A novel perspective of Australian primary care dietetics: Insights from an exploratory study using complex adaptive systems theory.
Aims: Effective quality improvement strategies are essential to enhancing outcomes of dietetic care. Interventions informed by complex adaptive systems theory have demonstrated effectiveness in other healthcare settings. This study aimed to explore primary care dietetics practice using complex adapt...
| Publicado en: | Nutrition & Dietetics Vol. 79; no. 4; pp. 469 - 481 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159026537&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159026537 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14466368 QMK jtl: Nutrition & Dietetics issn: 14466368 maglogo: Y pubinfo: dt: Sep2022 vid: 79 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 159026537 157378645 159026537 159026537 10.1111/1747-0080.12742 159026537 ppf: 469 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: A novel perspective of Australian primary care dietetics: Insights from an exploratory study using complex adaptive systems theory. aug: au: Kirkegaard, Amy Ball, Lauren Mitchell, Lana Williams, Lauren T. affil: Menzies Health Institute of Queensland, Griffith University, Southport QLD,, Australia sug: subj: Primary Health Care Dietetics Psychosocial Factors Systems Theory Quality of Health Care Professional Practice Human Australia Exploratory Research Qualitative Studies Semi-Structured Interview Conceptual Framework Systems Analysis Private Practice Interviews Job Experience Male Female Adolescence Adult Middle Age Attitude of Health Personnel Aged Descriptive Statistics Socioeconomic Factors Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Aims: Effective quality improvement strategies are essential to enhancing outcomes of dietetic care. Interventions informed by complex adaptive systems theory have demonstrated effectiveness in other healthcare settings. This study aimed to explore primary care dietetics practice using complex adaptive systems theory and to identify factors that individuals across the healthcare system can examine and address to improve the quality of dietetic care. Methods: Qualitative analysis of semi‐structured interviews of healthcare consumers and professionals involved in the provision of dietetic care. Data collection and analysis was guided by a complexity‐informed conceptual framework. The Framework Method was used to code transcripts and identify themes describing primary care dietetics. Results: Twenty‐three consumers and 26 primary care professionals participated. Participants described dietetic care as being delivered by individuals organised into formal and informal systems that were influenced by the wider environment, including legal, economic, and socio‐cultural systems. Dietitians described interactions with consumers as a learning opportunity and sought education, mentoring, or supervision to address knowledge and skill gaps. Relationships underpinned transfer of information between individuals. Conclusion: Complex adaptive systems theory proved to be a useful conceptual framework for primary care dietetics. Factors identified at the macro (e.g., funding), meso (e.g., professional networks), and micro (e.g., consumer education) levels should be examined and addressed to improve the quality of dietetic care. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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