Continuing care (CC) facilities have been impacted by a growing demand for services, insufficient resources for the provision of quality food and nutrition care, and, most recently, the COVID-19 pandemic. This study explored the roles and responsibilities of dietitians working in CC facilities in Nova Scotia (NS) before and after the COVID-19 first wave. Using ethics-approved questionnaires, the estimated 75 dietitians working in CC facilities in NS were surveyed in Fall 2019 and Fall 2020 about their roles and responsibilities. Twenty responded to the first questionnaire and 15 to the second. Analysis of data included simple statistical and qualitative description methods. The findings highlighted the complexities and challenges faced by these dietitians in the provision of resident nutrition care, overseeing foodservices, training staff and dietetic interns, and contributing to facility specific care committees before and after the COVID-19 first wave. There is a need to advocate for minimum standards for dietetic and foodservice funding in CC facilities based on higher acuity and complex care needs of residents and considering the multifaceted roles of dietitians in CC. Efforts to improve awareness about the roles of dietitians working in CC among resident families, other dietitians, and dietetic interns are also needed.
Objective: The objective of this scoping review is to identify and map the currently available peer-reviewed and grey literature exploring Canadian registered dietitians’ (RDs’) perceptions and knowledge of, and experiences with, weight-related evidence in nutrition care. Introduction: Weight, skin fold calipers, body mass index (BMI), and other means of measuring and describing body size, have been associated with risk, progression, and nutrition intervention success with several disease states. Interpretation and application of weight-related evidence can be impacted by several non-medical factors, including practitioner perspective, evidence interpretation and application, lived experience, and bias. Each of these outcomes may differ between RDs and are not easily described or understood. Inclusion Criteria: Original peer-reviewed studies and grey literature published in English that explore Canadian RDs’ perceptions of, knowledge of, and experiences with weight-related evidence in nutrition care will be included. Methods: Following the JBI scoping review design and associated methodology, including the three-step search strategy process, four databases will be searched: CINAHL (EBSCO), MEDLINE (Ovid), Embase (Elsevier), and Scopus (Elsevier). Grey literature will be searched using Google Scholar, Google, and Microsoft Bing, and a search strategy specific to grey literature has been developed in partnership with the research team’s librarian (MR). Screening and extraction will be led by two independent reviewers (RW, AM), and conflicts will be resolved either by discussion or through a third reviewer (SG). Data will be presented using diagrams and/or tables, including a narrative summary. The Delphi method will be used for community consultation, that will occur throughout this study.
About the author: Rachel is a Registered Dietitian (RD) and a student in the Master of Science in Applied Human Nutrition (MScAHN) program at Mount Saint Vincent University. Her graduate thesis is a mixed-form questionnaire exploring Canadian RDs’ experiences, perceptions, and knowledge of weight-related evidence in practice, framed by the Nutrition Care Process. Outside of her studies, Rachel loves to cook, try new foods, spend time with her dog, and visit her family in New Brunswick.
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