Palermo Claire, Capra Sandra, Beck Eleanor J, Dart Janeane, Conway Jane, Ash Susan
Department of Nutrition and Dietetics, Monash University, Melbourne, Victoria, Australia.
School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Nutr Diet. 2017 Sep;74(4):327-333. doi: 10.1111/1747-0080.12338. Epub 2017 Jun 21.
This study aimed to explore the work roles, major tasks and core activities of advanced practice dietitians in Australia to define the Competency Standards for advanced practice.
A qualitative approach was used to review advanced dietetic practice in Australia involving experienced professionals, mostly dietitians. Four focus groups were conducted with a total of 17 participants and an average of 20 years experience: 15 dietitian practitioners plus 2 employers (1 dietitian and 1 non-dietitian). The focus groups explored the key purpose, roles and outcomes of these practitioners. Data from the focus groups were confirmed with in-depth interviews about their core activities with a purposive sample of 10 individuals recently recognised as Advanced Accredited Practising Dietitians. Data from both focus groups and interviews were analysed adductively to identify key themes.
The key theme that emerged to define advanced dietetics practice was leadership, with four subthemes that described in more detail the major work roles and outcomes of advanced practice. These subthemes identified that advanced practitioners were (i) outcome-focused, having impact; (ii) influence others and advocate; (iii) innovate and embrace change; and (iv) inspire others and are recognised for their practice. These outcomes were conceptualised within a broad generalist framework to generate revised Competency Standards.
This study confirmed that leadership rather than specialist practice skills is the key determinant of advanced practice.
本研究旨在探索澳大利亚高级执业营养师的工作角色、主要任务和核心活动，以界定高级实践的能力标准。
采用定性研究方法，对澳大利亚的高级营养实践进行回顾，涉及经验丰富的专业人员，主要是营养师。共开展了4个焦点小组，共有17名参与者，平均拥有20年工作经验：15名营养师从业者加上2名雇主（1名营养师和1名非营养师）。焦点小组探讨了这些从业者的关键目的、角色和成果。通过对10名最近被认可为高级认可执业营养师的目标样本进行关于其核心活动的深入访谈，对焦点小组的数据进行了确认。对焦点小组和访谈的数据进行归纳分析，以确定关键主题。
界定高级营养实践的关键主题是领导力，有四个子主题更详细地描述了高级实践的主要工作角色和成果。这些子主题表明，高级从业者（i）以结果为导向，具有影响力；（ii）影响他人并进行倡导；（iii）创新并接受变革；（iv）激励他人并因其实践而获得认可。这些成果在广泛的通才框架内进行概念化，以生成修订后的能力标准。
本研究证实，领导力而非专业实践技能是高级实践的关键决定因素。
