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Aloud A, Sekhar C. Self-Perceived Nutritional Competency of Primary Healthcare Physicians in Qassim, Saudi Arabia. Cureus 2024; 16:e56145. [PMID: 38618399 PMCID: PMC11015719 DOI: 10.7759/cureus.56145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/11/2024] [Indexed: 04/16/2024] Open
Abstract
INTRODUCTION Overnutrition plays a vital role in the development of a spectrum of non-communicable diseases. Diet-related disorders have a huge impact on personal health as well as the country's economy for the management of such disorders. The study aims to assess the primary healthcare physicians' nutrition competency, which will be beneficial for evaluating the current situation and future strategies, training, nutrition care, and disease prevention. METHODOLOGY Among 147 primary healthcare physicians by simple random sampling from four cities and two rural areas of Qassim, Saudi Arabia, from December 2022 to December 2023 using a validated (NUTCOMP) tool. Data were entered, cleaned, and analyzed with SPSS software version 21.0 (IBM Corp., Armonk, NY). Informed consent was obtained from all study participants. Chi-square and ANOVA tests were applied to draw the significant differences. RESULTS A total of 147 participants enrolled in this study, and the mean age and standard deviation (SD) of the study population were 34.38 ± 6.57. More than half of the physicians (n = 76, 51.7%) continued education on nutrition. Significant mean differences were observed between some and focused nutrition content received physicians versus no nutrition content received physicians concerning nutrition skill, communication, and nutrition attitude consecutively (P < 0.0001, P < 0.0001, and P < 0.0001). The mean nutrition knowledge, skill, communication, attitude score, and SD of PHCC physicians were 26.91 ± 5.42 (maximum 35), 31.19 ± 6.18 (maximum 40), 36.73 ± 7.48 (maximum 45), and 34.74 ± 6.23 (maximum 40), respectively. CONCLUSIONS Our study results show primary healthcare physicians perceive themselves to have good nutritional competency.
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Affiliation(s)
- Abdulrhman Aloud
- Family and Community Medicine, Family Medicine Academy, Qassim Health Cluster, Buraidah, SAU
| | - Chandra Sekhar
- Family and Community Medicine, Family Medicine Academy, Qassim Health Cluster, Buraidah, SAU
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Elf R, Nicholls J, Ni Y, Harris J, Lanceley A. Consent practices in midwifery: A survey of UK midwives. Midwifery 2024; 129:103893. [PMID: 38056098 DOI: 10.1016/j.midw.2023.103893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 11/22/2023] [Accepted: 11/23/2023] [Indexed: 12/08/2023]
Abstract
OBJECTIVE To explore midwives' knowledge and understanding of the law and practice of consent in the post-Montgomery world. DESIGN Cross-sectional online survey. Descriptive statistical analysis of midwives' survey responses. SETTINGS Social media: Instagram, Facebook and Twitter. Survey distribution was via the UCL Opinio survey platform. PARTICIPANTS A total of 402 midwives, surveyed over a four month period between 2nd March and 2nd July 2021. MEASUREMENTS Knowledge of legal consent, 'sureness' of meeting current legal requirements and competence to gain consent. FINDINGS 91% of participants acknowledged correctly that consent must be voluntary. 91% reported that women must be informed of all the risks associated with their care, although 26% reported that women should be informed of some of the risks associated with their care. Most participants were 'sure' that their discussions of consent meet current legal requirements (91%). 21% rated their competence to gain consent as 'excellent', 71% rated themselves as 'very good', whilst 1% rated their competence as 'poor'. Deficiencies in fundamental knowledge of consent were noted in some participants rating themselves highest in 'sureness' of meeting legal requirements and competence to consent. KEY CONCLUSIONS Fundamental gaps in midwives' knowledge of legal consent were identified. Participants demonstrated uncertainty regarding the extent of risk disclosure and discussion of alternative care options. Participants generally rated themselves highly in their consenting practices, despite lacking in basic knowledge of legal consent, revealing a discrepancy between midwives' self-perceptions and their actual knowledge. IMPLICATIONS FOR PRACTICE The overconfidence displayed by some participants is concerning for clinical midwifery practice. Professional education and guidance for midwives on legal consent in keeping with Montgomery is urgently required to ensure that midwives are legally compliant in their consenting practices.
