دورية أكاديمية
أعرض في EDS

Implementing evidence-based clinical and business data standards in Australian private practice clinics is feasible.

التفاصيل البيبلوغرافية
العنوان: Implementing evidence-based clinical and business data standards in Australian private practice clinics is feasible.
المؤلفون: Clark PW; School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia.; Healthier You Pty. Ltd., Port Macquarie, New South Wales, Australia.; Menzies Health Institute of Queensland, Griffith University, Gold Coast, Queensland, Australia., Williams LT; School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia.; Menzies Health Institute of Queensland, Griffith University, Gold Coast, Queensland, Australia., O'Shea MC; School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia.; Menzies Health Institute of Queensland, Griffith University, Gold Coast, Queensland, Australia., Ball L; School of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia.; Centre for Community Health and Wellbeing, The University of Queensland, St Lucia, Queensland, Australia.
المصدر: Nutrition & dietetics: the journal of the Dietitians Association of Australia [Nutr Diet] 2024 Apr; Vol. 81 (2), pp. 190-202. Date of Electronic Publication: 2023 Aug 23.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: The Association Country of Publication: Australia NLM ID: 101143078 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1747-0080 (Electronic) Linking ISSN: 14466368 NLM ISO Abbreviation: Nutr Diet Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Deakin, ACT : The Association, c2002-
مواضيع طبية MeSH: Dietetics*/standards , Private Practice*/standards , Feasibility Studies*, Humans ; Australia ; Primary Health Care/standards ; Nutritionists/standards ; Surveys and Questionnaires ; Evidence-Based Medicine ; Male ; Evidence-Based Practice ; Female
مستخلص: Aims: To assess the feasibility of implementing data standards in Australian primary care dietetics practices.
Methods: A mixed-methods pragmatic study of dietitians working in primary care. Using a four-point Likert scale, participants were surveyed on their baseline use of the 45 business and 33 clinical evidenced-based data standards. The content validity index and kappa statistic for each standard were calculated with a kappa statistic of 0.60-0.74 considered 'Good' and > 0.74 'Excellent'. After 4 weeks of assessment, dietitians were surveyed on the feasibility of implementing each standard and standards in total. Qualitative feedback on enablers and barriers to implementing standards was gathered and triangulated with interviews with select participants.
Results: Forty-five dietitians from every Australian state and territory completed both surveys (response rate: 100%). At baseline, 24% of business and 79% of clinical standards were rated 'Good' or 'Excellent' for current usage. The feasibility of implementing standards was rated 'Good' or 'Excellent for 86% of the business and 97% of the clinical standards. Software, training and time limitations are enablers and barriers to implementing standards.
Conclusion: Embedding data standards within dietetics practices are feasible and have broad applicability for assessing outcomes of care.
(© 2023 The Authors. Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Australia.)
References: Gäbler G, Coenen M, Fohringer K, Trauner M, Stamm T. Towards a nationwide implementation of a standardized nutrition and dietetics terminology in clinical practice: a pre‐implementation focus group study including a pretest and using the consolidated framework for implementation research. BMC Health Serv Res. 2019;19(1):920‐939. doi:10.1186/s12913‐019‐4600‐5.
Australian Research Data Commons. National Data Assets. 2021 [cited 2023 March 10]. Available from: https://ardc.edu.au/program/national-data-assets/.
Australian Government—Department of Health and Aged Care. Future focused primary health care: Australia's Primary Health Care 10 Year Plan 2022‐2032. 2022 [cited 2023 March 8]. Available from: https://www.health.gov.au/sites/default/files/documents/2022/03/australia-s-primary-health-care-10-year-plan-2022-2032-future-focused-primary-health-care-australia-s-primary-health-care-10-year-plan-2022-2032.pdf.
Howatson A, Turner‐Benny P, Wall CR. The contribution of dietitians to the primary health care workforce. J Prim Health Care. 2015;7(4):324‐332. doi:10.1071/HC15324.
Ash S, Palermo C, Gallegos D. The contested space: the impact of competency‐based education and accreditation on dietetic practice in Australia. Nutr Diet. 2019;76(1):38‐46. doi:10.1111/1747‐0080.12430.
Mitchell L, Capra S, Macdonald‐Wicks L. Structural change in Medicare funding: impact on the dietetics workforce. Nutr Diet. 2009;66(3):170‐175. doi:10.1111/j.1747‐0080.2009.01362.x.
