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Influence techniques and activities clinical dietitians use when interacting with physicians.
C A Thomson1, M A Kight, M Longstreth
1University Medical Center, College of Agriculture, Tucson, Arizona.
Journal of the American Dietetic Association
|September 1, 1990
Summary
Clinical dietitians utilize various influence techniques with physicians, with age and education impacting their use. Despite a decline in some high-level activities, many perceive advancement in their professional roles.
Area of Science:
- Dietetics and Clinical Nutrition
- Healthcare Professional Communication
- Health Services Research
Background:
- Understanding dietitian-physician interactions is crucial for effective patient care.
- Influence techniques and professional activities shape interprofessional dynamics.
- Variations in demographic factors may influence these professional behaviors.
Purpose of the Study:
- To identify and differentiate influence techniques used by clinical dietitians with physicians.
- To determine how demographic variables explain variations in these techniques.
- To identify and differentiate the professional activities performed by clinical dietitians.
Main Methods:
- A national survey of 600 clinical dietitians from the Nutrition Support dietetic practice group.
- A three-part questionnaire assessing influence techniques, demographics, and activities.
- Factor analysis and multivariate analysis to interpret the data from 458 usable responses (77% response rate).
Main Results:
- Dietitians employed five of six influence technique postures and three of four activity postures.
- Ingratiation techniques inversely correlated with age and education.
- Assertiveness techniques inversely correlated with age; transitional rationality positively correlated with age and education.
Conclusions:
- A paradox exists: while some high-level activities declined, many dietitians perceive progress towards advanced influence and activity postures.
- Demographic factors significantly influence the adoption of specific influence techniques.
- Further research is needed to understand the evolving roles and perceived advancements in clinical dietetics.