scholarly journals A capacity-building conceptual framework for public health nutrition practice

2009 ◽  
Vol 12 (8) ◽  
pp. 1031-1038 ◽  
Author(s):  
Elizabeth Baillie ◽  
Christel Bjarnholt ◽  
Marlies Gruber ◽  
Roger Hughes
Keyword(s):  
Public Health ◽  
Conceptual Framework ◽  
Capacity Building ◽  
Workforce Development ◽  
Development Project ◽  
Nutrition Intervention ◽  
Public Health Nutrition ◽  
Systematic Assessment ◽  
Effective Public Health ◽  
Nutrition Practice

AbstractObjectivesTo describe a conceptual framework to assist in the application of capacity-building principles to public health nutrition practice.DesignA review of the literature and consideration of the determinants of effective public health nutrition practice has been used to inform the development of a conceptual framework for capacity building in the context of public health nutrition practice.ResultThe limited literature supports a greater integration and application of capacity-building strategies and principles in public health nutrition practice, and that this application should be overt and strategic. A framework is proposed that identifies a number of determinants of capacity for effective public health nutrition action. The framework represents the key foundations for building capacity including leadership, resourcing and intelligence. Five key strategic domains supported by these foundation elements, including partnerships, organisational development, project management quality, workforce development and community development, are proposed. This framework can be used to assist the systematic assessment, development and evaluation of capacity-building activity within public health nutrition practice.ConclusionsCapacity building is a strategy within public health nutrition practice that needs to be central to public health nutrition intervention management. The present paper defines, contextualises and outlines a framework for integrating and making explicit the importance of capacity building within public health nutrition practice at many levels.

scholarly journals Practitioner consensus on the determinants of capacity building practice in high-income countries

2014 ◽  
Vol 18 (10) ◽  
pp. 1898-1905 ◽  
Author(s):  
Elizabeth Swanepoel ◽  
Ann Fox ◽  
Roger Hughes
Keyword(s):  
Public Health ◽  
Conceptual Framework ◽  
Capacity Building ◽  
Workforce Development ◽  
Content Validity ◽  
Delphi Study ◽  
High Income ◽  
Public Health Nutrition ◽  
The Usa ◽  
Nutrition Practice

AbstractObjectiveTo assess and develop consensus among experienced public health nutrition practitioners from high-income countries regarding conceptualisation of capacity building in practice, and to test the content validity of a previously published conceptual framework for capacity building in public health nutrition practice.DesignA Delphi study involving three iterations of email-delivered questionnaires testing a range of capacity determinants derived from the literature. Consensus was set at >50 % of panellists ranking items as ‘very important’ on a five-point Likert scale across three survey rounds.SettingPublic health nutrition practice in Australia, the UK, Canada and the USA.SubjectsPublic health nutrition practitioners and academics.ResultA total of thirty expert panellists (68 % of an initial panel of forty-four participants) completed all three rounds of Delphi questionnaires. Consensus identified determinants of capacity building in practice including partnerships, resourcing, community development, leadership, workforce development, intelligence and quality of project management.ConclusionsThe findings from the study suggest there is broad agreement among public health nutritionists from high-income countries about how they conceptualise capacity building in public health nutrition practice. This agreement suggests considerable content validity for a capacity building conceptual framework proposed by Baillieet al. (Public Health Nutr12, 1031–1038). More research is needed to apply the conceptual framework to the implementation and evaluation of strategies that enhance the practice of capacity building approaches by public health nutrition professionals.

scholarly journals The public health nutrition intervention management bi-cycle: a model for training and practice improvement

2011 ◽  
Vol 15 (11) ◽  
pp. 1981-1988 ◽  
Author(s):  
Roger Hughes ◽  
Barrie Margetts
Keyword(s):  
Public Health ◽  
Workforce Development ◽  
Nutrition Intervention ◽  
Public Health Nutrition ◽  
Competency Development ◽  
Practice Improvement ◽  
The Public ◽  
Critical Feedback ◽  
Learning Principles ◽  
Nutrition Practice

