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Nutrition Informatics Competencies across All Levels of Practice: A National Delphi Study

Published:November 20, 2012DOI:https://doi.org/10.1016/j.jand.2012.09.025
      SEVERAL REPORTS FROM THE Institute of Medicine are transforming health care as we know it today. In 1999, a landmark report entitled To Err Is Human focused on the elimination of paper-based medical records to help reduce medical errors. A year later, Crossing the Quality Chasm followed up with a report pointing out how innovation and information technology can improve the quality of our outdated health care system.
      Institute of Medicine
      Crossing the quality chasm: A new health system for the 21st century.
      To help cross that chasm, the Institute of Medicine published another report focusing on educating the next generation of health care professionals.
      Institute of Medicine
      Health professions education: A bridge to quality.
      As outlined in Health Professions Education, A Bridge to Quality, patient-centered care, evidence-based practice, quality-improvement approaches, and informatics will all be necessary to improve health care in the future.
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      References

        • Institute of Medicine
        To err is human: Building a safer health system.
        (Published November 1999. Accessed September 25, 2010)
        • Institute of Medicine
        Crossing the quality chasm: A new health system for the 21st century.
        (Published March 2001. Accessed September 25, 2010)
        • Institute of Medicine
        Health professions education: A bridge to quality.
        (Published April 2003. Accessed August 2, 2012)
        • Hoggle L.B.
        • Michael M.
        • Houston S.
        • Ayres E.A.
        Nutrition informatics.
        J Am Diet Assoc. 2006; 106: 134-139
        • Bernstam E.
        • Smith J.
        • Johnson T.
        What is biomedical informatics?.
        J Biomed Inform. 2010; 43: 104-110
        • Ayres E.
        • Hoggle L.
        ADA nutrition informatics member survey: Results and future steps.
        J Am Diet Assoc. 2008; 108: 1822-1826
        • Ayres E.J.
        • Hoggle L.B.
        2011 nutrition informatics member survey.
        J Acad Nutr Diet. 2012; 112: 360-367
        • US Department of Health and Human Services
        The Office of the National Coordinator for Health Information Technology (ONC).
        (Updated May 21, 2012. Accessed May 1, 2012)
        • Rhea M.
        • Bettles C.
        Future changes driving dietetics workforce supply and demand: Future scan 2012-2022.
        J Acad Nutr Diet. 2012; 112: S10-S24
        • Eldredge J.D.
        • Morley S.K.
        • Hendrix I.C.
        • Carr R.D.
        • Bengtson J.
        Library and informatics skills competencies statements from major health professional associations.
        Med Ref Serv Q. 2012; 31: 34-44
        • Academy of Nutrition and Dietetics
        Dietetics career development guide.
        (Accessed May 1, 2012)
        • Staggers N.
        • Gassert C.A.
        • Curran C.
        Informatics competencies for nurses at four levels of practice.
        J Nurs Educ. 2011; 40: 303-316
        • Staggers N.
        • Gassert C.A.
        • Curran C.
        A Delphi Study to determine informatics competencies for nurses at four levels of practice.
        Nurs Res. 2002; 51: 383-390
        • McNeil B.J.
        • Elfrink V.L.
        • Pierce S.T.
        • Beyea S.C.
        • Bickford C.J.
        • Averill C.
        Nursing informatics knowledge and competencies: A national survey of nursing education programs in the United States.
        Int J Med Inform. 2005; 74: 1021-1030
        • Garde S.
        • Harrison D.
        • Huque M.
        • Hovenga E.
        Building health informatics skills for health professional: Results from the Australian Health Informatics Skill Needs Survey.
        Australian Health Rev. 2006; 30: 34-45
        • American Nurses Association
        Informatics competencies.
        in: Nursing Informatics: Scope and Standards of Practice. American Nurses Association, Silver Spring, MD2008: 33-43
        • Huang Q.R.
        Competencies for graduate curricula in health, medical and biomedical informatics: A framework.
