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Evaluation of a N utrition C are P rocess implementation package in hospital dietetic departments
Author(s) -
Porter Jane M.,
Devine Amanda,
O'Sullivan Therese A.
Publication year - 2015
Publication title -
nutrition and dietetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.479
H-Index - 31
eISSN - 1747-0080
pISSN - 1446-6368
DOI - 10.1111/1747-0080.12176
Subject(s) - focus group , formative assessment , test (biology) , terminology , medicine , family medicine , medical education , psychology , pedagogy , paleontology , linguistics , philosophy , marketing , business , biology
Aim Incorporation of the Nutrition Care Process ( NCP ) and NCP Terminology ( NCP t) into clinical dietetics practice is advocated in Australia; however, no evidence‐based implementation process exists, which may hinder uptake. Based on formative research findings from the Attitudes Skill Knowledge ( ASK ) NCP survey and using a change management framework, we developed an implementation package for A ustralian hospital dietitians. This paper aims to report on the outcome of the pilot evaluation and efficacy of the package. Methods Dietitians from three hospitals (two tests and one control) in W estern Australia who had not undergone NCP implementation were recruited. Evaluation occurred through administering the ASK NCP survey pre and post implementation in all subjects and focus groups at test sites. The M ann– W hitney U ‐test was applied to determine whether the changes in the test group were significantly different to the control group. The W ilcoxon signed rank test was used to determine whether there were significant changes within groups. Focus groups were audio‐recorded, transcribed and then analysed for themes by the authors. Results Compared to pre‐implementation, the dietitians from the test hospitals had significantly higher NCP knowledge ( P = 0.006), were more familiar with NCP ( P = 0.01) and NCP t ( P = 0.025), and more confident to utilise NCP practice ( P = 0.011). Compared to pre‐implementation, the control group displayed significantly higher familiarity with NCP and NCP t ( P = 0.041); however, significant improvements in other constructs were not observed. No significant difference was observed between groups for all constructs. Conclusions Dietitians found the package useful and would recommend it to A ustralian hospital dietetic departments.