AbstractObjectiveThe present paper describes a model for public health nutrition practice designed to facilitate practice improvement and provide a step-wise approach to assist with workforce development.DesignThe bi-cycle model for public health nutrition practice has been developed based on existing cyclical models for intervention management but modified to integrate discrete capacity-building practices.SettingEducation and practice settings.SubjectsThis model will have applications for educators and practitioners.ResultsModifications to existing models have been informed by the authors’ observations and experiences as practitioners and educators, and reflect a conceptual framework with applications in workforce development and practice improvement. From a workforce development and educational perspective, the model is designed to reflect adult learning principles, exposing students to experiential, problem-solving and practical learning experiences that reflect the realities of work as a public health nutritionist. In doing so, it assists the development of competency beyond knowing to knowing how, showing how and doing. This progression of learning from knowledge to performance is critical to effective competency development for effective practice.ConclusionsPublic health nutrition practice is dynamic and varied, and models need to be adaptable and applicable to practice context to have utility. The paper serves to stimulate debate in the public health nutrition community, to encourage critical feedback about the validity, applicability and utility of this model in different practice contexts.

scholarly journals A conceptual framework for intelligence-based public health nutrition workforce development

2003 ◽  
Vol 6 (6) ◽  
pp. 599-605 ◽  
Author(s):  
Roger Hughes
Keyword(s):  
Public Health ◽  
Conceptual Framework ◽  
Development Strategy ◽  
Workforce Development ◽  
Development Planning ◽  
Development Research ◽  
Public Health Nutrition ◽  
Problem Resolution ◽  
Strategy Planning ◽  
Nutrition Problem

AbstractObjective:This paper describes a conceptual framework and associated intelligence requirements for problem-based workforce development for public health nutrition.Methods:A conceptual framework for public health nutrition workforce development was constructed based on a review of the literature and consideration of the intelligence needs to inform workforce development planning.Results:A cyclical conceptual framework including five intelligence-linked components including public health nutrition problems and priorities, solutions and best buys, work needed, capacity to do the work and workforce development needs. This framework applied to the Australian situation illustrates its applications in workforce development research and planning. Although the existing availability of workforce development intelligence in each of these components varies, the framework does provide a systematic approach for workforce development research and planning directly related to public health nutrition problem resolution.Conclusions:This framework highlights deficiencies in the existing public health nutrition workforce development intelligence and the need for further research to inform workforce development strategy planning.

scholarly journals Strengthening public health nutrition: findings from a situational assessment to inform system-wide capacity building in Ontario, Canada

2020 ◽  
Vol 23 (16) ◽  
pp. 3045-3055
Author(s):  
Rachel JL Prowse ◽  
Sarah A Richmond ◽  
Sarah Carsley ◽  
Heather Manson ◽  
Brent Moloughney
Keyword(s):  
Public Health ◽  
Capacity Building ◽  
Extreme Case ◽  
Data Generation ◽  
Public Health Nutrition ◽  
The Public ◽  
Challenges And Opportunities ◽  
Situational Assessment ◽  
Access To Data ◽  
Nutrition Practice

AbstractObjective:To assess public health nutrition practice within the public health system in Ontario, Canada to identify provincial-wide needs for scientific and technical support.Design:A qualitative descriptive study was conducted to identify activities, strengths, challenges and opportunities in public health nutrition practice using semi-structured key informant interviews (n 21) and focus groups (n 10). Recorded notes were analysed concurrently with data generation using content analysis. System needs were prioritised through a survey.Setting:Public health units.Participants:Eighty-nine practitioners, managers, directors, medical officers of health, researchers and other stakeholders were purposively recruited through snowball and extreme case sampling.Results:Five themes were generated: (i) current public health nutrition practice was broad, complex, in transition and collaborative; (ii) data/evidence/research relevant to public health needs were insufficiently available and accessible; (iii) the amount and specificity of guidance/leadership was perceived to be mismatched with strong evidence that diet is a risk factor for poor health; (iv) resources/capacity were varied but insufficient and (v) understanding of nutrition expertise in public health among colleagues, leadership and other organisations can be improved. Top ranked needs were increased understanding, visibility and prioritisation of healthy eating and food environments; improved access to data and evidence; improved collaboration and coordination; and increased alignment of activities and goals.Conclusions:Collective capacity in the public health nutrition can be improved through strategic system-wide capacity-building interventions. Research is needed to explore how improvements in data, evidence and local contexts can bridge research and practice to effectively and efficiently improve population diets and health.

