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Exploring extended scope of practice in dietetics: A systems approach
Dominique Ryan1, Fiona Pelly1, Elizabeth Purcell2
1Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Maroochydore, Queensland, Australia.
Summary
Extended scope of practice in dietetics offers benefits for patients and health systems. A new framework supports implementing these advanced roles, requiring stakeholder advocacy for broader adoption.
Area of Science:
- Health Services Research
- Clinical Practice Models
- Systems Engineering in Healthcare
Background:
- Extended scope of practice (ESP) models are emerging in allied health.
- Dietitian-led clinics represent a novel approach to service delivery.
- Understanding health professional perceptions is crucial for successful implementation.
Purpose of the Study:
- To explore health professionals' views on dietitian-led extended scope of practice clinics.
- To develop a systems-based framework for implementing ESP models in diverse health settings.
Main Methods:
- Qualitative case study using semi-structured interviews with four health professionals.
- Descriptive and interpretative analysis of interview transcripts.
- Mapping themes to the Systems Engineering Initiative for Patient Safety (SEIPS) work system model.
Main Results:
- Key inputs identified: stakeholder support, resources, planning, and the dietitian's role.
- Outcomes impacted patients, dietitians, multidisciplinary teams, and the health system.
- An implementation framework for ESP was developed based on input-outcome relationships.
Conclusions:
- Extended scope of practice in dietetics can yield positive outcomes for multiple stakeholders.
- Advocacy from governments, professional bodies, and educators is needed to advance ESP roles.
- A practical implementation framework is available for health professionals seeking to adopt ESP models.
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