Examining the content of weight, nutrition and physical activity advices provided by Dutch practice nurses in primary care: analysis of videotaped consultations

Dillen, S.M.E. van; Noordman, Janneke; Dulmen, Sandra van; Hiddink, G.J.

doi:10.1038/ejcn.2013.219

Cited by 34 publications

(56 citation statements)

References 59 publications

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“…Integrated lifestyle advice was not common: advices about nutrition and physical activity were fragmented throughout the consultation. The conclusion is clear: obesity prevention needs more emphasis in educational programmes of PNs (158). We also assessed the quality of weight loss counseling by Dutch PNs to overweight and obese patients, including both PNs' compliance with the Five A's Model for behavioral counselling in primary care (33) and the use of different communication styles (159).…”

Section: Practice Nurses (Pns) In Primary Carementioning

confidence: 99%

“…Together with Noordman and Van Dulmen (NIVEL), Van Dillen and I carried out research on PNs. We examined the content of weight, nutrition, and physical activity advices provided by Dutch PNs through an analysis of video-taped consultations (158). Lose weight, eat less fat, and be more physically active in general were the main categories for each type of advice.…”

Section: Practice Nurses (Pns) In Primary Carementioning

confidence: 99%

See 1 more Smart Citation

Present and future of nutrition guidance : lifestyle advice in primary care

Hiddink¹,

Wass²

2016

Preprint

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Section: Practice Nurses (Pns) In Primary Carementioning

confidence: 99%

Section: Practice Nurses (Pns) In Primary Carementioning

confidence: 99%

Present and future of nutrition guidance : lifestyle advice in primary care

Hiddink¹,

Wass²

2016

Preprint

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“…A recent study showed that practice nurses seem to fail to adequately emphasize this advice (27) . However, studies among general practitioners showed that their actual nutrition guidance practices are not only determined by predisposing factors and driving forces, but also by perceived barriers (28)(29)(30)(31)(32)(33)(34)(35)(36)(37) .…”

mentioning

confidence: 99%

“…In our prior research project, we examined the content of practice nurses' advice to patients with overweight or obesity (27) . The aim of the present study was to identify points for improvement in the quality of weight-loss counselling by practice nurses to patients with overweight or obesity.…”

mentioning

confidence: 99%

Setting goal and implementation intentions in consultations between practice nurses and patients with overweight or obesity in general practice

Dillen¹,

Noordman²,

Dulmen³

et al. 2015

Public Health Nutr.

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Objective: Patients with overweight or obesity increasingly attend general practice, which is an ideal setting for weight-loss counselling. The present study is the first to investigate the quality of weight-loss counselling provided by practice nurses in general practice to patients with overweight or obesity, in order to identify points for improvement. Design: An observational checklist was developed to assess goal and implementation intentions and 'missed opportunities for lifestyle counselling'. Comparisons were made with overall consultation goals set by practice nurses, as measured in a post-visit questionnaire. Setting: Dutch general practice. Subjects: One hundred video-taped consultations (2010/2011) between practice nurses and patients with overweight or obesity. Results: Half of the consultations contained a goal intention, of which the majority aimed to change eating behaviour. Only part of these goal intentions could be considered implementation intentions. It appeared that actions (how elements) were not often included here. Lifestyle change was more often perceived as an overall consultation goal than weight change. Regarding patterns of overall consultation goals, the majority addressed only one lifestyle factor at a time. If practice nurses formulated weight change in their overall consultation goal, they also used goal or implementation intentions, especially for weight change. In a quarter of the consultations, practice nurses did not ask any further questions about weight, nutrition or physical activity to gain insight, which is an important 'missed opportunity for lifestyle counselling'. Conclusions: Matching implementation intentions to the broader overall consultation goals of practice nurses would be meaningful, leading to desired goal-directed behaviours and subsequent goal attainment.

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“…23,24 Audio-taping and videotaping of consultations 25,26 are being increasingly used to explore the management of diabetes [27][28][29][30][31] and antecedents such as overweight and obesity. 32 Further research has been called for, 23 including exploration of physicians and patients "talking past one another" 33 and interactions between nonphysician health care professionals and patients.…”

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confidence: 99%

A Longitudinal Study of Interactions Between Health Professionals and People With Newly Diagnosed Diabetes

et al. 2018

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PURPOSE We undertook a study to observe in detail the primary care interactions and communications of patients with newly diagnosed diabetes over time. In addition, we sought to identify key points in the process where miscommunication might occur.METHODS All health interactions of 32 patients with newly diagnosed type 2 diabetes were recorded and tracked as they moved through the New Zealand health care system for a period of approximately 6 months. Data included video recordings of patient interactions with the health professionals involved in their care (eg, general practitioners, nurses, dietitians). We analyzed data with ethnography and interaction analysis. RESULTSChallenges to effective communication in diabetes care were identified. Although clinicians showed high levels of technical knowledge and general communication skill, initial consultations were often driven by biomedical explanations out of context from patient experience. There was a perception of time pressure, but considerable time was spent with patients by health professionals repeating information that may not be relevant to patient need. Health professionals had little knowledge of what disciplines other than their own do and how their contributions to patient care may differ.CONCLUSIONS Despite current high skill levels of primary care professionals, opportunities exist to increase the effectiveness of communication and consultation in diabetes care. The various health professionals involved in patient care should agree on the length and focus of each consultation.

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Examining the content of weight, nutrition and physical activity advices provided by Dutch practice nurses in primary care: analysis of videotaped consultations

Cited by 34 publications

References 59 publications

Present and future of nutrition guidance : lifestyle advice in primary care

Present and future of nutrition guidance : lifestyle advice in primary care

Setting goal and implementation intentions in consultations between practice nurses and patients with overweight or obesity in general practice

A Longitudinal Study of Interactions Between Health Professionals and People With Newly Diagnosed Diabetes

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