Advertisement

NOTICE: We are experiencing technical issues with Academy members trying to log into the JAND site using Academy member login credentials. We are working to resolve the issue as soon as possible. Alternatively, if you are an Academy member, you can access the JAND site by registering for an Elsevier account and claiming access using the links at the top of the JAND site. Email us at [email protected] for assistance. Thanks for your patience!

Nutrition Care Process (NCP) Update Part 2: Developing and Using the NCP Terminology to Demonstrate Efficacy of Nutrition Care and Related Outcomes

Published:January 16, 2019DOI:https://doi.org/10.1016/j.jand.2018.10.025
      Nutrition and dietetics practitioners around the world use the Nutrition Care Process Terminology (NCPT) to communicate the Nutrition Care Process (NCP).
      Academy of Nutrition and Dietetics
      Nutrition Terminology Reference Manual (eNCPT): Dietetics language for nutrition care.
      In this article, nutrition and dietetics practitioners or professionals; dietitians; dietitians-nutritionists; and dietetic technicians, registered, are collectively referred to as professionals. The NCPT is a standardized terminology or controlled vocabulary that complements the NCP, a systematic problem-solving roadmap for planning and providing nutrition and dietetic care to individuals and populations, and researching related outcomes. Recently, a scheduled update of the NCP and Model (NCPM) was published.
      • Swan W.I.
      • Vivanti A.
      • Hakel-Smith N.A.
      • et al.
      Nutrition Care Process and Model update: Toward realizing people-centered care and outcomes management.
      The NCPM is the graphic representation of the NCP. The NCP includes four steps that collectively describe the unique contributions of nutrition and dietetics practitioners. These steps are Nutrition Assessment and Reassessment, Nutrition Diagnosis, Nutrition Intervention, and Nutrition Monitoring and Evaluation. A companion to the model update publication, this article reviews the background of the NCP and describes the current state and ongoing enhancements of the NCPT.
      • Swan W.I.
      • Vivanti A.
      • Hakel-Smith N.A.
      • et al.
      Nutrition Care Process and Model update: Toward realizing people-centered care and outcomes management.
      A further aim is to illustrate how the NCPT communicates the unique functions of nutrition and dietetics practitioners and supports the research on nutrition and dietetics care. This article replaces previous information on the use of the NCPT.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Academy of Nutrition and Dietetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Academy of Nutrition and Dietetics
        Nutrition Terminology Reference Manual (eNCPT): Dietetics language for nutrition care.
        (Accessed June 28, 2018)
        • Swan W.I.
        • Vivanti A.
        • Hakel-Smith N.A.
        • et al.
        Nutrition Care Process and Model update: Toward realizing people-centered care and outcomes management.
        J Acad Nutr Diet. 2017; 117: 2003-2014
        • National Library of Medicine
        Unified medical language system.
        (Accessed June 28, 2018)
        • Jenkins M.
        • Myers E.
        • Charney P.
        • Escott-Stump S.
        American Dietetic Association's Standardized Nutrition Language: Project logic model and current status.
        Stud Health Technol Inform. 2006; 122: 710-714
        • Writing Group of the Nutrition Care Process/Standardized Language Committee
        Nutrition Care Process part II: Using the International Dietetics and Nutrition Terminology to document the Nutrition Care Process.
        J Am Diet Assoc. 2008; 108: 1291-1293
        • Writing Group of the Nutrition Care Process/Standardized Language Committee
        Nutrition Care Process and Model part I: The 2008 update.
        J Acad Nutr Diet. 2008; 108: 1113-1117
        • American Dietetic Association
        Nutrition Diagnosis: A Critical Step in the Nutrition Care Process.
        American Dietetic Association, Chicago, IL2006
        • American Dietetic Association
        International Dietetics and Nutrition Terminology (IDNT) Manual.
        American Dietetic Association, Chicago IL2008
        • Academy of Nutrition and Dietetics
        Abridged Nutrition Care Process Terminology (NCPT) Reference Manual.
        Academy of Nutrition and Dietetics, Chicago IL2017
      1. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics language for nutrition care. International collaboration and translations. http://www.ncpro.org/international-collaboration. Accessed June 28, 2018.

