Example questions from the International Nutrition Care Process and Terminology Implementation Survey (INIS)

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Example questions from the International Nutrition Care Process and Terminology Implementation Survey (INIS) This document contains example questions from the INIS tool. The document does not contain all questions included in the original INIS tool. For some INIS questions, response options have been removed in this example version.

Examples from MODULE 1. Demographic questions 3. What is the highest level of education you have completed in nutrition or dietetics? I have not completed any level of education in nutrition or dietetics (respondent is directed to the end of this survey) Bachelor s degree Master s degree Doctoral degree Other level of education (please specify) 4. What year did you complete your training to be able to practice as a dietitian? 1970 or earlier 1970 1971 1972.. 2015 2016 2017 5. What are your current main areas of practice? Please select all that apply. Pa ent/client-related (inpatients) Pa ent/client-related (outpatients) Teaching (academic) Research Community (e.g. local health promotion, quality routines at nursing homes or schools, work with local food and restaurant suppliers) Public health (e.g. strategic or policy work at state, provincial or na onal level) Administra ve/ food service Administra ve/management Consultation and business practice Not currently working as die an Other, please specify

Examples from MODULE 2. NCP/NCPT implementation 6. Have you ever heard of the Nutrition Care Process (NCP)? Yes No 9. Which of the following aspects have positively affected the implementation of the NCP and NCPT into your practice? Yes No Not applicable/ I don t know Peer support Designated leader/facilitator/champion at my workplace Management support Allocated time to practice Regular education and training sessions Electronic health care records NCP use is required by my workplace NCP use is required when supervising dietetic students NCP use is recommended/required by the professional dietetic association Other, please specify

10. Which of the following aspects have negatively affected the implementation of the NCP and NCPT into your practice? Yes No Not applicable/ I don t know Lack of motivation/ Do not see a reason to change my work approach Lack of knowledge Lack of time Lack of financial resources Lack of training and education Lack of management support Lack of peer support Electronic health records unavailable Not having access to online tools or books Other, please specify

In the following section, you will be asked about your usage of the NCP process, which is the systematic way of thinking and acting. There will also be questions about your usage of the standardized language (NCPT) later in the survey. 11 To what extent do you use the NCP structure (the process, which is the systematic way of thinking and acting) in your dietetic practice? Never Rarely Occasionally Frequently Always a) for nutrition assessment? This refers to the systematic collection of important and relevant data, and the analysis/interpretation of the collected data. b) for identification of the patient s/client s nutrition problem (nutrition diagnosis)? This refers to identifying the nutrition problem, determining the etiology/cause and stating signs/symptoms c) for nutrition intervention? This refers to determining intervention and prescription, formulating goals and determining and implementing action. d) for monitoring and evaluation of nutrition care? This refers to selecting or identifying quality indicators and monitoring and evaluating the resolution of the nutrition diagnosis. Comments:

In the following section, you will be asked about your usage of NCP terminology. These are the standardized terms connected to each step of the NCP. 16. Do you have access to the NCP terminology (NCPT)? Please choose the most recent edition that you access. I have access to the encpt online (https://ncpt.webauthor.com) I have access to a NCPT book from 2013 or later (yellow book) I have access to a NCPT book from 2012 or earlier (blue, purple or green book) I have access to a NCPT book, but am unsure of year/version I have no access to the NCPT terminology I don t know if I have access. Other, please specify

18 To what extent do you use the standardized NCPT (the terminology, or the standardized terms) in your dietetic practice? Never Rarely Occasi onally Frequently Always a) for nutrition assessment documentation? This refers to using the standardized terms in the documentation of the collection of data and the analysis/interpretation of the collected data. b) for nutrition problem (nutrition diagnosis) documentation? This refers to using the standardized terms in the documentation of the nutrition problem, etiology/cause and signs/symptoms. c) for nutrition intervention documentation? This refers to using the standardized terms in the documentation of the intervention, prescription and goals and determining and implementing actions. d) for documentation of monitoring and evaluation of nutrition care? This refers to using the standardized terms in the documentation of quality indicators, monitoring and evaluation of the resolution of the nutrition diagnosis. Comments:

Examples from MODULE 3. NCP/NCPT attitudes 20. Please select your agreement with the following statements regarding the NCP and NCPT. Please note that some of the statements ask about the NCP and NCPT together, while others ask about only the NCP (the process, or the systematic way of thinking and acting) or the NCPT (the terminology, or the standardized terms). There are benefits to implementing the NCP (the process) Strongly disagree Disagree Neutral Agree Strongly agree Not applicable There are benefits to implementing the NCPT (the terminology) The NCP and NCPT facilitate communication between dietitians. The NCP and NCPT facilitate communication with other health-care professionals. The NCP and NCPT improve patient/client nutrition care. The NCP and NCPT encourage critical thinking among dietitians. The NCP and NCPT facilitate more patient/client involvement in the care process Comments

Examples from MODULE 4. NCP/NCPT knowledge QUIZ 21. What is the first step of the NCP? Nutrition screening Nutrition monitoring and evaluation Nutrition assessment Nutrition intervention Nutrition diagnosis I m not sure 23. Which is not a Nutrition Diagnosis according to the NCPT? (response options removed) 24. Which of the following terms is the standardized NCP term to use when describing insufficient intake? (response options removed) 25. Which of the following are the domains of the nutrition diagnosis in the NCP? (response options removed)