Heafala A, Mitchell L, Williams L. Studying the transition from graduate to health practitioner: the Griffith dietetics graduate outcomes survey. Nurs Health Sci. 2021;23(3):723‐732. doi:10.1111/nhs.12861.
Clark PW, Williams LT, Kirkegaard A, Brickley B, Ball L. Perceptions of private practice dietitians regarding the collection and use of outcomes data in primary healthcare practices: a qualitative study. J Hum Nutr Diet. 2022;35(1):154‐164. doi:10.1111/jhn.12950.
Dietitians of Canada. Dietitians in Private Practice—A Guide for the Consultant—Fourth Edition. 2021 [cited 2023 January 22]. Available from: http://www.dietitians.ca/getmedia/034fb2bf-c1c2-4738-ae51-3199aea0c1c7/DC_Private-Practice_Manual_Cover_Table-Of-Contents.pdf.aspx.
Dietitians Australia. Small Business Manual—Fifth Edition. 2021 [cited 2023 January 22]. Available from: https://member.dietitiansaustralia.org.au/Common/Uploaded%20files/DAA/Resource_Library/2021/DA_Small_Business_Manual_2021.pdf.
Australian Government—Australian Commission on Safety and Quality in Health Care. National Safety and Quality Primary and Community Healthcare Standards Guide for Healthcare Services [Internet]. 2022 [cited 2023 January 12]. Available from: https://www.safetyandquality.gov.au/sites/default/files/2022-12/draft_national_safety_and_quality_primary_and_community_healthcare_standards_guide_for_healthcare_services.pdf.
Heruc G, Hart S, Stiles G, et al. ANZAED practice and training standards for dietitians providing eating disorder treatment. J Eat Disord. 2020;8(1):77‐85. doi:10.1186/s40337‐020‐00334‐z.
Clark PW, Williams LT, Brickley B, Ball L. Minimum reporting standards for process and outcomes assessments for dietitians working in Australian primary care: the thought leader consensus study. Nutr Diet. 2023;80(3):284‐296. doi:10.1111/1747‐0080.12776.
Bowen D, Kreuter M, Spring B, et al. How we design feasibility studies. Am J Prev Med. 2009;36(5):452‐457. doi:10.1016/j.amepre.2009.02.002.
Kivunja C, Kuyini AB. Understanding and applying research paradigms in educational contexts. Int J High Educ. 2017;6(5):26‐41. doi:10.5430/ijhe.v6n5p26.
Cicchetti DV, Sparrow SA. Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic. 1981;86(2):127‐137. PMID: 7315877.
Simpson P, Brown‐Wilson C, Brown L, Dickinson T, Horne M. The challenges and opportunities in researching intimacy and sexuality in care homes accommodating older people: a feasibility study. J Adv Nurs. 2017;73(1):127‐137. doi:10.1111/jan.13080.
Blok AC, Blonquist TM, Nayak MM, et al. Feasibility and acceptability of “healthy directions” a lifestyle intervention for adults with lung cancer. Psychooncology. 2018;27(1):250‐257. doi:10.1002/pon.4443.
Fultz A, Baker S, Steeves EA, Trabulsi J, Alvarado A, Robson SM. Feasibility of implementing a food skills intervention. J Acad Nutr Diet. 2022;122(8):1525‐1533. doi:10.1016/j.jand.2022.02.015.
Eldridge SM, Chan CL, Campbell MJ, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ. 2016;355:i5239. doi:10.1136/bmj.i5239.
Brinkmann S, Kvale S. InterViews: Learning the Craft of Qualitative Research Interviewing. Third ed. SAGE Publications; 2015.
Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007;30(4):459‐467. doi:10.1002/nur.20199.
Ding J, Cook A, Chua D, et al. End‐of‐life care in general practice: clinic‐based data collection. BMJ Support Palliat Care. 2022;12(e1):e155‐e163. doi:10.1136/bmjspcare‐2019‐002006.
Voinov V, Balakrishnan N, Nikulin M. Chi‐Squared Goodness of Fit Tests with Applications. Academic Press; 2013.
