Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries
Peer reviewed, Journal article
Accepted version
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Date
2020Metadata
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Original version
Lövestam, E., Vivanti, A., Steiber, A., Boström, A.-M., Devine, A., Haughey, O., Kiss, C.M., Lang, N. R., Lieffers, J., Lloyd, L., O'Sullivan, T.A., Papoutsakis, C., Peersen, C., Thoresen, L., Orrevall, Y., NIS Consortium members (collaborators). (2020). Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries. Journal of Human Nutrition and Dietetics. 33, 252– 262. 10.1111/jhn.12700Abstract
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.
Description
This is the peer reviewed version of the following article: Lövestam, E., Vivanti, A., Steiber, A., Boström, A.-M., Devine, A., Haughey, O., Kiss, C.M., Lang, N. R., Lieffers, J., Lloyd, L., O'Sullivan, T.A., Papoutsakis, C., Peersen, C., Thoresen, L., Orrevall, Y., NIS Consortium members (collaborators). (2020). Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries. Journal of Human Nutrition and Dietetics. 33, 252– 262 which has been published in final form at https://doi.org/10.1111/jhn.12700. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.