Australian general practitioners' views regarding providing nutrition care: results of a national survey

Crowley, Jennifer; O’Connell, Stella; Kavka, A.; Ball, Lauren; Nowson, Caryl

doi:10.1016/j.puhe.2016.08.013

Cited by 23 publications

(53 citation statements)

References 26 publications

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“…Positive attitudes toward incorporating nutrition care in the management of patients living with diet-related chronic disease were found. This is consistent with other studies conducted around the world, which indicated that primary care physicians realise nutrition care as an important aspect of their clinical practice 14 19–21…”

Section: Discussionsupporting

confidence: 91%

“…Competence refers to the set of knowledge, skills, communication and attitudes that facilitate a clinician’s ability to perform safe and effective healthcare practices 11. There are long-standing concerns that primary care physicians are not competent in providing nutrition care to patients12–14; however, it is unknown whether this extends to KSA. Better understanding the nutrition competence of primary care physicians in KSA will enable future strategies to be developed to support this workforce in their role.…”

Section: Introductionmentioning

confidence: 99%

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Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

et al. 2020

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ObjectivesPrimary care physicians have an opportunity to support healthy dietary behaviours of patients by providing nutrition care. However, it is unclear whether primary care physicians in the Kingdom of Saudi Arabia (KSA) are sufficiently competent in nutrition. This study aimed to assess the nutrition competence of primary care physicians in KSA and identify whether nutrition competence is associated with the provision of nutrition care to patients living with diet-related chronic disease.DesignA cross-sectional study.SettingChronic disease clinics across 48 primary care centres under the Ministry of Health in the city of Jeddah, KSA.Participants90 primary care physicians completed the survey (response rate: 98%). General practitioners and family medicine residents, specialists, and consultants actively working in chronic disease clinics between February and May 2019 were included.Primary and secondary outcome measuresPrimary outcome measure was nutrition competence of primary care physicians measured via the validated nutrition competence (NUTCOMP) questionnaire.ResultsPrimary care physicians perceived themselves as competent in nutrition care but their reported provision of nutrition care was limited. Confidence in their nutrition knowledge and skills elicited the lowest mean scores of 25.8 (±5.4) out of 35 and 29 (±5.2) out of 40, respectively. The reported provision of nutrition care was closely correlated with physicians’ confidence in their nutrition knowledge (r=0.57) and communication (r=0.52). Three factors were identified as predicting whether physicians provide nutrition care to patients: confidence in counselling about nutrition (p<0.001), having previous nutrition education (p=0.005) and a higher professional qualification (p=0.008).ConclusionsPrimary care physicians felt confident in providing nutrition care to patients living with diet-related chronic disease. Primary care physicians would benefit from higher levels of nutrition knowledge and skills to effectively support patients to improve their dietary behaviours and health conditions, leading to a positive impact on public health.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

et al. 2020

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“…When examining the barriers that Croatia’s GPs encounter during nutrition counselling, participants most frequently identified the lack of time (81.6%), patient non-compliance (8.4%), a lack of education in the subject matter field (8.1%), and finally, lack of compensation (1.9%). These results are similar to those reported elsewhere in the world, but certain proportion differences exist that are attributed to the previously mentioned patient, and possible barriers encountered during nutrition counselling [ 8 , 10 , 23 , 24 , 25 , 26 , 27 ]. These results differ from the results of an earlier study among Croatia’s GPs where the most significant barrier, which was four times as frequent from the determined proportions in this study, was patient non-compliance [ 19 ].…”

Section: Discussionsupporting

confidence: 90%

Nutrition Counselling Practices among General Practitioners in Croatia

Dumić

Miškulin

Ličanin

et al. 2017

IJERPH

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Chronic non-communicable diseases are a significant public health problem and imbalanced nutrition is one of the most significant risk factor for them. The objective of this study was to examine Croatia’s general practitioners’ nutrition counselling practice and determine the factors that influence such practice. A cross-sectional study was conducted among 444 (17.0%) randomly selected general practitioners (GPs) in Croatia from May to July 2013 via a 32-item anonymous questionnaire. Study showed that 77.0% of participants had provided nutrition counselling exclusively to patients with specific health risks; 18.7% participants had provided nutrition counselling for all patients, regardless of their individual risks, while 4.3% had not provide nutrition counselling. As the most significant stimulating factor for implementing nutrition counselling in their daily work with patients, 55.6% of the participants identified personal interest regarding nutrition and the effects it has on health. The latter factor was more frequently emphasized among female general practitioners (p < 0.001) and general practitioners without chronic diseases (p < 0.001). The most significant barrier for nutrition counselling was lack of time (81.6%). It is necessary to make additional efforts to increase the frequency of nutrition counselling provided by general practitioners in Croatia. The majority of Croatian general practitioners could increase their nutrition counselling practice in order to promote balanced nutrition and improve the overall health status of their patients.

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“…As only around 7% of patients reported consulting a dietitian after discharge, yet 72% consulted a doctor, general practitioners/family medicine are a potential avenue for referral to a community-based dietitian for those who continue to lose weight and are struggling with their nutrition. Nutrition education for physicians is lacking [ 45 ], and time is another significant barrier to providing nutrition advice [ 46 ]. Educating physicians on nutrition screening and appropriate referrals to a dietitian or nutrition service in the community is needed.…”

Section: Discussionmentioning

confidence: 99%

Nutrition Care after Discharge from Hospital: An Exploratory Analysis from the More-2-Eat Study

et al. 2018

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Many patients leave hospital in poor nutritional states, yet little is known about the post-discharge nutrition care in which patients are engaged. This study describes the nutrition-care activities 30-days post-discharge reported by patients and what covariates are associated with these activities. Quasi-randomly selected patients recruited from 5 medical units across Canada (n = 513) consented to 30-days post-discharge data collection with 48.5% (n = 249) completing the telephone interview. Use of nutrition care post-discharge was reported and bivariate analysis completed with relevant covariates for the two most frequently reported activities, following recommendations post-discharge or use of oral nutritional supplements (ONS). A total of 42% (n = 110) received nutrition recommendations at hospital discharge, with 65% (n = 71/110) of these participants following those recommendations; 26.5% (n = 66) were taking ONS after hospitalization. Participants who followed recommendations were more likely to report following a special diet (p = 0.002), different from before their hospitalization (p = 0.008), compared to those who received recommendations, but reported not following them. Patients taking ONS were more likely to be at nutrition risk (p < 0.0001), malnourished (p = 0.0006), taking ONS in hospital (p = 0.01), had a lower HGS (p = 0.0013; males only), and less likely to believe they were eating enough to meet their body’s needs (p = 0.005). This analysis provides new insights on nutrition-care post-discharge.

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Australian general practitioners' views regarding providing nutrition care: results of a national survey

Cited by 23 publications

References 26 publications

Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study

Nutrition Counselling Practices among General Practitioners in Croatia

Nutrition Care after Discharge from Hospital: An Exploratory Analysis from the More-2-Eat Study

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