        Health Inform J. 2007; 13: 89-103
        • Fox B.I.
        • Karcher R.B.
        • Flynn A.
        • Mitchell S.
        Pharmacy informatics syllabi in doctor of pharmacy program in the US.
        Am J Pharm Ed. 2008; 72: 89
        • Hebda T.
        • Czar P.
        Handbook of Informatics for Nurses & Healthcare Professionals. 4th ed. Prentice Hall, Saddle River, NJ2008: 4-48
        • Joint Work Force Task Force
        Health information management and informatics core competencies for individuals working with electronic health records.
        (American Health Information Management Association website) (Published October 2008. Accessed on May 1, 2012)
        • Westra B.L.
        • Delaney C.W.
        Informatics competencies for nursing and healthcare leaders.
        MIA Annu Symp Proc. 2008; Nov 6; : 804-808
        • Barton A.J.
        • Armstrong G.
        • Preheim G.
        • Gelmon S.
        • Andrus L.
        A national Delphi to determine developmental progression of quality and safety competencies in nursing education.
        Nurs Outlook. 2009; 57: 313-322
        • US Department of Health and Human Services, Centers for Disease Control and Prevention
        Competencies for public health informaticians.
        (Accessed May 1, 2012)
        • Hart M.D.
        A Delphi study to determine baseline informatics competencies for nurse manager.
        Comput Inform Nurs. 2010; 28: 364-370
        • Otero P.
        • Bernaldo de Quiros F.G.
        • Hersh W.
        Competencies for a well-trained biomedical and health informatics workforce.
        Methods Inf Med. 2010; 49: 297-298
        • Grain H.
        • Hovenga E.
        Health informatics competencies—Underpinning e-health.
        in: Hansen D.D. Maeder A.J. Schaper L.K. Health Informatics: The Transformative Power of Innovation. IOS Press, Amsterdam, NE2011: 73-81
        • Chang J.
        • Poynton M.
        • Gassert C.
        • Staggers N.
        Nursing informatics competencies required of nurses in Taiwan.
        Int J Med Inform. 2011; 80: 332-340
        • Quality Management Committee
        American Dietetic Association Revised 2008 Standards of Practice for Registered Dietitians in Nutrition Care; Standards of Professional Performance for Registered Dietitians; Standards of Practice for Dietetic Technicians, Registered, in Nutrition Care; and Standards of Professional Performance for Dietetic Technicians, Registered.
        J Am Diet Assoc. 2008; 108: 1538-1542
        • Dalkey N.C.
        The Delphi method: An experimental study of group opinion.
        (RAND Corporation website) (Published June 1969. Accessed May 1, 2012)
        • Okoli C.
        • Pawlowski S.D.
        The Delphi methods as a research tool: An example, design considerations, and application.
        Inform Manage. 2004; 42: 15-29
        • Skulmoski G.J.
        • Hartman F.T.
        • Krahn J.
        The Delphi method for graduate research.
        J Inform Tech Ed. 2007; 6: 1-21
        • Ward B.
        Compensation and benefits survey 2011: Moderate growth in registered dietitian and dietetic technician, registered, compensation in the past two years.
        J Acad Nutr Diet. 2012; 112: 29-40
        • Brody R.
        • Byham-Gray L.
        • Touger-Decker R.
        • Passannante M.
        • Maillet J.
        Identifying components of advanced-level clinical nutrition practice: A Delphi study.
        J Acad Nutr Diet. 2012; 112: 859-869
        • American Medical Informatics Association
        AMIA 10×10 courses.
        (Accessed on June 8, 2012)

      Biography

      E. J. Ayres is deputy chief, Laboratory for Informatics Development, NIH Clinical Center, National Institutes of Health, Bethesda, MD.

      Biography

      J. L. Greer-Carney is director of nutrition services, Concord Hospital, Concord, NH.

      Biography

      P. E Fatzinger McShane is director, Dietetic Internship, Department of Nutrition and Food Science, University of Maryland College Park, College Park, MD.

      Biography

      A. Miller is clinical analyst II, UHS, Clinical Systems, Johnson City, NY.

      Biography

      P. Turner is an assistant professor, Didactic Program in Nutrition and Dietetics and Director, Oklahoma University Health Sciences Center, Oklahoma City.