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Affiliation(s)
- Rachel Elf
- Institute for Women's Health, University College London, Room 454, Medical School Building, 74 Huntley Street, London WC1E 6AU, United Kingdom
| | - Jacqueline Nicholls
- Institute for Women's Health, University College London, Room 454, Medical School Building, 74 Huntley Street, London WC1E 6AU, United Kingdom.
| | - Yanyan Ni
- Institute for Women's Health, University College London, Room 454, Medical School Building, 74 Huntley Street, London WC1E 6AU, United Kingdom
| | - James Harris
- Institute for Women's Health, University College London, Room 454, Medical School Building, 74 Huntley Street, London WC1E 6AU, United Kingdom
| | - Anne Lanceley
- Institute for Women's Health, University College London, Room 454, Medical School Building, 74 Huntley Street, London WC1E 6AU, United Kingdom
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Ball L, Lepre B, Van Dorssen C. Measurable and immeasurable spread of knowledge for research impact: a reflection on the validated NutComp tool. BMJ Nutr Prev Health 2023; 6:413-415. [PMID: 38618538 PMCID: PMC11009542 DOI: 10.1136/bmjnph-2023-000723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 08/16/2023] [Indexed: 04/16/2024] Open
Abstract
Background Contemporary research now includes effort to generate impact beyond the creation of new knowledge. Methods This report provides an illustrative case study of tactful research planning and dissemination for impact and provides an emerging pathway for others to holistically track reach, spread and uptake, to create a nuanced impact narrative. Results Nutrition Competence Tool (NutComp) is a validated tool that assesses the self-perceived competence of health professionals in providing nutrition care. Since open-access publication in 2015, it has been used by researchers and health professionals in 28 countries across 6 continents. The reach, spread, uptake and impact of NutComp are summarised, including indicators to support impact tracking for knowledge. Conclusion Given the complex phenomenon of research impact, careful planning is required to capture and attribute research impact.
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Affiliation(s)
- Lauren Ball
- Centre for Community Health and Wellbeing, The University of Queensland, Springfield, Queensland, Australia
- NNEdPro Global Institute for Food, Nutrition and Health, St John’s Innovation Centre, Cambridge, UK
| | - Breanna Lepre
- Centre for Community Health and Wellbeing, The University of Queensland, Springfield, Queensland, Australia
- NNEdPro Global Institute for Food, Nutrition and Health, St John’s Innovation Centre, Cambridge, UK
| | - Clare Van Dorssen
- Centre for Community Health and Wellbeing, The University of Queensland, Springfield, Queensland, Australia
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Amoore BY, Gaa PK, Amalba A, Mogre V. Nutrition education intervention improves medical students' dietary habits and their competency and self-efficacy in providing nutrition care: A pre, post and follow-up quasi-experimental study. Front Nutr 2023; 10:1063316. [PMID: 36937356 PMCID: PMC10019772 DOI: 10.3389/fnut.2023.1063316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 02/13/2023] [Indexed: 03/06/2023] Open
Abstract
Objective Most doctors and medical students report inadequate competencies in nutrition care. We evaluated the impact of a nutrition education intervention on medical students' lifestyle habits, dietary diversity, nutrition care knowledge, attitude toward nutrition care, and their level of self-efficacy in the provision of nutrition care. Methods All 2nd-year medical students were enrolled into a 5 week, 24-h nutrition education intervention that involved both deductive and practical sessions. Pre-, post and 4 weeks follow-up assessments were conducted. Results At post- and 4-weeks post-intervention the number of days participants consumed vegetables and engaged in moderate-to-vigorous physical activity significantly (p = 0.003 and 0.002) improved respectively from baseline. Mean nutrition care knowledge scores of participants increased by 3.27 points (95% Cl: 1.98-4.56, p < 0.001) from 19.49 at baseline through to 24.78 post- and 22.76 4 weeks follow-up. No significant [X ( 2 ) 2 = 1.568, p = 0.457] change in mean attitude toward nutrition care score was recorded. Mean level of self-efficacy in the provision of nutrition care improved significantly by 1.73 (95% Cl: 1.17-2.28, p < 0.001) at post-intervention and 4 weeks follow-up compared to the baseline scores. Conclusion The intervention improved the nutrition care knowledge, self-efficacy in the provision of nutrition care as well as medical students' own consumption of vegetables, dietary diversity and their engagement in moderate-to-vigorous physical activity. However, continuous implementation of nutrition education interventions is needed to sustain these outcomes and further improve the nutrition education experience of medical students.