        • European Federation of the Associations of Dietitians
        Report on knowledge and use of a Nutrition Care Process & Standardised Language by Dietitians in Europe.
        2012 (Accessed December 5, 2018.)
        • International Confederation of Dietetic Associations
        ICDA strategic plan 2017-2020.
        (Accessed July 3, 2018)
        • Hakel-Smith N.
        • Lewis N.M.
        • Eskridge K.M.
        Orientation to Nutrition Care Process standards improves nutrition care documentation by nutrition practitioners.
        J Am Diet Assoc. 2005; 105: 1582-1589
        • Lovestam E.
        • Bostrom A.M.
        • Orrevall Y.
        Nutrition Care Process implementation: Experiences in various dietetics environments in Sweden.
        J Acad Nutr Diet. 2017; 117: 1738-1748
        • Lövestam E.
        • Orrevall Y.
        • Koochek A.
        • Andersson A.
        The struggle to balance system and lifeworld: Swedish dietitians’ experiences of a standardised nutrition care process and terminology.
        Health Sociol Rev. 2016; 25: 240-255
        • Myers E.F.
        • Trostler N.
        • Varsha V.
        • Voet H.
        Insights from the Diabetes in India Nutrition Guidelines Study: Adopting innovations using a knowledge transfer model.
        Top Clin Nutr. 2017; 32: 69-86
        • Rossi M.
        • Campbell K.L.
        • Ferguson M.
        Implementation of the Nutrition Care Process and International Dietetics and Nutrition Terminology in a single-center hemodialysis unit: Comparing paper vs electronic records.
        J Acad Nutr Diet. 2014; 114: 124-130
        • Thompson K.L.
        • Davidson P.
        • Swan W.I.
        • et al.
        Nutrition Care Process chains: Tthe “missing link” between research and evidence-based practice.
        J Acad Nutr Diet. 2015; 115: 1491-1498
        • Tilakavati K.
        • Reinhard T.
        • Shanthi K.
        • Shy-Pyng T.
        • Chee-Hee S.
        Incorporating the Nutrition Care Process model into dietetics internship evaluation: A Malaysian university experience.
        Nutr Diet. 2016; 73: 283-295
        • SNOMED International
        SNOMED-CT: The global language of healthcare.
        (Accessed July 29, 2018)
        • Regenstrief Institute
        Logical Observation Identifiers Names and Codes (LOINC).
        (Accessed July 3, 2018)
        • Hand R.K.
        • Murphy W.J.
        • Field L.B.
        • et al.
        Validation of the Academy/A.S.P.E.N. malnutrition clinical characteristics.
        J Acad Nutr Diet. 2016; 116: 856-864
        • Murphy W.J.
        • Yadrick M.M.
        • Steiber A.L.
        • Mohan V.
        • Papoutsakis C.
        Academy of Nutrition and Dietetics Health Informatics Infrastructure (ANDHII): A pilot study on the documentation of the Nutrition Care Process and the usability of ANDHII by registered dietitian nutritionists.
        J Acad Nutr Diet. 2018; 118: 1966-1974
        • Papoutsakis C.
        • Moloney L.
        • Sinley R.C.
        • Acosta A.
        • Handu D.
        • Steiber A.L.
        Academy of Nutrition and Dietetics methodology for developing evidence-based nutrition practice guidelines.
        J Acad Nutr Diet. 2017; 117: 794-804
        • Cunningham E.
        Where can I find resources for medical record documentation?.
        J Acad Nutr Diet. 2015; 115: 1360
      2. Lorentzen SS, Papoutsakis C, Myers EF, Thoresen L. Adopting Nutrition Care Process Terminology at the national level: The Norwegian experience in evaluating compatibility with International Statistical Classification of Diseases and Related Health Problems, 10th revision, and the existing Norwegian coding system [published online ahead of print April 20, 2018]. J Acad Nutr Diet. https://doi.org/10.1016/j.jand.2018.02.006.

