Using Initiative to Achieve Autonomy: A Model for Advanced Practice in Medical Nutrition Therapy - 17/08/11
Address correspondence to: Annalynn Skipper, PhD, RD, Annalynn Skipper and Associates, PO Box 45, Oak Park, IL 60303.Abstract |
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.
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Vol 106 - N° 8
P. 1219-1225 - août 2006 Retour au numéro
Article précédent
- Dietary Intake Measurement: Cues to Improve Accuracy
- Patricia M. Jardack
- Preliminary Evidence for a Medical Nutrition Therapy Protocol: Enteral Feedings for Critically Ill Patients
- Kendra K. Kattelmann, Mary Hise, Mary Russell, Pam Charney, Milton Stokes, Charlene Compher
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