Preparing the Dietetic Workforce of the Future – Developing Innovative Placements in Social Care Settings

Authors

DOI:

https://doi.org/10.18552/ijpblhsc.v5i1.389

Keywords:

dementia, nutrition, social care

Abstract

Practice placements are key to the training of an allied health professional, supporting the integration of theoretical and practical knowledge, allowing the development of key skills and enculturation to a professional role. Practice placements in dietetic pre-registration training have largely focussed on clinical/health care settings, with the students based in dietetic departments. Current developments in integrated health and social care provision in the United Kingdom mean there is a compelling need to develop a workforce equipped to work across sectors to effectively support people’s nutritional needs. Against this background, a partnership group of healthcare and managerial professionals, representing NHS Education for Scotland (NES), NHS Highland (NHSH), a private care home group based in the North of Scotland and Robert Gordon University worked together to pilot and develop a model for the placement of student dietitians within social care settings (initially care homes). This novel approach embeds students in a social care setting for part of their placement rather than having them based within a dietetic department. The placements were positively evaluated and widely shared via Allied Health Profession (AHP) blogposts and in publications such as the Care Inspectorate newsletter, and other Scottish Health Boards are now developing local models of dietetic social care placements. There is a recognition that practice placement models should prepare the dietitians of the future for working beyond NHS environments, and that alternative models of placement should be explored from the perspective of raising the profile of the profession and ensuring sustainability of placement provision.

Author Biographies

Myra Mackenzie, Robert Gordon University

Lecturer in Nutrion and Dietetics

Evelyn Newman, NHS Highland

Nutrition and Dietetetics advisor for Care Homes

References

Ash, S. and Phillips, S. (2000) ‘What is dietetic competency? Competency standards, competence and competency explained’. Australian Journal of Nutrition and Dietetics, 57, 147–153

Bacon, R., Williams, L., and Grealish, L. (2015) ‘Aged care facilities and primary health-care clinics provide appropriate settings for dietetic students to demonstrate individual case management clinical competence’. Nutrition and Dietetics, 72, 54–62 https://doi.org/10.1111/1747-0080.12156

Bloom, B.S. (ed.) (1956) Taxonomy of Educational Objectives: Vol. 1. The Cognitive Domain. New York: David McKay

British Dietetic Association (2013) A Curriculum Framework for the Pre-Registration Education and Training of Dietitians. Birmingham, UK: The British Dietetic Association

British Dietetic Association (2015a) A Guide to Innovative Practice Education Placements. Birmingham, UK: The British Dietetic Association

British Dietetic Association (2015b) Innovative Practice Education Placements: Case Studies. Birmingham, UK: The British Dietetic Association

Clarke, C., Martin, M., Sadlo, G., and de Visser, R. (2014) ‘The development of an authentic professional identity on role-emerging placements’. British Journal of Occupational Therapy, 77 (5), 222–229 https://doi.org/10.4276/030802214X13990455043368

College of Occupational Therapists (2006) Developing the Occupational Therapy Profession: Providing New Work Based Learning Opportunities for Students. London: COT

Cornwell, J. and Goodrich, J. (2009) ‘Exploring how to ensure compassionate care in hospital to improve patient experience’. Nursing Times, 105 (15), 14–16

Crampton, P.E, McLachlan, J.C., and Illing, J. (2013) ‘A systematic literature review of undergraduate clinical placements in underserved areas’. Medical Education, 47, 969–978 https://doi.org/10.1111/medu.12215

Health and Care Professions Council (2014) Standards of Education and Training. London, UK: HCPC

Kaempfer, D., Wellman, N., and Himburg, S. (2002) ‘Dietetic students’ low knowledge, attitudes, and work preferences towards older adults indicate need for improved education about aging’. Journal of the Academy of Nutrition and Dietetics, 102,197–202 https://doi.org/10.1016/S0002-8223(02)90048-9

Kirke, P., Layton, N., and Sim, J. (2007) ‘Informing fieldwork design: Key elements to quality in fieldwork education for undergraduate occupational therapy students’. Australian Occupational Therapy Journal, 54, S13–S22 https://doi.org/10.1111/j.1440-1630.2007.00696.x

