Nutrition Care Process Implementation: Experiences in Various Dietetics Environments in Sweden

Lövestam, Elin; Boström, Anne‐Marie; Orrevall, Ylva

doi:10.1016/j.jand.2017.02.001

Cited by 28 publications

(41 citation statements)

References 26 publications

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“…11 Results from a qualitative study found that Swedish dietitians expressed ambivalence toward the terminology in that some terms, especially in the environmental-behavioral domain of the Nutrition Diagnosis terminology, were harsh or offensive toward patients. 14 These surveys support that implementation strategies should include education and training, incorporation of terminology into documentation tools for health records, and culturally sensitive translation. Change-management skills and leadership support are also needed for successful implementation.…”

Section: Domain Highlight On New Termsmentioning

confidence: 84%

“…[10][11][12] Also, the application and related experiences with NCPT have been reported in various practice and education settings. [13][14][15][16][17][18][19] To better communicate nutrition care in practice and research, processes for modifying the NCPT have been implemented by the NCPROC that ensure a responsive environment for NCPT enhancement. As a result, the number of NCPT terms has expanded to support the range of skills and roles of nutrition and dietetics practitioners.…”

Section: A Decade Of Use and Developmentmentioning

confidence: 99%

See 1 more Smart Citation

Nutrition Care Process (NCP) Update Part 2: Developing and Using the NCP Terminology to Demonstrate Efficacy of Nutrition Care and Related Outcomes

Swan¹,

Pertel²,

Hotson³

et al. 2019

Journal of the Academy of Nutrition and Dietetics

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Section: Domain Highlight On New Termsmentioning

confidence: 84%

Section: A Decade Of Use and Developmentmentioning

confidence: 99%

Nutrition Care Process (NCP) Update Part 2: Developing and Using the NCP Terminology to Demonstrate Efficacy of Nutrition Care and Related Outcomes

Swan¹,

Pertel²,

Hotson³

et al. 2019

Journal of the Academy of Nutrition and Dietetics

Self Cite

View full text Add to dashboard Cite

“…In Sweden, however, the implementation process started quite early, and knowledge about the NCP is widespread; thus, this result remains to be explained (30) . Earlier research regarding NCP, as well as other innovations, has identified support from workplace and management as being important requirements for successful implementation (18,19,23,27,(36)(37)(38)(39)(40) . Swedish and US studies have described professional isolation, with lack of support and understanding from management and workplace, especially in those who worked as the only dietitian in a multiprofessional environment and in rural areas (19,41) .…”

Section: Discussionmentioning

confidence: 99%

Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries

Lövestam

Vivanti

Steiber

et al. 2020

J Human Nutrition Diet

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Background To explore the barriers and enablers experienced by nutrition and dietetic professionals in the implementation of the standardised Nutrition Care Process (NCP) across 10 different countries. NCP related beliefs, motivations and values were investigated and compared. Methods A validated online survey was disseminated to nutrition and dietetics professionals in 10 countries in the local language during 2017. Cross‐sectional associations and differences between countries were explored for level of implementation, barriers/enablers and attitudes/motivation among the respondents. Results Higher NCP implementation was associated with greater occurrence of enabling aspects, as well as fewer occurrences of barriers. The most common enabler was ‘recommendation by the national dietetic association’ (69%) and the most common barrier was ‘lack of time’ (39%). A longer experience of NCP use was associated with a more positive attitude towards all NCP aspects. Differences between countries were identified, regarding both the occurrence of barriers/enablers and attitudes/motivations. Conclusions Implementation efforts need to be tailored to country‐specific contexts when implementing a new standard of care framework among nutrition and dietetic professionals. Additional research is needed to further assess the management and workplace strategies to support the development of nutrition and dietetics professionals in multidisciplinary healthcare organisations.

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“…Yet, knowledge of the factors that contribute to experience and of what an optimal experience outcome is in the context of clinical care, is required to both measure and apply the information to enhance clinician experience (6). Features of the work environment appear to be indicators of a positive or negative clinician experience, with factors such as leadership, work scheduling, professional relationships, management support and safety culture identified across multiple articles (33,36,42). Assessment of the work environment in the context of understanding experience is therefore important.…”

Section: Discussionmentioning

confidence: 99%

“…The development of trust among team members of different disciplines was regarded as essential for effective clinician experience (32). The leadership style of clinicians was a positive indicator of experiences, especially when promoting interdisciplinary practice (32,33). Senior management support for how clinicians conducted their work (34), the availability of ongoing education and training tailored to the needs of various professional groups (35), and the presence of an organisational culture that addressed patient care needs facilitated positive clinician experiences (36).…”

Section: Question 1: How Has Clinician Experience Of Delivering Healtmentioning

confidence: 99%

Clinicians’ Experience of Providing Care: A Rapid Review

Iqbal¹,

Manias

Mimmo

et al. 2020

Preprint

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Background Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation. Methods: A rapid review of published and grey literature review was conducted utilising a rapid evidence assessment methodology. 79 studies retrieved from the literature were included in the review. 14 articles were identified from the grey literature search and one article obtained via hand searching. In total, 94 articles were included in the review. This study was commissioned by and co-designed with the New South Wales, Ministry of Health. Results: Clinician experience of delivering health care is inconsistently defined in the literature, with identified articles lacking clarity regarding distinctions between experience, engagement and work-related outcomes such as job satisfaction. Clinician experience was commonly explored using qualitative research that focused on experiences of discrete health care activities or events in which a change was occurring. Such research enabled exploration of complex experiences. In these contexts, clinician experience was captured in terms of self-reported information that clinicians provided about the health care activity or event, their perceptions of its value, the lived impacts they experienced, and the specific behaviours they displayed in relation to the activity or event. Moreover, clinician’s experience has been identified to have a paucity of measurement tools. Conclusion: Literature to date has not examined clinician experience in a holistic sense. In order to achieve the goals identified in relation to value-based care, further work is needed to conceptualise clinician experience and understand the nature of measurement tools required to assess this. In health system application, a broader ‘clinician pulse’ style assessment may be valuable to understand the experience of clinical work on a continuum rather than in the context of episodes of change/care.

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Nutrition Care Process Implementation: Experiences in Various Dietetics Environments in Sweden

Cited by 28 publications

References 26 publications

Nutrition Care Process (NCP) Update Part 2: Developing and Using the NCP Terminology to Demonstrate Efficacy of Nutrition Care and Related Outcomes

Nutrition Care Process (NCP) Update Part 2: Developing and Using the NCP Terminology to Demonstrate Efficacy of Nutrition Care and Related Outcomes

Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries

Clinicians’ Experience of Providing Care: A Rapid Review

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