The Nutrition Care Process being promoted by the International Confederation of Dietetic Associations provides a framework for nutrition and dietetic practice. The Nutrition Care Process first described by the Academy of Nutrition and Dietetics (previously ADA, American Dietetic Association) defines a standardized approach to provide nutrition care to patients and clients, including groups and caregivers.Nutrition Care Process Terminology (NCPT)
Nutrition Care Process Terminology (NCPT) is a standardized language that is based on the standardized Nutrition Care Process described above. It describes the unique functions provided in nutrition and dietetics practice. The NCPT defines standard terms, or language for each step of the Nutrition Care Process. The NCPT promotes consistent communication about the practice of dietetics within the profession and other professions.2 The NCPT has been largely submitted to SNOMED CT (Systematized Nomenclature of Medicine -- Clinical Terms). SNOMED is the largest multilingual medical terminology accepted for electronic health records.
A number of countries that have adopted the NCP/T have formed an international consortium to continuously track the implementation journey of NCP/T. This consortium known as INIS (International NCP/T Implementation Survey) has developed a validated survey tool3, has reported on the level of implementation of NCP/T4, and related barriers and enablers.5 This research supports that the most common enabler is 'recommendation by the national dietetic association' (69%) and the most common barrier is 'lack of time' (39%).5 As the INIS research consortium grows, more findings and knowledge will be shared.
1. Swan WI, Vivanti A, Hakel-Smith NA, et al. Nutrition Care Process and Model Update: Toward Realizing People-Centered Care and Outcomes Management. Journal of the Academy of Nutrition and Dietetics. Dec 2017;117(12):2003-2014. doi:10.1016/j.jand.2017.07.015
2. Swan WI, Pertel DG, Hotson B, et al. Nutrition Care Process (NCP) Update Part 2: Developing and Using the NCP Terminology to Demonstrate Efficacy of Nutrition Care and Related Outcomes. Journal of the Academy of Nutrition and Dietetics. May 2019;119(5):840-855. doi:10.1016/j.jand.2018.10.025
3. Lövestam E, Vivanti A, Steiber A, et al. The International Nutrition Care Process and Terminology Implementation Survey: Towards a Global Evaluation Tool to Assess Individual Practitioner Implementation in Multiple Countries and Languages. Journal of the Academy of Nutrition and Dietetics. Feb 2019;119(2):242-260. doi:10.1016/j.jand.2018.09.004
4. Lövestam E, Steiber A, Vivanti A, et al. Use of the Nutrition Care Process and Nutrition Care Process Terminology in an International Cohort Reported by an Online Survey Tool. Journal of the Academy of Nutrition and Dietetics. Feb 2019;119(2):225-241. doi:10.1016/j.jand.2018.09.002
5. Lövestam E, Vivanti A, Steiber A, et al. Barriers and enablers in the implementation of a standardised process for nutrition care: findings from a multinational survey of dietetic professionals in 10 countries. Journal of human nutrition and dietetics : the official journal of the British Dietetic Association. Jan 7 2020;doi:10.1111/jhn.12700