Evidence map›Paper›PMID 35692187›Full record

ArticleNutrition & dietetics : the journal of the Dietitians Association of Australia2022

A novel perspective of Australian primary care dietetics: Insights from an exploratory study using complex adaptive systems theory.

Amy Kirkegaard, Lauren Ball, Lana Mitchell, Lauren T Williams

Abstract read
In one paragraph

Article in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Addressing Malnutrition in Australian Hospitals: A Scoping Review to Inform Systems Thinking.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Article
  2. Development and baseline findings of a national dataset describing Australian private practice dietetics.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    Article
  3. The business of dietetics: Results from the national Australian private practice dietetics dataset.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    Article
  4. Dietitians as System Builders: Advancing Equity, Sustainability and Health in Community Nutrition and Primary Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Article
  5. Professional supervision in dietetics: A comprehensive, narrative literature review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025
    Review
  6. Understanding Primary Care Dietitians' Experiences and Perspectives on Weight Management Practice Using the COM-B Model.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  7. Integrating Systems Thinking in Nutrition and Dietetics Education.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  8. Developing the EQUIPED approach to quality management using multi-grounded theory.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2023
    Article
  9. Developing the Quality in Nutrition Care Model for Dietitians (QUINCE-MOD) in primary care: A mixed-method survey of healthcare consumers and professionals.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2023
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amy KirkegaardMenzies Health Institute of Queensland, Griffith University, Southport, QLD, Australia.ORCID 0000-0001-7150-5338
Lauren BallMenzies Health Institute of Queensland, Griffith University, Southport, QLD, Australia.ORCID 0000-0002-5394-0931
Lana MitchellMenzies Health Institute of Queensland, Griffith University, Southport, QLD, Australia.ORCID 0000-0002-7892-2131
Lauren T WilliamsMenzies Health Institute of Queensland, Griffith University, Southport, QLD, Australia.ORCID 0000-0002-7860-0319

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsEffective quality improvement strategies are essential to enhancing outcomes of dietetic care. Interventions informed by complex adaptive systems theory have demonstrated effectiveness in other healthcare settings. This study aimed to explore primary care dietetics practice using complex adaptive systems theory and to identify factors that individuals across the healthcare system can examine and address to improve the quality of dietetic care.

methodsQualitative analysis of semi-structured interviews of healthcare consumers and professionals involved in the provision of dietetic care. Data collection and analysis was guided by a complexity-informed conceptual framework. The Framework Method was used to code transcripts and identify themes describing primary care dietetics.

resultsTwenty-three consumers and 26 primary care professionals participated. Participants described dietetic care as being delivered by individuals organised into formal and informal systems that were influenced by the wider environment, including legal, economic, and socio-cultural systems. Dietitians described interactions with consumers as a learning opportunity and sought education, mentoring, or supervision to address knowledge and skill gaps. Relationships underpinned transfer of information between individuals.

conclusionComplex adaptive systems theory proved to be a useful conceptual framework for primary care dietetics. Factors identified at the macro (e.g., funding), meso (e.g., professional networks), and micro (e.g., consumer education) levels should be examined and addressed to improve the quality of dietetic care.

Indexed as

DieteticsNutritionistsAustraliaHumansPrimary Health CareSystems Theorycomplex adaptive systemsprimary careprivate practicequalitative researchquality of caresystems analysis

Identifiers

PMID35692187
PMCPMC9545103

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.