The Effect of a Restructured Dietetic Placement Programme Centred Around the Nutrition and Dietetic Care Process (NDCP) on Students’ Confidence and Paperwork Burden

Authors

  • Elaine Mealey London Metropolitan University

DOI:

https://doi.org/10.18552/ijpblhsc.v4i2.351

Keywords:

assessment, confidence, dietetics, learning, placements

Abstract

Dietetic pre-registration training includes placements within a healthcare setting. In 2011, King’s College London and London Metropolitan University updated the placement programme with learning outcomes and assessment tools, based on the Nutrition and Dietetic Care Process (NDCP). Over a two year period (2012-2014), students completed a questionnaire post their second placement, measuring their confidence with the NDCP in clinical practice and reporting the hours they spent on placement assessment tools. Fifty-three students met the inclusion criteria. Twenty-two students (42%) had completed the new-style placement, P2, and thirty-one (58%) the old-style placement, PB. Students’ median confidence level score for undertaking nutritional assessment tasks for patient care (step 1 of NDCP) was significantly statistically higher in the group that had completed P2 (5.0; very confident) than the PB group (4.0; confident), U = 464, z = 2.545, p = .011. The median hours-spent score was significantly statistically higher for PB students (3.0 equates to 1-2 hours) than P2 (2.0 equates to up to 1 hour), U = 205.5, z = -2.546, p = .011. The use of a care process model (NDCP) introduced at university to structure placement learning outcomes and assessment tools, is effective at preparing students to provide dietetic care. The reduced amount of paperwork required to demonstrate achievement of learning outcomes, decreases learner burden and shortens working hours. Further research, and placement assessment tools modification, are recommended to improve the student learning experience while reducing paperwork burden for learners and practice educators.

Author Biography

Elaine Mealey, London Metropolitan University

Course Leader Dietetics and Nutrition BSc Senior Dietetic Practice Education Lecturer |

References

Bransford, J.D. and Schwartz, D.L. (1999) ‘Rethinking transfer: a simple proposal with multiple implications’. Review of Research in Education, 24, 61–100 http://dx.doi.org/10.2307/1167267

Brennan, K.M. and Lennie, S.C. (2010) ‘Students’ experiences and perceptions of the use of portfolios in UK preregistration dietetic placements: A questionnaire-based study’. Journal of Human Nutrition and Dietetics, 23 (2) 133–143 http://dx.doi.org/10.1111/j.1365-277X.2009.01028.x

British Dietetic Association (BDA) (1996) Report and Recommendations from the British Dietetic Association/CPSM Dietitians Board Joint Working Party. Birmingham, UK: The British Dietetic Association

British Dietetic Association (BDA) (2008) Curriculum Framework for the Pre-Registration Education and Training of Dietitians’. Birmingham, UK: The British Dietetic Association [online] available from: https://www.bda.uk.com/careers/education/preregcurriculum

February 2016]

British Dietetic Association (BDA) (2009) Nutrition and Dietetic Care Process. Birmingham, UK: The British Dietetic Association [online] available from: [http://members.bda.uk.com/Downloads/NutritionDieteticCareProcessOctober2009.pdf [23 March 2016]

British Dietetic Association (BDA) (2012) Model and Process for Nutrition and Dietetic Practice. Birmingham, UK: The British Dietetic Association [online] available from: http://members.bda.uk.com/profdev/profpractice/modeldieteticpractice/index.html

February 2016]

Dietitian Board and British Dietetic Association (BDA) (2000) Guidelines for Pre-registration Education and Training. Birmingham, UK: BDA/CPSM

Grant, L. and Kinman, G. (2013) The importance of emotional resilience for staff and students in the “helping” professions: developing an emotional curriculum (December). York, UK: The Higher Education Academy

Honey, J., Lynch, C.D., Burke, F.M., and Gilmour, A.S.M. (2011) ‘Ready for practice? A study of confidence levels of final year dental students at Cardiff University and University College Cork’. European Journal of Dental Education, 15 (2), 98–103 http://dx.doi.org/10.1111/j.1600-0579.2010.00646.x

Judd, P. (2011) A history of The British Dietetic Association Founded 1936 The third twenty-five years 1986-2011. Birmingham, UK: The British Dietetic Association [online] available from: https://www.bda.uk.com/about/about_bda/history [21 March 2016]

Judd, P.A., Butson, S., Hunt, P., Lewis, B., Micklewright, A., Pearson, G., and Tredger, J. (1997) ‘Pre-registration education and training for dietitians Report and recommendations from the British Dietetic Association / CPSM Dietitians Board Joint Working Party, February 1996’. Journal of Human Nutrition and Dietetics, 10, 157–162

http://dx.doi.org/10.1046/j.1365-277X.1997.00054.x

Lacey, K. and Prtichett, E. (2003) ‘Nutrition care process and model: ADA adopts road map to quality care and outcomes management’. Journal of the American Dietetic Association, 103, 1061–1071 http://dx.doi.org/10.1016/S0002-8223(03)00971-4

Lennie, SC. and Juwah, C. (2010) ‘Exploring assessment for learning during dietetic practice placements’. Journal of Human Nutrition and Dietetics, 23 (3), 217–223 http://dx.doi.org/10.1111/j.1365-277X.2010.01075.x

Nokes, T.J. (2009) ‘Mechanisms of knowledge transfer’. Thinking and Reasoning, 15, 1–36 http://dx.doi.org/10.1080/13546780802490186

Palermo, C., Beck, E.J., Chung, A., Ash, S., Capra, S., Truby, H., and Jolly, B. (2014) ‘Work-based assessment: Qualitative perspectives of novice nutrition and dietetics educators’. Journal of Human Nutrition and Dietetics, 27 (5), 513–51 http://dx.doi.org/10.1111/jhn.12174

Roxburgh, M., Bradley, P., and Lauder, W. (2011) The Development, Implementation and Evaluation of Demonstration Projects of New Approaches to Providing Practice Placements in the Pre Registration Nursing Programmes: Contemporising Practice Placements for Undergraduate Student Nurses: Are “Hub and Spoke‟ Models the Future? Stirling, UK: University of Stirling. [online] available from: http://www.nes.scot.nhs.uk/media/510821/stirling_final_report.pdf [21 April 2016]

Trede, F., Mischo-Kelling, M., Gasser, E.M., and Pulcini, S. (2014) Assessment experiences in the workplace: A comparative study between clinical educators’ and their students’ perceptions. Assessment & Evaluation in Higher Education, 40 (7), 1002–1016 http://dx.doi.org/10.1080/02602938.2014.960363

Yorke, M. (2011) ‘Work‐engaged learning: Towards a paradigm shift in assessment.’ Quality in Higher Education, 17 (1): 117–130 http://dx.doi.org/10.1080/13538322.2011.554316

Downloads

Published

2016-12-15

How to Cite

Mealey, E. (2016). The Effect of a Restructured Dietetic Placement Programme Centred Around the Nutrition and Dietetic Care Process (NDCP) on Students’ Confidence and Paperwork Burden. International Journal of Practice-Based Learning in Health and Social Care, 4(2), 1–18. https://doi.org/10.18552/ijpblhsc.v4i2.351