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Affiliation(s)
- Bright Yammaha Amoore
- Department of Health Professions Education and Innovative Learning, School of Medicine, University for Development Studies, Tamale, Ghana
| | - Patience Kanyiri Gaa
- Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, Tamale, Ghana
| | - Anthony Amalba
- Department of Health Professions Education and Innovative Learning, School of Medicine, University for Development Studies, Tamale, Ghana
| | - Victor Mogre
- Department of Health Professions Education and Innovative Learning, School of Medicine, University for Development Studies, Tamale, Ghana
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Vrkatić A, Grujičić M, Jovičić-Bata J, Novaković B. Nutritional Knowledge, Confidence, Attitudes towards Nutritional Care and Nutrition Counselling Practice among General Practitioners. Healthcare (Basel) 2022; 10:2222. [PMID: 36360563 PMCID: PMC9691229 DOI: 10.3390/healthcare10112222] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 10/30/2022] [Accepted: 11/03/2022] [Indexed: 08/04/2023] Open
Abstract
Nutritional care represents any practice provided by a health professional, aimed to improve the patient's health outcomes by influencing patient's dietary habits. Clearly, dietitians are the ones supposed to provide top-quality nutrition care, but their services are often inaccessible to many for various reasons. This obliges general practitioners (GPs) in primary health care to provide nutritional counselling to their patients to a certain extent. Preconditions to successful nutritional counselling are GPs with adequate nutritional knowledge, positive attitudes towards nutrition and nutritional care, self-confident and competent in nutritional counselling. Therefore, the aim of this review is to summarise currently available information on nutritional knowledge, confidence and attitudes towards nutritional care and nutrition counselling practice of GPs, as well as barriers towards provision of nutritional counselling. GPs do not consistently obtain satisfying results in nutrition knowledge assessments and their self-confidence in nutrition counselling skills varies. Studies suggest that nutritional counselling practice still has not met its full potential, and GPs frequently report various barriers that impair nutritional counselling practice. Thus, health policies that help overcome barriers and create stimulating environment for GPs to implement nutrition counselling strategies efficiently are the key to improving quality and quantity of nutritional counselling.
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Affiliation(s)
- Aleksandra Vrkatić
- Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
| | - Maja Grujičić
- Department of General Education Subjects, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
| | - Jelena Jovičić-Bata
- Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
| | - Budimka Novaković
- Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
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Harris DM, Duckham RL, Daly RM, Abbott G, Johnson L, Rantalainen T, Teo WP. Development of a Parkinson's disease specific falls questionnaire. BMC Geriatr 2021; 21:614. [PMID: 34717574 PMCID: PMC8557480 DOI: 10.1186/s12877-021-02555-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 10/14/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Falls are a major health burden for older adults with Parkinson's disease (PD), but there is currently no reliable questionnaire to capture the circumstances and consequences of falls in older adults with PD. This study aimed to develop a PD-specific falls questionnaire and to evaluate its test-retest reliability in older adults with PD. METHODS A novel PD-specific falls questionnaire (PDF-Q) was developed in two modes (online and paper-based version) and used to assess falls and near-falls events over the past 12-months. Questions were agreed upon by an expert group, with the domains based on previous falls-related questionnaires. The questions included the number and circumstances (activities, location and direction) of falls and near-falls, and consequences (injuries and medical treatment) of falls. The PDF-Q was distributed to 46 older adults with PD (online n = 30, paper n = 16), who completed the questionnaire twice, 4 weeks apart. Kappa (κ) statistics were used to establish test-retest reliability of the questionnaire items. RESULTS Pooled results from both questionnaires for