Incorporating the Nutrition Care Process model into dietetics internship evaluation: A Malaysian university experience

Tilakavati Karupaiah, Tonia Reinhard, Shanthi Krishnasamy, Shy Pyng Tan, Chee Hee Se

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Aim: Implementation of the Nutrition Care Process (NCP) into dietetics curricula and clinical internship evaluation in Asian countries is new. Two dietetics faculties from Malaysia and USA collaborated to assimilate NCP into clinical dietetics curriculum and internship evaluation. Methods: Dietetic interns under supervised practice in hospitals were assessed using a quantitative NCP-based evaluation tool. This tool organised learning outcomes under NCP knowledge domains and achieved high internal consistency and inter-rater reliability. Using a 5-point Likert scale, interns' scores measured over a 12-week inpatients training were collated and analysed. Subgroup analysis differentiated strong (Progressers) and weak (Regressers) performers based on a median criterion of averaged NCP component scores. Results: Most external hospital sites (75% response rate) utilised the evaluation tool for interns' assessment. Improvements in NCP knowledge domains were significant by week-9 and week-12 compared to baseline (P3.5) or 'Regressers' ( Step 2, nutrition diagnosis (95% CI: 3.70-4.12, η p 2 = 0.348) > Step 3, nutrition intervention (95% CI: 3.65-3.96, η p 2 = 0.332) > Step 1, nutrition assessment (95% CI: 3.77-4.09, η p 2 = 0.307) > Step 4, monitoring and evaluation (95% CI: 3.72-4.04, η p 2 = 0.269). Weaker interns achieved maximum scores at week-9 before regressing. Conclusions: This study found that the application of an NCP-based evaluation tool successfully tracked interns' clinical competencies under supervised practice.

Original languageEnglish
JournalNutrition and Dietetics
DOIs
Publication statusAccepted/In press - 2016

Fingerprint

Nutritional Physiological Phenomena
Dietetics
Internship and Residency
Curriculum
Nutrition Assessment
Clinical Competence
Malaysia
Inpatients
Learning

Keywords

  • Competency standards
  • Dietetics education
  • Evaluation
  • Nutrition Care Process
  • Students
  • Supervised practice

ASJC Scopus subject areas

  • Nutrition and Dietetics

Cite this

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title = "Incorporating the Nutrition Care Process model into dietetics internship evaluation: A Malaysian university experience",
abstract = "Aim: Implementation of the Nutrition Care Process (NCP) into dietetics curricula and clinical internship evaluation in Asian countries is new. Two dietetics faculties from Malaysia and USA collaborated to assimilate NCP into clinical dietetics curriculum and internship evaluation. Methods: Dietetic interns under supervised practice in hospitals were assessed using a quantitative NCP-based evaluation tool. This tool organised learning outcomes under NCP knowledge domains and achieved high internal consistency and inter-rater reliability. Using a 5-point Likert scale, interns' scores measured over a 12-week inpatients training were collated and analysed. Subgroup analysis differentiated strong (Progressers) and weak (Regressers) performers based on a median criterion of averaged NCP component scores. Results: Most external hospital sites (75{\%} response rate) utilised the evaluation tool for interns' assessment. Improvements in NCP knowledge domains were significant by week-9 and week-12 compared to baseline (P3.5) or 'Regressers' ( Step 2, nutrition diagnosis (95{\%} CI: 3.70-4.12, η p 2 = 0.348) > Step 3, nutrition intervention (95{\%} CI: 3.65-3.96, η p 2 = 0.332) > Step 1, nutrition assessment (95{\%} CI: 3.77-4.09, η p 2 = 0.307) > Step 4, monitoring and evaluation (95{\%} CI: 3.72-4.04, η p 2 = 0.269). Weaker interns achieved maximum scores at week-9 before regressing. Conclusions: This study found that the application of an NCP-based evaluation tool successfully tracked interns' clinical competencies under supervised practice.",
keywords = "Competency standards, Dietetics education, Evaluation, Nutrition Care Process, Students, Supervised practice",
author = "Tilakavati Karupaiah and Tonia Reinhard and Shanthi Krishnasamy and Tan, {Shy Pyng} and Se, {Chee Hee}",
year = "2016",
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AU - Se, Chee Hee

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