Lee, S-Y., Hoerr, S.L., Weatherspoon, L., and Schiffman, R.F. (2008) ‘Nutrition students improve attitudes after a guided experiential assignment with older adults’. Journal of Nutrition Education and Behaviour; 40, 279–287 https://doi.org/10.1016/j.jneb.2007.09.011

Lennie, S. and Juwah, C. (2010) ‘Exploring assessment for learning during dietetic practice placements’. Journal of Human Nutrition and Dietetics, 23 (3), 217–223

Lordly, D. and Taper, J. (2008) ‘Assumptions lead to the devaluation of dietitian roles in long-term care practice environments’. Journal of Allied Health, 37 (2), 78–81

NHS Education for Scotland (2012) More than a dancer: a practice placement pilot with dance movement psychotherapy students. [online] available at: http://www.nes.scot.nhs.uk/education-and-training/by-discipline/allied-health-professions/resources,-publications-and-useful-links/publications/more-than-a-dancer-contemporary-allied-health-professional-placements-in-care-homes.aspx [30 June 2017]

NHS Tayside and Scottish Fire and Rescue Service (2012) Working Together to Prevent Fire Deaths and Accidents. Dundee, UK: NHS Tayside & Scottish Fire and Rescue Service

O’Connor, A., Cahill, M., and McKay, E. (2012) ‘Revisiting 1:1 and 2:1 clinical placement models: Student and clinical educator perspectives’. Australian Occupational Therapy Journal, 59 (4), 276–283 https://doi.org/10.1111/j.1440-1630.2012.01025.x

Rasor-Greenhalgh, S., Stombaugh, L., and Garrison, M. (1993) ‘Attitudes changes of dietetics students performing nutritional assessment on healthy elderly’. Journal of Nutrition for the Elderly, 12, 55–64 https://doi.org/10.1300/J052v12n04_06

Roqué, M., Salvà, A., and Vellas, B. (2013) ‘Malnutrition in community-dwelling adults with dementia (NutriAlz trial)’. The Journal of Nutrition, Health & Aging, 17 (4), 295–299 https://doi.org/10.1007/s12603-012-0401-9

Saka, B., Kaya, O., Ozturk, G.B, Erten, N., and Akif Karan, M. (2010) ‘Malnutrition in the elderly and its relationship with other geriatric syndromes’. Clinical Nutrition, 29 (6), 745–748

Scottish Government (2012) AHPs as Agents of Change in Health and Social Care. The National Delivery Plan for Allied Health Professions in Scotland, 2012–2015. Edinburgh, UK: Scottish Government

Scottish Government (2016) Health and Social Care Delivery Plan. Edinburgh, UK: Scottish Government

Smith, Y.J., Cornella, E., and Williams, N. (2013) ‘Working with populations from a refugee background: An opportunity to enhance the occupational therapy educational experience’. Australian Occupational Therapy Journal, 61 (1), 20–27 https://doi.org/10.1111/1440-1630.12037

Sullivan, T. and Finlayson, M. (2000) ‘Role emerging fieldwork: The University of Manitoba approach’. OT Now, May/June, 13–24

Thew, M., Edwards, M., Baptiste, S., and Molineux, M. (eds.) (2011) Role Emerging Occupational Therapy: Maximising Occupation-Focused Practice. Chichester, UK: Wiley-Blackwell https://doi.org/10.1002/9781444340006

Thomas, Y., and Rodger, S. (2011) ‘Successful role emerging placements: It is all in the preparation’. in: Role Emerging Occupational Therapy: Maximising Occupation-Focused Practice. ed. by Thew, M., Edwards, M., Baptiste, S., and Molineux, M. Chichester, UK: Wiley-Blackwell 39–53 https://doi.org/10.1002/9781444340006.ch3

United Nations, Department of Economic and Social Affairs, Population Division (2015) World Population Ageing 2015 (ST/ESA/SER.A/390). New York: United Nations

Williams, R., Lusk, S., and Kline, N. (1986) ‘Knowledge of aging and cognitive styles in baccalaureate nursing students’. The Gerontologist, 26 545–550 https://doi.org/10.1093/geront/26.5.545

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Published

2017-07-25

How to Cite

Mackenzie, M., & Newman, E. (2017). Preparing the Dietetic Workforce of the Future – Developing Innovative Placements in Social Care Settings. International Journal of Practice-Based Learning in Health and Social Care, 5(1), 65–76. https://doi.org/10.18552/ijpblhsc.v5i1.389