all participants were used to assess the overall test-retest reliability of the questionnaire. Questions assessing the number of falls (κ = 0.41) and the number of near-falls (κ = 0.51) in the previous 12-months demonstrated weak agreement, while questions on the location of falls (κ = 0.89) and near-falls (κ = 1.0) demonstrated strong to almost perfect agreement. Questions on the number of indoor (κ = 0.86) and outdoor (κ = 0.75) falls demonstrated moderate to strong agreement, though questions related to the number of indoor (κ = 0.47) and outdoor (κ = 0.56) near-falls demonstrated weak agreement. Moderate to strong agreement scores were observed for the most recent fall and near-fall in terms of the direction (indoor fall κ = 0.80; outdoor fall κ = 0.81; near-fall κ = 0.54), activity (indoor fall κ = 0.70; outdoor fall κ = 0.82; near-fall κ = 0.65) and cause (indoor fall κ = 0.75; outdoor fall κ = 0.62; near-fall κ = 0.56). CONCLUSIONS The new PDF-Q developed in this study was found to be reliable for capturing the circumstances and consequences of recent falls and near-falls in older adults with PD.
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Affiliation(s)
- Dale M Harris
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
- First Year College, Victoria University, Melbourne, Australia.
| | - Rachel L Duckham
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia
- Department of Medicine-Western Health, University of Melbourne, St Albans, VIC, 3021, Australia
- Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, St Albans, VIC, 3021, Australia
| | - Robin M Daly
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia
| | - Gavin Abbott
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia
| | - Liam Johnson
- Physiotherapy Department, Epworth HealthCare, Melbourne, Australia
- School of Behavioural and Health Sciences, Australian Catholic University, Melbourne, Australia
| | - Timo Rantalainen
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia
- Faculty of Sport and Health Sciences and Gerontology Research Center, University of Jyväskylä, Jyväskylä, Finland
| | - Wei-Peng Teo
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia
- Physical Education and Sports Science Academic Group, National Institute of Education, Nanyang Technological University, Singapore, Singapore
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Miragaia DAM, Trindade MNP, Pereira CAB. Qualifications and Competence to Prescribe Dietary Supplements: Perception of Fitness Instructors. J Diet Suppl 2021; 20:68-88. [PMID: 34396880 DOI: 10.1080/19390211.2021.1963025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
This research aims to understand fitness instructors and personal trainers' perception of their qualifications and competence to prescribe dietary supplements. To this end, a questionnaire was applied to 154 fitness instructors and personal trainers with professional functions in health clubs/gyms. The results obtained show that the sale of these products in gyms is seen as stimulating their consumption and that most fitness professionals consider professionals in this area do not have competence to prescribe this type of service. The lack of confidence about knowledge of dietary supplements; degree courses with a weak curriculum in this domain; and the shortage of curricular units related to dietary supplements are possible reasons for these professionals not feeling sure about giving advice on this matter. Regarding ways of updating knowledge, although these professionals consider academic journals, conferences, congresses and nutrition courses as the most reliable sources of information, they resort more frequently to the Internet, despite considering this source as the least reliable. These results can have direct implications for various stakeholders, particularly for consumers to be more informed about the risks involved in consuming dietary supplements without due orientation; for fitness professionals who have little knowledge about this type of substance; for gym managers who need to understand the implications of selling this type of product in their establishments; for teaching institutions, who should reflect on, and organize their academic curricula in order to provide sufficient grounding for fitness professionals to feel safe and confident about their knowledge in this area; and for the producers of these products, in order to improve information about, and the safety of the substances they put on the market.
