Year

2024

Season

Summer

Paper Type

Doctoral Dissertation

College

Brooks College of Health

Degree Name

Doctor of Clinical Nutrition (DCN)

Department

Nutrition & Dietetics

NACO controlled Corporate Body

University of North Florida. Department of Nutrition & Dietetics

First Advisor

Dr. Casey Colin

Second Advisor

Dr. Constantina Papoutsakis

Third Advisor

Dr. Sherri Lewis

Department Chair

Dr. Andrea Arikawa

College Dean

Dr. Mei Zhao

Abstract

As emerging investigations support utilization of the Nutrition Care Process (NCP) and associated terminology (NCPT) in various settings, negative attitudes towards the NCP/T held by some dietetics professionals have been suggested to reduce implementation. Previous studies have captured attitude and related variables among various populations; although, those actively involved in the NCP educational process (educators, preceptors, and students undergoing supervised practice) have not been thoroughly examined. The purpose of this cross-sectional investigation was to assess the attitudes towards the NCP/T and associated implementation intentions among dietetics educators, preceptors, and students undergoing supervised practice and identify determinants of implementation. An online instrument developed from content from the previously validated International Nutrition Care Process Implementation Survey (INIS) and a newly validated 3-item proficiency questionnaire was distributed to the prospective participants through a mixed-method sampling strategy that included a combination of randomized, volunteer, and snowball modes. The participants that met the inclusion criteria consisted of 89 educators, 52 preceptors, 23 preceptor-educators, and 13 students undergoing supervised practice. Inferential analysis of data collected demonstrated that educators (Mdn = 3.94) and students (Mdn = 3.94) had significantly more positive attitude scores (p = .005) than preceptors (Mdn = 3.63); however, there were no significant differences in implementation rates between categories. Furthermore, attitudes (r =.22, p = .004), perceived NCP/T competency (r = .3, p < .001), assessed proficiency (r = .23, p = .003), level of degree earned (r =.23, p = .003), and Academy of Nutrition and Dietetics membership (r = .26, p = .001), were found to have significant, small-to-medium relationships with implementation. Further examination of included populations and variables and other suggested factors is indicated to fully understand identified relationships and develop a regression model to predict NCP/T implementation.

Available for download on Wednesday, July 11, 2029

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