{
    "abstract": "The documentation of goals and outcomes of nutrition care in Electronic Health Records is insufficient making further exploration of this of particular interest. Identifying common features in documentation practice among Scandinavian dietitians might provide information that can support improvement in this area.\nTo explore the associations between clinical dietitians' self-reported documentation of patients' goals and outcomes and demographic factors, self-reported implementation of the systematic framework the Nutrition Care Process 4th step (NCP) and its associated terminology, and factors associated with the workplace.\nData from a cross-sectional study based on a previously tested web-based survey (INIS) disseminated in 2017 to dietitians in Scandinavia (n\u00a0=\u00a0494) was used. Respondents were recruited through e-mail lists, e-newsletters and social media groups for dietitians. Associations between countries regarding the reported documentation of goals and outcomes, implementation levels of the NCP 4th step, demographic information and factors associated with the workplace were measured through Chi-square test. Associations between dependent- and independent variables were measured through logistic regression analysis.\nClinically practicing dietitians (n\u00a0=\u00a0347) working in Scandinavia, Sweden (n\u00a0=\u00a0249), Norway (n\u00a0=\u00a060), Denmark (n\u00a0=\u00a038), who had completed dietetic education participated. The reported documentation of goals and outcomes from nutrition intervention was highly associated with the reported implementation of NCP 4th step terminology (OR\u00a0=\u00a05.26; p\u00a0=\u00a00.009, OR\u00a0=\u00a03.56; p\u00a0=\u00a00.003), support from the workplace (OR\u00a0=\u00a04.0, p\u2009<\u20090.001, OR\u00a0=\u00a08.89, p\u2009<\u20090.001) and area of practice (OR\u00a0=\u00a02.02, p\u00a0=\u00a00.017). Years since completed dietetic training and educational level did not have any significant associations with documentation practice regarding goals and outcomes.\nFindings highlight strong associations between the implementation of the NCP 4th step terminology and the documentation of goals and outcomes. Strategies to support dietitians in using standardized terminology and the development of tools for comprehensive documentation of evaluation of goals and outcome are required.",
    "authors": [
        {
            "affiliation": "Department of Food Studies, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden.",
            "firstname": "Lina",
            "initials": "L",
            "lastname": "Al-Adili"
        },
        {
            "affiliation": "Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden.\nTheme Inflammation and Aging, Karolinska University Hospital, Huddinge, Sweden.\nResearch and Development Unit, Stockholms Sjukhem, Stockholm, Sweden.\nKarolinska Institutet, Huddinge, Sweden.",
            "firstname": "Anne-Marie",
            "initials": "AM",
            "lastname": "Bostr\u00f6m"
        },
        {
            "affiliation": "Department of Biosciences and Nutrition, Karolinska Institute, Stockholm, Sweden.\nMedical Unit Clinical Nutrition, Women's Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm, Sweden.",
            "firstname": "Ylva",
            "initials": "Y",
            "lastname": "Orrevall"
        },
        {
            "affiliation": "Department of Nutrition and Health, VIA University College, Denmark.",
            "firstname": "Nanna R",
            "initials": "NR",
            "lastname": "Lang"
        },
        {
            "affiliation": "Department of Unit for Service and Intern Control, Department of Service and Quality, Trondheim Municipality, Trondheim, Norway.",
            "firstname": "Charlotte",
            "initials": "C",
            "lastname": "Peersen"
        },
        {
            "affiliation": "Department of Statistics, Uppsala University, Uppsala, Sweden.",
            "firstname": "Inger",
            "initials": "I",
            "lastname": "Persson"
        },
        {
            "affiliation": "Cancer Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.",
            "firstname": "Lene",
            "initials": "L",
            "lastname": "Thoresen"
        },
        {
            "affiliation": "Department of Food Studies, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden.",
            "firstname": "Elin",
            "initials": "E",
            "lastname": "L\u00f6vestam"
        }
    ],
    "conclusions": "Findings highlight strong associations between the implementation of the NCP 4th step terminology and the documentation of goals and outcomes. Strategies to support dietitians in using standardized terminology and the development of tools for comprehensive documentation of evaluation of goals and outcome are required.",
    "copyrights": "\u00a9 2022 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.",
    "doi": "10.1111/scs.13131",
    "journal": "Scandinavian journal of caring sciences",
    "keywords": [
        "cross-sectional study",
        "documentation",
        "goal-setting",
        "nutrition care process",
        "outcome evaluation",
        "patients records",
        "standardisation"
    ],
    "methods": null,
    "publication_date": "2022-11-05",
    "pubmed_id": "36329640",
    "results": "Clinically practicing dietitians (n\u00a0=\u00a0347) working in Scandinavia, Sweden (n\u00a0=\u00a0249), Norway (n\u00a0=\u00a060), Denmark (n\u00a0=\u00a038), who had completed dietetic education participated. The reported documentation of goals and outcomes from nutrition intervention was highly associated with the reported implementation of NCP 4th step terminology (OR\u00a0=\u00a05.26; p\u00a0=\u00a00.009, OR\u00a0=\u00a03.56; p\u00a0=\u00a00.003), support from the workplace (OR\u00a0=\u00a04.0, p\u2009<\u20090.001, OR\u00a0=\u00a08.89, p\u2009<\u20090.001) and area of practice (OR\u00a0=\u00a02.02, p\u00a0=\u00a00.017). Years since completed dietetic training and educational level did not have any significant associations with documentation practice regarding goals and outcomes.",
    "title": "Self-reported documentation of goals and outcomes of nutrition care - A cross-sectional survey study of Scandinavian dietitians.",
    "xml": "<Element 'PubmedArticle' at 0x788503090040>"
}