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Affiliation(s)
- Dina A M Miragaia
- Sport Science Department, University of Beira Interior - NECE (Research unit in Business Sciences), Covilhã, Portugal
| | | | - Carla A B Pereira
- Management and Economics Department, University of Beira Interior - NECE (Research unit in Business Sciences), Covilhã, Portugal
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Doxey RS, Krug MF, Tivis R. The Lunch Conference Diet: Fostering Resident Engagement in Culinary Medicine Through a Curriculum Centered on Changes to Provided Conference Food. Am J Lifestyle Med 2021; 15:249-255. [PMID: 34025315 DOI: 10.1177/1559827621994499] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Despite the burden of chronic disease attributable to lifestyle, most internal medicine residents do not receive adequate training in nutrition and nutrition counseling. METHODS We held a culinary medicine workshop in September 2018, followed by didactic sessions throughout the academic year. Changes were made to lunch conference food to more closely follow the Mediterranean diet and to encourage healthy eating. With a modified NUTCOMP (Nutrition Competence Questionnaire) instrument, we assesses residents' perceived competence with nutrition counseling before and after the curriculum. RESULTS Twenty-six of 30 residents completed the pre-curriculum and post-curriculum surveys (not the same 26). The mean NUTCOMP score increased from 3.5 to 4.0 (P < .0001), indicating an increased perceived competence with nutritional counseling. Residents felt that nutritional counseling was important before and after the curriculum (4.2 to 4.3, P = .48). Conference food was more nutritious at the end of the intervention (Mediterranean diet score range 1-4 to 4-7) and residents enjoyed the food more. CONCLUSIONS An innovative, multimodal nutrition curriculum centered on changes to catered lunch conference food improved resident's confidence with nutritional counseling. This could feasibly be integrated into other residency programs with supportive leadership and adequate training.
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Affiliation(s)
- Richmond S Doxey
- University of Washington-Boise VA Internal Medicine Residency, Boise, Idaho
| | - Michael F Krug
- University of Washington-Boise VA Internal Medicine Residency, Boise, Idaho
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Crowley J, Ball L, Wall C. How does self-perceived nutrition competence change over time during medical training? A prospective longitudinal observational study of New Zealand medical students. BMJ Nutr Prev Health 2020; 3:270-276. [PMID: 33521538 PMCID: PMC7841807 DOI: 10.1136/bmjnph-2020-000080] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 06/25/2020] [Accepted: 09/16/2020] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVES Medical nutrition education aims to equip doctors with nutrition knowledge, skills, attitudes and confidence to counsel patients to improve their diet. This study aimed to describe changes in medical students' self-perceived nutrition competence at three time points during medical training. DESIGN Prospective longitudinal observational study. SETTING The University of Auckland, School of Medicine. PARTICIPANTS Year 2 medical students (phase 1, preclinical) were surveyed in May 2016. Participants repeated the survey in February 2018 as Year 4 students and July 2019 (phase 2, clinical) as Year 5 students. PRIMARY OUTCOME MEASURE Primary outcome measure was self-perceived nutrition competence measured using the validated NUTrition Competence (NUTCOMP) survey. RESULTS In 2016, 102 of 279 eligible Year 2 medical students completed the survey (response rate (RR 36.7%)). In 2018, 89 Year 4 students repeated the survey (RR 87.3%) and 30 students as Year 5 students in 2019 (RR 29.41%). There was a significant increase in total NUTCOMP scores (knowledge, skills, confidence to counsel and attitude towards nutrition) between Year 2 and Year 4 (p=0.012). There was a significant increase in the confidence to counsel construct (mean difference 7.615, 95% CI 2.291 to 12.939, p=0.003) between Year 2 and Year 4. Constructs with lowest scores at all time points were nutrition knowledge and nutrition skills. There was clear desire for more nutrition education from all students: Year 2 (mean=3.8 out of 5 (1.1)), Year 4 (mean=3.9 out of 5 (0.9)), Year 5 (mean=3.8 out of 5 (0.8)). CONCLUSION Medical students' self-perceived nutrition competence in providing nutrition care increased modestly at three points throughout medical training. There remains opportunity for further supporting medical students to increase their competence in nutrition care, which could be achieved through mandatory and greater medical nutrition education.
