scholarly journals Implementing a Clinical Practice Change: Adopting the Nutrition Care Process

Author(s):  
Andrea Carpenter ◽  
Jordan Mann ◽  
Dianna Yanchis ◽  
Alison Campbell ◽  
Laura Vresk
2019 ◽  
Vol 80 (3) ◽  
pp. 127-130
Author(s):  
Andrea Carpenter ◽  
Jordan Mann ◽  
Dianna Yanchis ◽  
Alison Campbell ◽  
Louise Bannister ◽  
...  

The Nutrition Care Process (NCP), created by the Academy of Nutrition and Dietetics, provides a framework that encourages critical thinking and promotes uniform documentation by Registered Dietitians (RD). Additionally, it creates a link between the nutrition assessment, nutrition intervention, and the predicted or actual nutrition outcome. NCP has been integrated into a number of institutions in Canada and internationally. A committee of nonmanagement RDs at the Hospital for Sick Children led the Department of Clinical Dietetics in adopting the NCP. The committee developed and consecutively delivered a tailored education plan to 5 groups of RDs within the department. Additional resources were developed to complement the learning plan. The committee administered informal pre- and post-education surveys to measure outcomes. RDs reported receiving adequate training and felt confident implementing NCP into their practice. Adopting the NCP was well-received and RDs within the department continue to integrate it into their current practice.


2014 ◽  
Vol 75 (1) ◽  
pp. e335-e341 ◽  
Author(s):  
Sophie Desroches ◽  
Annie Lapointe ◽  
Isabelle Galibois ◽  
Sarah-Maude Deschênes ◽  
Marie-Pierre Gagnon

Purpose The theory of planned behaviour was used to explore the factors (i.e., attitude, subjective norm, and perceived behavioural control) affecting the intention of dietetic internship educators, new dietetic graduates, and dietetic interns to use the nutrition care process (NCP) in their clinical practice. Methods Participants (n=55) were recruited from the Bachelor of Science in Nutrition program at Université Laval. They completed an online quantitative questionnaire assessing their intention to use the NCP in their clinical practice, as well as associated psychosocial factors. Open-ended questions were also used to gain a further understanding of the salient beliefs underlying participants’ intention to use the NCP. Results Intention to use the NCP in practice and associated psychosocial factors were similar and favourable within the three participant groups. Subjective norm and perceived behavioural control were the psychosocial factors that significantly predicted an intention to use the NCP. The most cited perceived barrier to use of the NCP was a lack of knowledge, while the most cited facilitator was training opportunities. Conclusions Our results indicate that successful implementation of the NCP will likely require the development of theoretical and practical training activities for both pre-licensure students and experienced dietitians.


2019 ◽  
Vol 4 (2) ◽  
pp. 6-17
Author(s):  
Jennifer Brady

This paper invites readers to consider how the ideals, concepts, and language of nutrition justice may be incorporated into the everyday practice of clinical dietitians whose work is often carried out within large, conservative, primary care institutions. How might clinical dietitians address the nutritional injustices that bring people to their practice, when practitioners are constrained by the limits of current diagnostic language, as well as the exigencies of their workplaces. In the first part of this paper, I draw on Cadieux and Slocum’s work on food justice to develop a conceptual framework for nutrition justice. I assert that a justice-oriented understanding of nutrition redresses inequities built in to the biomedicalization of nutrition and health, and seeks to trouble by whom and how these are defined. In the second part of this paper, I draw on the conceptual framework of nutrition justice to develop a politicized language framework that articulates nutrition problems as the outcome of nutritional injustices rather than individuals’ deficits of knowledge, willingness to change, or available resources. This language framework serves as a counterpoint to the current and widely accepted clinical language tool, the Nutrition Care Process Terminology, that exemplifies biomedicalized understandings of nutrition and health. Together, I propose that the conceptual and language frameworks I develop in this paper work together to foster what Croom and Kortegast (2018) call “critical professional praxis” within dietetics.


2015 ◽  
Vol 72 (3) ◽  
pp. 222-231 ◽  
Author(s):  
Angela Vivanti ◽  
Maree Ferguson ◽  
Jane Porter ◽  
Therese O'Sullivan ◽  
Julie Hulcombe

2021 ◽  
Vol 121 (9) ◽  
pp. A61
Author(s):  
S. Saeki ◽  
E. Rabito ◽  
M. Madalozzo Schieferdecker ◽  
M. Nascimento ◽  
A. Vavruk ◽  
...  

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