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Competency development needs of the Australian public health nutrition workforce

Published online by Cambridge University Press:  02 January 2007

Roger Hughes*
Affiliation:
Nutrition Unit, School of Health Science, Griffith University, Gold Coast, Queensland 4217, Australia
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives:

To assess factors affecting competency development of the Australian public health nutrition workforce and investigate competency development intentions, barriers and self-reported training needs.

Design:

Cross-sectional study using self-administered mail- or email-delivered questionnaire.

Setting and subjects:

Two hundred and forty practitioners working in designated community and public health nutrition positions in the Australian health system.

Results:

An 87% questionnaire response rate was achieved. The profile of the sample included female practitioners (95%) within the age range of 26–45 years (67%), from dietetic backgrounds (75%) and employed in state health departments as community dietitians/nutritionists (52%) or public health nutritionists (32%). Only 14% had completed higher degree qualifications but most (80%) reported an intention to do so in the future. Entry-level dietetic education was considered by most respondents (57%) to be inadequate preparation for public health nutrition practice but considered it had utility as a precursor for public health nutrition competency development because of its strong grounding in nutrition knowledge, basic research skills and problem-solving. On-the-job learning was the most prominent competency development influence reported by this workforce. Flexibility in teaching and learning approaches is needed to facilitate workforce participation in further competency development. The main competency development needs focused on analytical and policy process competencies; however, there was a general need expressed for competency development across many competency areas.

Conclusions:

These data provide intelligence to inform public health nutrition workforce development, particularly that relating to continued professional development amongst the existing workforce.