        • Hammond M.I.
        • Myers E.F.
        • Trostler N.
        Nutrition Care Process and Model: An academic and practice odyssey.
        J Acad Nutr Diet. 2014; 114: 1879-1894
        • Kim E.M.
        • Baek H.J.
        A survey on the status of Nutrition Care Process implementation in Korean hospitals.
        Clin Nutr Res. 2013; 2: 143-148
        • Gardner-Cardani J.
        • Yonkoski D.
        • Kerestes J.
        Nutrition Care Process implementation: A change management perspective.
        J Am Diet Assoc. 2007; 107: 1429-1433
        • Porter J.M.
        • Devine A.
        • O'Sullivan T.A.
        Evaluation of a Nutrition Care Process implementation package in hospital dietetic departments.
        Nutr Diet. 2015; 72: 213-221
        • Academy of Nutrition and Dietetics
        Nutrition Terminology Reference Manual (eNCPT): Dietetics language for nutrition care. Terminology submission instructions.
        (Accessed June 28, 2018)
        • Academy of Nutrition and Dietetics
        Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. Are you interested in translating the eNCPT?.
        (Read me!) (Accessed June 28, 2018)
      3. McGreevy J, Orrevall Y. Translating Terminology for the Nutrition Care Process: The Swedish Experience (2010-2016). J Acad Nutr Diet.117(3):469-476.

        • World Health Organization
        People Centred Care in Low- and Middle-Income Countries-Meeting Report.
        World Health Organization, Geneva, Switzerland2010
        • Arah O.A.
        • Westert G.P.
        • Hurst J.
        • Klazinga N.S.
        A conceptual framework for the OECD Health Care Quality Indicators Project.
        Int J Qual Health Care. 2006; 18: 5-13
        • Groene O.
        • Skau J.K.
        • Frolich A.
        An international review of projects on hospital performance assessment.
        I Int J Qual Health Care. 2008; 20: 162-171
      4. Planetree. Reputation. www.planetree.org/reputation/. Accessed July 3, 2018.

        • Beckstead J.W.
        Taxonomies of nursing diagnoses: A psychologist's view.
        Int J Nurs Stud. 2009; 46: 295-301
        • Vivanti A.
        • Lewis J.
        • O'Sullivan T.A.
        The Nutrition Care Process Terminology: Changes in perceptions, attitudes, knowledge and implementation amongst Australian dietitians after three years.
        Nutr Diet. 2018; 75: 87-97
      5. Health Level Seven International. http://www.hl7.org/. Accessed May 5, 2018.

        • American Medical Association
        Current Procedural Codes (CPT) 2018.
        Professional Edition. American Medical Association, Chicago, IL2018
      6. Healthcare Common Procedure Coding Systems G-codes.
        (Accessed May 25, 2018)
      7. Centers for Medicare and Medicaid Services. www.cms.gov. Accessed July 5, 2018.

        • World Health Organization
        International classification of diseases, 10th revision, clinical modification (ICD-10-CM).
        (Accessed June 28, 2018)
        • American Hospital Association
        International statistical classification of diseases and related health problems, 10th revision, clinical modification.
        (Accessed June 26, 2018)
        • Washington V.
        • DeSalvo K.
        • Mostashari F.
        • Blumenthal D.
        The HITECH era and the path forward.
        N Engl J Med. 2017; 377: 904-906
      8. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. The NCPT and electronic health records. http://www.ncpro.org/the-ncpt-and-electronic-health-records. Accessed June 28, 2018.