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Affiliation(s)
- Jennifer Crowley
- Discipline of Nutrition and Dietetics, The University of Auckland, Auckland, New Zealand
| | - Lauren Ball
- Menzies Health Institute Queensland, Griffith University–Gold Coast Campus, Southport, Queensland, Australia
| | - Clare Wall
- Discipline of Nutrition and Dietetics, The University of Auckland, Auckland, New Zealand
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Al-Gassimi O, Shah HBU, Sendi R, Ezmeirlly HA, Ball L, Bakarman MA. Nutrition competence of primary care physicians in Saudi Arabia: a cross-sectional study. BMJ Open 2020; 10:e033443. [PMID: 31911521 PMCID: PMC6955539 DOI: 10.1136/bmjopen-2019-033443] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
OBJECTIVES Primary care physicians have an opportunity to support healthy dietary behaviours of patients by providing nutrition care. However, it is unclear whether primary care physicians in the Kingdom of Saudi Arabia (KSA) are sufficiently competent in nutrition. This study aimed to assess the nutrition competence of primary care physicians in KSA and identify whether nutrition competence is associated with the provision of nutrition care to patients living with diet-related chronic disease. DESIGN A cross-sectional study. SETTING Chronic disease clinics across 48 primary care centres under the Ministry of Health in the city of Jeddah, KSA. PARTICIPANTS 90 primary care physicians completed the survey (response rate: 98%). General practitioners and family medicine residents, specialists, and consultants actively working in chronic disease clinics between February and May 2019 were included. PRIMARY AND SECONDARY OUTCOME MEASURES Primary outcome measure was nutrition competence of primary care physicians measured via the validated NUTCOMP (nutrition competence) questionnaire. RESULTS Primary care physicians perceived themselves as competent in nutrition care but their reported provision of nutrition care was limited. Confidence in their nutrition knowledge and skills elicited the lowest mean scores of 25.8 (±5.4) out of 35 and 29 (±5.2) out of 40, respectively. The reported provision of nutrition care was closely correlated with physicians' confidence in their nutrition knowledge (r=0.57) and communication (r=0.52). Three factors were identified as predicting whether physicians provide nutrition care to patients: confidence in counselling about nutrition (p<0.001), having previous nutrition education (p=0.005) and a higher professional qualification (p=0.008). CONCLUSIONS Primary care physicians felt confident in providing nutrition care to patients living with diet-related chronic disease. Primary care physicians would benefit from higher levels of nutrition knowledge and skills to effectively support patients to improve their dietary behaviours and health conditions, leading to a positive impact on public health.
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Affiliation(s)
| | | | - Rawan Sendi
- King Fahad Medical City, Riyadh, Saudi Arabia
| | | | - Lauren Ball
- Menzies Health Institute Queensland, Griffith University, Southport, Queensland, Australia
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Providing Nutrition Care to Patients with Chronic Disease: An Irish Teaching Hospital Healthcare Professional Study. ACTA ACUST UNITED AC 2018. [DOI: 10.1155/2018/1657624] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
An increasing prevalence of noncommunicable diseases (NCDs) and chronic illness is putting an ever increasing burden on healthcare services and delivery worldwide. Diet contributes significantly to the development of NCDs. Nutrition should therefore be viewed as an important aspect of patient care and be addressed by all healthcare professionals (HCPs). Previous work has highlighted a lack of competency around providing nutrition advice in HCPs; however, positive attitudes towards the importance of nutrition care are well documented in this group. The aim of this study is to document and compare Irish HCPs self-perceived competency towards incorporating nutrition care into practice. The NUTCOMP questionnaire was completed by 206 HCPs in Sligo University Hospital. The findings showed positive attitudes towards the incorporation of nutrition care into HCP practice; however, confidence in knowledge and skills was low, thus missing vital opportunities to prevent and/or treat chronic diseases and improve outcomes in acute illness. Previous nutrition education was associated with greater self-perceived knowledge about and skills in providing nutrition care to patients and positively associated with attitudes towards incorporating nutrition care into practice. HCPs expressed a desire and unmet need for additional and ongoing educational intervention in the area of nutritional intervention.
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