Type
Research Article
Copyright
Copyright © CAB International 2003

References

1Centre for Disease Control/Agency for Toxic Substances and Disease Registry. Strategic Plan for Public Health Workforce Development. Washington, DC: US Department of Health and Human Services, 2001.Google Scholar
2Kennedy, V, Moore, F. A systems approach to public health workforce development. Journal of Public Health Management and Practice 2001; 7: 1722.Google Scholar
3Riddout, L, Gadiel, D, Cook, K, Wise, M. Planning Framework for the Public Health Workforce. Discussion Paper. Melbourne: National Public Health Partnership, 2002.Google Scholar
4Gebbie, K, Rosenstock, L, Hernendez, L. Who will Keep the Public Health? Educating Public Health Professionals for the 21st Century. Washington, DC: National Academy Press, 2002.Google Scholar
5Lichtveld, M, Cioffi, J, Baker, E, Bailey, S, Gebbie, K, Henderson, J, et al. Partnership for front-line success: a call for a national action agenda on workforce development. Journal of Public Health Management and Practice 2001; 7: 17.Google Scholar
6Healthwork UK. National Standards for Specialist Practice in Public Health: An Overview (Approved Version). London: Healthwork UK, 2001.Google Scholar
7 Council on Linkages between Academia and Public Health Practice. Core Competencies for Public Health Professionals [online], 2001. Available at http://www.TrainingFinder.org/competencies.Google Scholar
8Lane, D, Ross, V, Chen, D, O'Neill, C. Core competencies for preventative medicine residents: version 2. American Journal of Preventive Medicine 16: 1999; 367–72.CrossRefGoogle ScholarPubMed
9American College of Preventative Medicine. Core Competencies and Performance Indicators for Preventive Medicine Residents [online], 2002. Available at http://www.acpm.org/corecomp.htm.Google Scholar
10Precision Consultancy. Draft Health Promotion Competency Standards. Melbourne: Precision Consultancy, 2000.Google Scholar
11Howat, P, Maycock, B, Jackson, L, Lower, T, Cross, D, Collins, J, et al. Development of competency-based university health promotion courses. Promotion & Education 2000; 7: 33–8.Google Scholar
12The National Commission for Health Education Credentialling, Inc. Responsibilities and Competencies for Health Educators [online], 2002. Available at http://www.nchec.org/competencies.htm.Google Scholar
13The Nutrition Society. How to Specify Levels of Learning Outcome in Public Health Nutrition; Annex. London: The Nutrition Society, 2000.Google Scholar
14Dodds, J, Polhamus, B. Self-perceived competence in advanced public health nutritionists in the United States. Journal of the American Dietetic Association 1999; 99: 808–12.Google Scholar
15Landman, J, Buttriss, J, Margetts, B. Curriculum design for professional development in public health nutrition in Britain. Public Health Nutrition 1998; 1: 6974.Google Scholar
16Pelletier, D. Advanced training in food and nutrition: disciplinary, interdisciplinary, and problem orientated approaches. Food and Nutrition Bulletin 1997; 18: 134–45.Google Scholar
17Rogers, B, Schlossman, N. ‘Public nutrition“: the need for cross-disciplinary breadth in the education of applied nutrition professionals. Food and Nutrition Bulletin 1997; 18: 120–33.Google Scholar
18Hughes, R. Public health nutrition workforce composition, core functions, competencies and capacity: perspectives of advanced-level practitioners in Australia. Public Health Nutrition 2003; 6: 107–13.Google Scholar
19Hughes, R. Competency development in public health nutrition: reflections of advanced-level practitioners in Australia. Nutrition and Dietetics 2003; in press.Google Scholar
20Kaufman, D. Applying educational theory in practice. British Medical Journal 2003; 326: 213–6.CrossRefGoogle ScholarPubMed
21Hughes, R. Employers' expectations of core functions and competencies for the public health nutrition workforce. Nutrition and Dietetics 2003; in press.Google Scholar
22Haughton, B, Story, M, Keir, B. Profile of public health nutrition personnel: challenges for population/system-focused roles and state-level monitoring. Journal of the American Dietetic Association 1998; 98: 664–70.Google Scholar
23Gatchell, S, Woolcott, D. A demographic profile of Canadian public health nutritionists. Journal of the Canadian Dietetic Association 1992; 53: 30–4.Google Scholar
24Hughes, R. Enumerating and profiling the Australian public health nutrition workforce. Nutrition and Dietetics 2003; in press.Google Scholar
25Steele, J. Towards a public health nutrition human resource infrastructure in Queensland. MPH thesis, University of Queensland, Brisbane, 1995.Google Scholar
26Hess, A, Haughton, B. Continuing education needs for public health nutritionists. Journal of the American Dietetic Association 1996; 96: 716–8.Google Scholar
27Olmstead-Schafer, M, Story, M, Haughton, B. Future training needs in public health nutrition: results of a national delphi survey. Journal of the American Dietetic Association 1996; 96: 282–3.Google Scholar
28Schwartz, N. Assessment of continuing education needs and preferences of British Columbia dietitians and nutritionists. Journal of the Canadian Dietetic Association 1986; 47: 147–54.Google Scholar
29Story, M, Neumark-Stzainer, D, Ireland, M, Evans, T. Adolescent health and nutrition: a survey of perceived knowledge and skill competencies and training interests among dietitians working with youth. Journal of the American Dietetic Association 2000; 100: 362–4.CrossRefGoogle ScholarPubMed
30Grbich, C. Qualitative Research in Health: An Introduction. St Leonards: Unwin & Allen, 1999.Google Scholar
31Gebbie, K. The Public Health Workforce: Enumeration 2000. New York: Columbia University, 2000.Google Scholar
32Gebbie, K, Merrill, J. Enumeration of the public health workforce: developing a system. Journal of Public Health Management and Practice 2001; 7: 816.Google Scholar
33Adamson, A, Cowburn, G. Community nutrition and dietetics: a survey of nutrition group members in 1995. Journal of Human Nutrition and Dietetics 1996; 9: 339–48.Google Scholar
34Story, M, Neumark-Stzainer, D, Sherwood, N, Holt, K, Sofka, D, Trowbridge, F, et al. Management of child and adolescent obesity: attitudes, barriers, skills and training needs among health care professionals. Pediatrics 2002; 110: 210–4.CrossRefGoogle ScholarPubMed
35Hughes, R. A conceptual framework for intelligence-based public health nutrition workforce development. Public Health Nutrition 2003; 6: 599605Google Scholar
36Grant, J. Learning needs assessment: assessing the need. British Medical Journal 2002; 321: 156–9.Google Scholar
37Yngve, A, Sjostrom, M, Warm, D, Margetts, B, Rodrigo, C, Nissinen, A. Effective promotion of healthy nutrition and physical activity in Europe requires skilled and competent people; European Master's Programme in Public Health Nutrition. Public Health Nutrition 1999; 2: 449–52.Google Scholar
38Vernon, D, Blake, R. Does problem-based learning work? A meta-analysis of evaluation research. Academic Medicine 1993; 68: 550–63.Google Scholar
39Manning, C, Vickery, C. Disengagement and work constraints are deterrents to participation in continuing professional education amongst registered dietitians. Journal of the American Dietetic Association 2000; 100: 1540–2.Google Scholar
40American Dietetic Association. Report on the American Dietetic Association's member needs assessment/satisfaction survey. Journal of the American Dietetic Association 2000 100: 112–6.Google Scholar
41Hughes, R. Work practices of the community and public health nutrition workforce in Australia. Nutrition and Dietetics 2003; in press.Google Scholar
42Chauvin, S, Anderson, A, Bowdish, B. Assessing the professional development needs of public health professionals. Journal of Public Health Management and Practice 2001; 7: 2337.Google Scholar
43Corby, L. Assessment of community development and leadership skills required by Caribbean nutritionists and dietitians: research and international collaboration in action. Journal of Nutrition Education 1997; 29: 250–7.Google Scholar