000			03143nam a2200241Ia 4500
008			230420s2017 xx 000 0 und d
040			_cManila Tytana Colleges
100			_aLövestam, Elin. _93242
245		0	_aNutrition care process implementation : _bexperiences in various dietetics environments in Sweden / _cElin Lövestam, Anne-Marie Boström, Ylva Orrevall
260			_cNovember 2017
336			_atext
337			_aunmediated
338			_avolume
440			_n117 : 11, pages 1738-1748 _aJournal of the Academy of Nutrition and Dietetics _93243
520			_aBackground: The Nutrition Care Process (NCP) and Nutrition Care Process Terminology (NCPT) are currently being implemented by nutrition and dietetics practitioners all over the world. Several advantages have been related to this implementation, such as consistency and clarity of dietetics-related health care records and the possibility to collect and research patient outcomes. However, little is known about dietitians’ experiences of the implementation process. Objective: The aim of this qualitative study was to explore Swedish dietitians’ experiences of the NCP implementation process in different dietetics environments. Method: Thirty-seven Swedish dietitians from 13 different dietetics workplaces participated in seven focus group discussions that were audiotaped and carefully transcribed. A thematic secondary analysis was performed, after which all the discussions were re-read, following the implementation narrative from each workplace. In the analysis, The Promoting Action on Research Implementation in Health Services implementation model was used as a framework. Results: Main categories identified in the thematic analysis were leadership and implementation strategy, the group and colleagues, the electronic health record, and evaluation. Three typical cases are described to illustrate the diversity of these aspects in dietetics settings: Case A represents a small hospital with an inclusive leadership style and discussion-friendly culture where dietitians had embraced the NCP/NCPT implementation. Case B represents a larger hospital with a more hierarchical structure where dietitians were more ambivalent toward NCP/NCPT implementation. Case C represents the only dietitian working at a small multiprofessional primary care center who received no dietetics-related support from management or colleagues. She had not started NCP/NCPT implementation. Conclusions: The diversity of dietetics settings and their different prerequisites should be considered in the development of NCP/NCPT implementation strategies. Tailored implementation strategies should be considered in relation to context, such as increased dietetics support and facilitation where management does not lead or support the implementation process.
521			_aNutrition.
650			_aImplementation. _93244
650			_aIntegrated promotng action on research implementation in health services framework (i-PARIHS). _93245
650			_aNutrition care process. _93246
650			_aNutrition informatics. _93247
650			_aTerminology. _93248
942			_cA
999			_c84224 _d84224