Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia.
Healthier You Pty Ltd, Port Macquarie, NSW, Australia.
J Hum Nutr Diet. 2022 Feb;35(1):154-164. doi: 10.1111/jhn.12950. Epub 2021 Oct 4.
Dietitians working in private practices in primary settings provide nutrition care to support individuals with the prevention and management of chronic disease. A better understanding of the type and usage of data collected by dietitians in this setting may provide insights to optimise the effectiveness and impact of the workforce. The present study explored the perceptions of leading Australian private practice dietitians on the collection and usage of data in their practice.
A qualitative descriptive study of Australian private practice dietitians, recruited by snowball sampling, was conducted on their perceptions and attitudes towards collecting and using data. Data were collected by semi-structured interviews and all interview data were thematically analysed.
Twenty-three dietitians participated. Five themes emerged: (i) collecting data is challenging, nuanced, unclearly defined and therefore not routinely carried out; (ii) consistent data collection processes are impeded by the diversity of practise and practices; (iii) business-related data collection is essential for sustainable dietetic services; (iv) clinical outcomes are fundamental to dietetic services; and (v) standardised, integrated systems are needed to enable routine data collection and synthesis.
Our findings demonstrate the rudimentary role business acumen has in practice viability and provides evidence to potentially re-shape the future of dietetic education in Australia. Private practice dietitians may benefit from tools and training that enable consistent collection of data about their services. Such data could enable benchmarking across the workforce and contribute to a broader understanding of dietetic impact on public health.
在初级医疗机构中私人执业的营养师提供营养护理,以支持个人预防和管理慢性病。更好地了解营养师在这种环境下收集的数据的类型和用途,可以为优化劳动力的有效性和影响力提供一些见解。本研究探讨了澳大利亚私人执业营养师对其实践中数据收集和使用的看法。
采用滚雪球抽样法招募澳大利亚私人执业营养师进行定性描述性研究,了解他们对收集和使用数据的看法和态度。通过半结构化访谈收集数据,对所有访谈数据进行主题分析。
23 名营养师参与了研究。出现了五个主题:(一)收集数据具有挑战性、细微差别、定义不明确,因此未常规进行;(二)实践和实践的多样性阻碍了一致的数据收集过程;(三)与业务相关的数据收集对于可持续的营养服务至关重要;(四)临床结果是营养服务的基础;(五)需要标准化、集成的系统来实现常规数据收集和综合。
我们的研究结果表明商业敏锐度在实践可行性中的基本作用,并为可能重塑澳大利亚营养教育的未来提供了证据。私人执业营养师可能受益于能够持续收集有关其服务的数据的工具和培训。这些数据可以实现劳动力之间的基准比较,并有助于更广泛地了解营养对公共卫生的影响。