Australian Government—Australian Institute of Health and Welfare. Primary health care data development. 2023 [cited 2023 February 26]. Available from: https://www.aihw.gov.au/reports-data/health-welfare-services/primary-health-care/primary-health-care-data-development.
Vanherle K, Werkman AM, Baete E, et al. Proposed standard model and consistent terminology for monitoring and outcome evaluation in different dietetic care settings: results from the EU‐sponsored IMPECD project. Clin Nutr. 2018;37(6):2206‐2216. doi:10.1016/j.clnu.2018.08.040.
Swan WI, Vivanti A, Hakel‐Smith NA, et al. Nutrition care process and model update: toward realizing people‐centered care and outcomes management. J Acad Nutr Diet. 2017;117(12):2003‐2014. doi:10.1016/j.jand.2017.07.015.
Williams L, Barnes K, Ball L, Ross L, Sladdin I, Mitchell L. How effective are dietitians in weight management? A systematic review and meta‐analysis of randomized controlled trials. Healthcare. 2019;7(1):20‐37. doi:10.3390/healthcare7010020.
Neale EP, Tapsell LC. Perspective: the evidence‐based framework in nutrition and dietetics: implementation, challenges, and future directions. Adv Nutr. 2019;10(1):1‐8. doi:10.1093/advances/nmy113.
Dietitians Australia. Working in nutrition and dietetics—Credentialing of dietitians. 2022 [cited 2022 December 7]. Available from: https://dietitiansaustralia.org.au/working-dietetics/credentialing-dietitians.
Presseau J, Sniehotta F, Francis J, Campbell N. Multiple goals and time constraints: perceived impact on physicians' performance of evidence‐based behaviours. Implement Sci. 2009;4(1):1‐12. doi:10.1186/1748‐5908‐4‐77.
Frese EM, Fick A, Sadowsky SH. Blood pressure measurement guidelines for physical therapists. Cardiopulm Phys Ther J. 2011;22(2):5‐12. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3104931/pdf/cptj0022-0005.pdf.
Chang AR, Gummo L, Yule C, et al. Effects of a dietitian‐led, telehealth lifestyle intervention on blood pressure: results of a randomized, controlled trial. J Am Heart Assoc. 2022;11(19):e027213. doi:10.1161/jaha.122.027213.
Harper C, Maher J. Investigating philosophies underpinning dietetic private practice. Behav Sci. 2017;7(1):11‐31. doi:10.3390/bs7010011.
Davidson A, Reidlinger D. A review of the growth and development of Australian practice nursing: insights for the dietetic workforce. Nut Diet. 2022;79(4):497‐548. doi:10.1111/1747‐0080.12764.
Brody P. The time is right for supply data synchronization: applying industrywide standards to electronic data processing in the healthcare supply chain can help eliminate problems that arise due to bad purchasing data. Healthc Financ Manage. 2007;61(2):94‐99. Available from: https://pubmed.ncbi.nlm.nih.gov/17315634/.
World Health Organization. WHO Forum on Health Data Standardization and Interoperability. Vol 2012. World Health Organization; 2012:1‐28.
Sacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. Pharmacotherapy. 2009;29(8):966‐974. doi:10.1592/phco.29.8.966.
Holman D, Bass AJ, Rosman D, et al. A decade of data linkage in Western Australia: strategic design, applications and benefits of the WA data linkage system. Aust Health Rev. 2008;32(4):766‐777. doi:10.1071/ah080766.
Rusnak S, Charney P. Position of the academy of nutrition and dietetics: nutrition informatics. J Acad Nutr Diet. 2019;119(8):1375‐1382. doi:10.1016/j.jand.2019.06.004.
Mathews R, Stokes D, Littlefield L, Collins L. Development of the private practice management standards for psychology. J Healthc Qual. 2011;33(1):77‐90. doi:10.1111/j.1945‐1474.2010.00090.x.
معلومات مُعتمدة: APP 117346 National Health and Medical Research Fellowship
فهرسة مساهمة: Keywords: benchmarking; data linkage; dietitian; mixed‐methods research; primary care
تواريخ الأحداث: Date Created: 20230824 Date Completed: 20240426 Latest Revision: 20240426
رمز التحديث: 20240426
DOI: 10.1111/1747-0080.12840
PMID: 37614058
قاعدة البيانات: MEDLINE
الوصف
تدمد:1747-0080
DOI:10.1111/1747-0080.12840