        • Office of the National Coordinator for Health Information Technology
        Interoperability standards advisory.
        (Accessed July 5, 2018)
        • Ritter-Gooder P.
        • Lewis N.M.
        Validation of nutrition standardized language-next steps.
        J Am Diet Assoc. 2010; 110: 832-835
        • Enrione E.B.
        Content validation of nutrition diagnoses.
        Top Clin Nutr. 2008; 23: 306-319
        • Charney P.J.
        • Maillet O’Sullivan J.K.
        • Touger-Decker R.
        • Splett P.
        • Meyers E.
        • Haque S.
        Reliability of nutrition diagnostic labels when used by registered dietitians at three levels of practice.
        J Am Diet Assoc. 2006; 106: A-12
        • Enrione E.B.
        • Villar J.
        Content validation of two nutrition diagnoses commonly identified in oncology patients.
        J Acad Nutr Diet. 2013; 113: A-13
        • Soares L.
        • Auslander M.H.
        • Enrione E.B.
        Application of the International Dietetics and Nutrition Terminology for Nutrition Diagnoses among Board Certified Specialists in Pediatric Nutrition.
        J Acad Nutr Diet. 2015; 115: A-22
        • Ritter-Gooder P.K.
        • Lewis N.M.
        • Eskridge K.M.
        Content validation of a standardized language diagnosis by certified specialists in gerontological nutrition.
        J Am Diet Assoc. 2011; 111: 561-566
        • Enrione E.B.
        • Reed D.
        • Myers E.F.
        Limited agreement on etiologies and signs/symptoms among registered dietitian nutritionists in clinical practice.
        J Acad Nutr Diet. 2016; 116: 1178-1186
        • Salter K.L.
        • Kothari A.
        Knowledge 'Translation' as social learning: Negotiating the uptake of research-based knowledge in practice.
        BMC Med Educ. 2016; 16: 76
        • Kicklighter J.R.
        • Dorner B.
        • Hunter A.M.
        • et al.
        Visioning Report 2017: A preferred path forward for the nutrition and dietetics profession.
        J Acad Nutr Diet. 2017; 117: 110-127

      Biography

      W. I. Swan is a past chair of the Nutrition Care Process Research Outcomes Committee, a member of the Classification Workgroup of the Academy of Nutrition and Dietetics, and a retired dietitian based in Ranchos de Taos, NM.

      Biography

      D. G. Pertel is an expert terminology consultant for the Nutrition Care Process Terminology, and principal, Pertel Nutrition Consulting, Brookline, MA.

      Biography

      B. Hotson is a member, Nutrition Care Process Research Outcomes International Workgroup of the Academy of Nutrition and Dietetics, and a regional clinical manager, acute care, nutrition and food services, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada; at the time of the study, she was a member, Nutrition Care Process Research Outcomes Committee.

      Biography

      L. Lloyd is chair, Nutrition Care Process Research Outcomes Committee, a member, Nutrition Care Process Research Outcomes International Workgroup of the Academy of Nutrition and Dietetics, and a senior renal dietitian, Department of Nutrition and Dietetics, Auckland City Hospital, Auckland, New Zealand.

      Biography

      Y. Orrevall is a member, Nutrition Care Process Outcomes International Workgroup of the Academy of Nutrition and Dietetics; head of research and development, Education and Innovation, Function Area Clinical Nutrition, Karolinska University Hospital, Stockholm, Sweden; and an associated researcher, Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Stockholm, Sweden.

      Biography

      N. Trostler is a member, Nutrition Care Process Research Outcomes International Workgroup of the Academy of Nutrition and Dietetics, and a professor emeritus, Faculty of Agriculture, Food, and Environmental Sciences, Hebrew University of Jerusalem, Rehovot, Israel; at the time of the study, she was a member, Nutrition Care Process Research Outcomes Committee of the Academy of Nutrition and Dietetics.

      Biography

      A. Vivanti is chair, Nutrition Care Process Research Outcomes International Workgroup of the Academy of Nutrition and Dietetics; vice chair, Nutrition Care Research Outcomes Committee; and a research and development dietitian, Department of Nutrition and Dietetics, Princess Alexandra Hospital Brisbane, Brisbane, Queensland, Australia; and senior lecturer, School of Human Movement and Nutrition Studies, University of Queensland, Brisbane, Queensland, Australia.

      Biography

      K. B. Howarter is principal, Ms. Nutrient Food and Nutrition Consulting Services, Evanston, IL; at the time of the study, she was director, Nutrition Care Process, Research International Scientific Affairs, Academy of Nutrition and Dietetics, Chicago, IL.

      Biography

      C. Papoutsakis is a senior director, Data Science Center, Research International Scientific Affairs, Academy of Nutrition and Dietetics, Chicago, IL.