levels, and Greece, Ireland and Norway showing lower implementation levels, compared to the other countries .…”

Section: Methodsmentioning

confidence: 95%

“…A reason for the higher occurrence in Greece might be that the NCP implementation process has not yet officially commenced, and managers therefore might not be aware or prioritise the NCP. In Sweden, however, the implementation process started quite early, and knowledge about the NCP is widespread; thus, this result remains to be explained (30) . Earlier research regarding NCP, as well as other innovations, has identified support from workplace and management as being important requirements for successful implementation (18,19,23,27,(36)(37)(38)(39)(40) .…”

Section: Discussionmentioning

confidence: 99%

“…The implementation of NCP has been encouraged and supported by several national and international dietetic associations. However, a recent international survey showed that implementation varies substantially between countries (15) . The reasons for differences in NCP implementation remain to be explained.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries

Lövestam

Vivanti

Steiber

et al. 2020

J Human Nutrition Diet

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Background To explore the barriers and enablers experienced by nutrition and dietetic professionals in the implementation of the standardised Nutrition Care Process (NCP) across 10 different countries. NCP related beliefs, motivations and values were investigated and compared. Methods A validated online survey was disseminated to nutrition and dietetics professionals in 10 countries in the local language during 2017. Cross‐sectional associations and differences between countries were explored for level of implementation, barriers/enablers and attitudes/motivation among the respondents. Results Higher NCP implementation was associated with greater occurrence of enabling aspects, as well as fewer occurrences of barriers. The most common enabler was ‘recommendation by the national dietetic association’ (69%) and the most common barrier was ‘lack of time’ (39%). A longer experience of NCP use was associated with a more positive attitude towards all NCP aspects. Differences between countries were identified, regarding both the occurrence of barriers/enablers and attitudes/motivations. Conclusions Implementation efforts need to be tailored to country‐specific contexts when implementing a new standard of care framework among nutrition and dietetic professionals. Additional research is needed to further assess the management and workplace strategies to support the development of nutrition and dietetics professionals in multidisciplinary healthcare organisations.

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Section: Methodsmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries

Lövestam

Vivanti

Steiber

et al. 2020

J Human Nutrition Diet

Self Cite

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“…Su implementación implica un cambio significativo en la práctica profesional, desafía la forma de pensar, comporta aprender nuevos contenidos (TE) y fomenta el razonamiento crítico y el desarrollo de habilidades profesionales (valoración nutricional, diagnóstico, intervención y seguimiento nutricional). Su aplicación es esencial para garantizar la calidad de la atención sanitaria 49,50 . Permite documentar secuencialmente la información, aunque no reemplaza la toma de decisiones del profesional.…”

Section: Implementación Y Evaluación Del Proceso De Atención Nutriciounclassified

Proceso de Atención Nutricional: Elementos para su implementación y uso por los profesionales de la Nutrición y la Dietética

Carbajal

Sierra

López-Lora

et al. 2020

Rev Esp Nutr Hum Diet

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Introducción: El Proceso de Atención Nutricional (PAN) y la Terminología Estandarizada (TE) proporcionan un protocolo de actuación que permite fomentar el pensamiento crítico, estructurar y documentar el cuidado dietético-nutricional basado en la evidencia científica, medir los resultados y evaluar la calidad de la atención nutricional. Objetivo: Dar a conocer a los profesionales de la Nutrición y la Dietética el PAN y la TE, sus elementos básicos y su aplicación en la atención nutricional, evaluando su implementación internacional.Material y métodos: Revisión de los trabajos publicados del PAN y la TE en inglés y castellano. Términos de búsqueda: Nutrition Care Process, Dietetic Care Process, Standardized Terminology, Proceso/Plan de Atención/Cuidado Nutricional/Dietético y TE. La búsqueda no se limitó por año de publicación, excluyéndose los artículos publicados con baja evidencia científica o con cambios respecto al modelo original.Resultados: El PAN aporta un enfoque holístico y contribuye a mejorar la calidad asistencial, el intercambio de información y el seguimiento nutricional. La implementación del PAN mejora la productividad profesional y promueve y fortalece aún más las funciones del profesional de la Nutrición y la Dietética en la práctica sanitaria-comunitaria.Conclusiones: El PAN y la TE son reconocidos internacionalmente como herramientas necesarias para promover la atención y cuidado nutricional en clínica, salud pública e investigación nutricional, subrayando la necesidad de incluirlo en el currículo académico y en la práctica profesional de la Nutrición y la Dietética.

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“…Nutrition support clinicians are engaged in 6 clinical judgments or critical thinking processes as part of the nutrition care process (NCP) . The NCP standardizes and guides the nutrition practice that registered dietitian nutritionists (RDNs) use to achieve desired patient outcomes, which includes the nutrition assessment and reassessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring and evaluation . Collecting evidence and determining the diagnosis and the etiology designate the problem identification components of the scientific method for RDNs’ practice.…”

Section: Nutrition Support Clinician Communication Role Dealing With mentioning

confidence: 99%

Role of the Nutrition Support Clinician on a Hospital Bioethics Committee

2019

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Hospital bioethics committees comprise a diverse group of healthcare professionals to deal with ethical issues within the institution that arise during patient care. The nutrition support clinicians (NSCs) have an important role on a bioethics committee because of their knowledge and expertise of different nutrition routes and the benefits vs burdens and risks of these modalities, both enteral and parenteral nutrition. Ethics expertise is built on an understanding of ethical principles, when applied in clinical ethics, using critical thinking to prevent ethical dilemmas and to assist in healthcare decision making with a focus on patient-centered care. The NSCs have the opportunity to address ethics during direct patient care with their participation in the intensive care unit interprofessional rounds, family meetings, and surrogate meetings. Evident in ethical dilemmas is often the lack of advance care planning by patients and their family members concerning healthcare wishes for when the individual is unable to communicate their preferences for lifesustaining therapies, including nutrition support. NSCs, as hospital bioethics committee members, are able to support the initiative of National Healthcare Decisions Day to help educate other healthcare clinicians and the public about the importance of advance care planning with communication of healthcare wishes and completion of an advance directive. Components addressed in the article are incorporated into a comprehensive ethics case study, highlighting the role of NSCs. (Nutr Clin Pract. 2019;34:869-880) From the

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Use of the Nutrition Care Process and Nutrition Care Process Terminology in an International Cohort Reported by an Online Survey Tool

Cited by 23 publications

References 31 publications

Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries

Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries

Proceso de Atención Nutricional: Elementos para su implementación y uso por los profesionales de la Nutrición y la Dietética

Role of the Nutrition Support Clinician on a Hospital Bioethics Committee

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