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A definition, description, and framework for advanced practice in dietetics.

Deborah Ellen Boyko Wildish1, Susan Evers

  • 1ARAMARK Canada Ltd. at the Toronto Rehabilitation Institute, Toronto, ON.

Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Dietetique : Une Publication Des Dietetistes Du Canada
|March 9, 2010
PubMed
Summary

This study defines advanced practice (AP) in dietetics, creating a framework to guide future education and policy. The findings highlight areas for professional development to advance the field.

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Area of Science:

  • Dietetics
  • Advanced Practice
  • Professional Development

Background:

  • The scope of dietetics practice has evolved, necessitating a clearer understanding of advanced roles.
  • Existing definitions of advanced practice (AP) in dietetics lack comprehensive consensus.
  • International perspectives on AP were considered to inform a global understanding.

Purpose of the Study:

  • To develop a definition, description, and framework for advanced practice (AP) in dietetics.
  • To guide future dietetic education, research agendas, and policy development.
  • To establish a clear differentiation between AP and entry-level dietetic practice.

Main Methods:

  • A mixed-methods approach involving a literature review, stakeholder discussions, and two survey phases.
  • Phase 1 utilized a 36-item survey with key stakeholders (n=136).
  • Phase 2 employed a modified Delphi approach with a random sample of dietitians (n=885) using a 50-item survey.

Main Results:

  • High agreement (83%) that a depth and breadth definition captured all dietetic roles.
  • Strong consensus (95%) that the definition differentiated AP from entry-level practice.
  • Response rates were 40% for Phase 1 and 35% for Phase 2.

Conclusions:

  • A framework for advanced practice in dietetics has been established.
  • Discrepancies in Phase 2 results highlight needs for professional development in leadership, mentorship, and outcome measurement.
  • The developed framework provides a foundation for advancing the dietetics profession.