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Descriptive and Content Analysis of Questionnaires Used to Assess Evidence-Based Practice Among Dietitians: A
Ludivine Soguel1, Annie Lapointe2, Bernard Burnand3
1School of Nutrition, Faculty of Agriculture and Food Sciences, Université Laval, Quebec City, Quebec, Canada; Nutrition and Dietetics Department, Geneva School of Health Sciences, University of Applied Sciences and Arts Western Switzerland HES-SO, Geneva, Switzerland.
Journal of the Academy of Nutrition and Dietetics
|September 6, 2023
Summary
Questionnaires assessing evidence-based practice (EBP) among dietitians primarily focus on research evidence, neglecting professional expertise and patient values. This imbalance hinders effective EBP promotion and development in dietetics.
Area of Science:
- Dietetics
- Health Professions Education
- Research Methodology
Background:
- Evidence-based practice (EBP) integrates research evidence, professional expertise, and patient values in healthcare decision-making.
- Assessing individual-level barriers to EBP is crucial for its successful adoption.
- Understanding the scope of EBP dimensions evaluated in existing questionnaires is essential for promoting EBP.
Approach:
- A systematic review identified questionnaires used by dietitians to evaluate EBP knowledge, skills, attitudes, and behaviors.
- Content analysis categorized questionnaire items based on the EBP dimensions explored: research evidence, professional expertise, and patient values.
- Items were classified as focusing on a single dimension, a combination, or no identifiable dimension.
Key Points:
- Twenty-five questionnaires comprising 847 items were analyzed.
- Research evidence was the most frequently explored EBP dimension (75% of items).
- Professional expertise was assessed in 18% of items, patient values in 3%, and all three dimensions in less than 1%.
Conclusions:
- A significant imbalance exists in the EBP dimensions covered by dietitian questionnaires, with a strong emphasis on research evidence.
- Current evaluations may be partial and misleading, impeding the development of targeted strategies to enhance EBP.
- There is a critical need for developing more comprehensive and accurate EBP evaluation tools for dietitians to improve practice quality.
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