Implantation du processus de soins en nutrition
Problem: In Quebec, the use of the Nutrition Care Process (NCP) is limited, organizations apprehend its implantation will be arduous but are motivated to proceed. Objective: To accompany two clinical nutrition services of health facilities in the greater Montreal area in the deployment of the NCP and document the barriers and facilitating factors. Methodology: The Hôpital du Sacré-Cœur de Montréal and the CSSS Champlain–Charles-Le Moyne were recruited. Data collection was accomplished through accompanying sessions throughout the deployment of the NCP. An end of project meeting was held in each area, with nutritionists and heads of departments. The data collected is qualitative. The exchanges were recorded and a logbook was completed. The synthesis was written using a change management model. Results: A total of 18 accompanying sessions were held and five end of project meetings were held. The main obstacles to the implementation of the NCP are largely related to the commitment of nutritionists, training and time constraints. The main facilitating factors are the presentations of case studies with discussion and the manual of the International Dietetics and Nutrition Terminology (IDNT). Discussion: Our health system is increasingly subject to change and leaders will need to optimize resources. The International Confederation of Dietetic Associations suggested adopting the NCP as an international framework for the profession. Implementation strategies for organizational change management principles will facilitate the integration of these important changes. The experience of the two documented environments will be enlightening for other organizations wishing to implement the NCP.
Implantation Nutrition Care Process Terminology of the Nutrition Care Process Implementation Change management model Barrier and facilitating factor Resource optimization Professional practice