scholarly journals Competencies for effective public health nutrition practice: a developing consensus

2004 ◽  
Vol 7 (5) ◽  
pp. 683-691 ◽  
Author(s):  
Roger Hughes
Keyword(s):  
Public Health ◽  
Delphi Study ◽  
The European Union ◽  
Public Health Nutrition ◽  
Communication Management ◽  
Modified Delphi ◽  
International Panel ◽  
The Usa ◽  
Effective Public Health ◽  
Nutrition Practice

AbstractObjectives:To assess the level of consensus amongst an international panel of public health nutrition leaders regarding the essential competencies required for effective public health nutrition practice.Design:A modified Delphi study involving three rounds of questionnaires.Subjects:A panel of 20 public health nutrition experts from seven countries in the European Union, the USA and Australia.Results:Expert panellists completed three rounds of the study relating to competencies. A literature review conducted as a prelude to the expert panel survey identified common competency units from the fields of public health, health promotion, nutrition and dietetics, and health education. These were categorised into seven competency areas including analytical, socio-cultural and political, public health service, communication, management and leadership, nutrition science and professional competency categories. There was strong initial agreement (≥90% of panellists at Round 1) that developing internationally recognised competencies for public health nutrition specialists was a priority. Twenty-six of an initial listing of 52 competency units were rated as essential competencies by ≥80% of the panellists after Round 1. Iteration rounds resulted in the addition of five extra competency units suggested by panellists after Round 1 and an increase by 13 in the number of competencies rated as essential to consensus levels. From a total of 57 competency units rated after the final survey round, 41 competency units were rated as essential competencies by ≥80% of the panellists (consensus), with 21 of these unanimously rated as essential competencies.Conclusions:There is strong international agreement amongst public health nutrition leaders in Europe, the USA and Australia about a range of competencies required for effective public health nutrition practice. Essential competency units identified can be used to develop and review competency standards for public health nutrition.

scholarly journals Public health nutrition practice in Canada: a situational assessment

2008 ◽  
Vol 11 (8) ◽  
pp. 773-781 ◽  
Author(s):  
Ann Fox ◽  
Cathy Chenhall ◽  
Marie Traynor ◽  
Cindy Scythes ◽  
Jane Bellman
Keyword(s):  
Public Health ◽  
Development Strategy ◽  
Workforce Development ◽  
Stakeholder Participation ◽  
Technological Factor ◽  
Public Health Nutrition ◽  
Leadership Structure ◽  
Situational Assessment ◽  
Political Economic ◽  
Nutrition Practice

AbstractObjectiveRenewed focus on public health has brought about considerable interest in workforce development among public health nutrition professionals in Canada. The present article describes a situational assessment of public health nutrition practice in Canada that will be used to guide future workforce development efforts.MethodsA situational assessment is a planning approach that considers strengths and opportunities as well as needs and challenges, and emphasizes stakeholder participation. This situational assessment consisted of four components: a systematic review of literature on public health nutrition workforce issues; key informant interviews; a PEEST (political, economic, environmental, social, technological) factor analysis; and a consensus meeting.FindingsInformation gathered from these sources identified key nutrition and health concerns of the population; the need to define public health nutrition practice, roles and functions; demand for increased training, education and leadership opportunities; inconsistent qualification requirements across the country; and the desire for a common vision among practitioners.ConclusionsFindings of the situational assessment were used to create a three-year public health nutrition workforce development strategy. Specific objectives of the strategy are to define public health nutrition practice in Canada, develop competencies, collaborate with other disciplines, and begin to establish a new professional group or leadership structure to promote and enhance public health nutrition practice. The process of conducting the situational assessment not only provided valuable information for planning purposes, but also served as an effective mechanism for engaging stakeholders and building consensus.

scholarly journals Capacity-building for a strong public health nutrition workforce in low-resource countries

2016 ◽  
Vol 95 (5) ◽  
pp. 385-388 ◽  
Author(s):  
Hélène Delisle ◽  
Roger Shrimpton ◽  
Sonia Blaney ◽  
Lisanne Du Plessis ◽  
Stephen Atwood ◽  
...  
Keyword(s):  
Public Health ◽  
Capacity Building ◽  
Public Health Nutrition ◽  
Low Resource
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