Using Initiative to Achieve Autonomy: A Model for Advanced Practice in Medical Nutrition Therapy

The purpose of this research was to generate a model of advanced medical nutrition therapy (MNT) practice based on descriptions of their clinical activities provided by advanced-level MNT practitioners. A qualitative approach using grounded theory methodology was employed. The model of advanced MNT...

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Bibliographic Details
Published in:Journal of the American Dietetic Association 2006-08, Vol.106 (8), p.1219-1225
Main Authors: Skipper, Annalynn, Lewis, Nancy M.
Format: Article
Language:English
Subjects:
Attitude
Biological and medical sciences
Canada
Career Mobility
Clinical medicine
clinical nutrition
Computer Simulation
diet therapy
Dietetics - methods
Dietetics - standards
Dietitians
Diseases of the digestive system
Health Knowledge, Attitudes, Practice
Humans
Interviews as Topic
Knowledge
Medical sciences
Metabolic diseases
Models, Organizational
Nutrition
Nutrition Therapy
Professional Autonomy
Qualitative research
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
United States
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Summary:The purpose of this research was to generate a model of advanced medical nutrition therapy (MNT) practice based on descriptions of their clinical activities provided by advanced-level MNT practitioners. A qualitative approach using grounded theory methodology was employed. The model of advanced MNT practice was based on interviews with 21 credentialed advanced practice registered dietitians from across the United States and Canada. Verbatim transcripts of the interviews were coded for aggregation into themes and subthemes. The resulting model included a single overarching theme: using initiative to achieve autonomy. The five subthemes are aptitude, attitude, expertise, context, and approach. The model provides a richer picture of advanced MNT practice than was previously available and is presented for discussion and debate. Validation of the model is required before incorporation into education or practice.
ISSN:0002-8223
2212-2672
1878-3570
2212-2680
DOI:10.1016/j.jada.2006.05.008