Implementation of clinical practice guidelines using the Plan–Do–Study–Act framework: The methodology and experiences of the Academy of Nutrition and Dietetics Health Informatics Infrastructure Registry Study on gestational diabetes mellitus
Background: Registered dietitian nutritionists (RDNs) use clinical practice guidelines (CPGs) to inform evidence‐based practice. Despite the availability of CPGs, guidelines are not always translated into practice. This challenge is central to implementation science (IS), which seeks to understand h...
| Publicado en: | Nutrition in Clinical Practice Vol. 40; no. 6; pp. 1465 - 1483 |
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| Autores principales: | , , , |
| Formato: | practice guidelines research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2025
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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=189132307&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189132307 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08845336 IKQ jtl: Nutrition in Clinical Practice issn: 08845336 maglogo: N pubinfo: dt: Dec2025 vid: 40 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 189132307 188379674 189132307 189132307 10.1002/ncp.70043 189132307 ppf: 1465 ppct: 18 formats: tig: atl: Implementation of clinical practice guidelines using the Plan–Do–Study–Act framework: The methodology and experiences of the Academy of Nutrition and Dietetics Health Informatics Infrastructure Registry Study on gestational diabetes mellitus aug: au: Knippen, Kerri Lynn Woodcock, Lindsay Papoutsakis, Constantina Gonzales‐Pacheco, Diana M. affil: Department of Public and Allied Health, Food and Nutrition Program, Bowling Green State University, Bowling Green Ohio,, USA sug: subj: Practice Guidelines Diabetes Mellitus, Gestational Academy of Nutrition and Dietetics Standards Dietitians Nutritionists Human Female Male Quantitative Studies Qualitative Studies Convenience Sample Questionnaires Conceptual Framework Semi-Structured Interview Audiorecording Quality Improvement Nutrition Education Implementation Science Coding Communication Confidence Intervals Thematic Analysis Funding Source Female Male ab: Background: Registered dietitian nutritionists (RDNs) use clinical practice guidelines (CPGs) to inform evidence‐based practice. Despite the availability of CPGs, guidelines are not always translated into practice. This challenge is central to implementation science (IS), which seeks to understand how evidence can be adopted and sustained. Methods: The Gestational Diabetes Mellitus (GDM) Registry Study was a multiphase, multisite hybrid implementation study that explored guideline implementation using quality improvement (QI) methods grounded in the Model of Improvement and guided by Plan–Do–Study–Act (PDSA) cycles. Following a baseline period, RDNs completed training, conducted a gap analysis, and identified 2 CPG implementation aims. Sites completed iterative PDSA cycles. Deidentified nutrition care data were entered into the GDM Study Registry and manually audited to evaluate process outcomes. RDNs participated in a closing interview. Qualitative data were analyzed using a constructivist approach and reflexive thematic analysis, supported by artificial intelligence (AI)–assisted qualitative software. Results: Six themes were identified, highlighting the value of assessing current practices and the flexibility of PDSA as an implementation strategy. Themes were mapped against the Normalization Process Theory and Consolidated Framework for Implementation Research and showed alignment between PDSA and implementation principles. The registry audit demonstrated improved process measures. The median normalization score across RDNs (9.00) and sites (9.42) was high, suggesting normalization. Conclusion: PDSA facilitated the work of normalization and enabled practice changes. This study contributes to IS by demonstrating how QI strategies, such as PDSA can help RDNs translate evidence into everyday nutrition care. pubtype: Academic Journal doctype: practice guidelines research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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