Dietitian-led micronutrient management in a public bariatric surgery outpatient clinic.
deficiencies
dietetic
mineral
obesity
scope of practice
vitamin
Journal
Nutrition & dietetics: the journal of the Dietitians Association of Australia
ISSN: 1747-0080
Titre abrégé: Nutr Diet
Pays: Australia
ID NLM: 101143078
Informations de publication
Date de publication:
06 Aug 2023
06 Aug 2023
Historique:
revised:
30
05
2023
received:
30
03
2023
accepted:
11
07
2023
medline:
7
8
2023
pubmed:
7
8
2023
entrez:
6
8
2023
Statut:
aheadofprint
Résumé
This study aimed to explore the multidisciplinary team attitudes and knowledge of bariatric surgery micronutrient management (pre- and postoperative care) and to evaluate the implementation of an extended-scope of practice dietitian-led model of care for micronutrient monitoring and management. A mixed method study design included quantitative evaluation of micronutrient testing practices and deficiency rates. Qualitative reflexive thematic analysis was used to interpret multidisciplinary experience with micronutrient monitoring in a traditional and dietitian-led model of care. In addition, deductive analysis used normalisation process theory mapping of multidisciplinary experience with the implementation of the dietitian-led model of care. In the traditional model, a lack of quality evidence to guide micronutrient management, and a tension in trust between surgeons and patients related to adherence to micronutrient prescriptions were described as challenges in current practice. The dietitian-led model was seen to overcome some of these challenges, increasing collaborative, and coordinated, consistent and personalised patient care that led to increased testing for and detection of micronutrient deficiencies. Barriers to sustainability of the dietitian-led model included a lack of workforce succession planning, and no clearly defined delegation for some aspects of care. An extended scope dietitian-led model of care for micronutrient management after bariatric surgery improves clinical care. Challenges such as succession planning must be considered in design of extended scope services.
Identifiants
pubmed: 37545016
doi: 10.1111/1747-0080.12836
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Faculty of Medicine, University of Queensland
Organisme : Health Practitioners Research Scheme, Queensland Health
Organisme : Metro North Hospital and Health Service Clinician Research Fellowship
Informations de copyright
© 2023 The Authors. Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Australia.
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