Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-22T15:17:40.187Z Has data issue: false hasContentIssue false

Public health nutrition workforce composition, core functions, competencies and capacity: perspectives of advanced-level practitioners in Australia

Published online by Cambridge University Press:  16 August 2007

Roger Hughes*
Affiliation:
Nutrition Unit, School of Health Science, Griffith University, Gold Coast, Queensland 4217, Australia
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objectives:

To investigate the attitudes, experiences and beliefs of advanced-level public health nutritionists with respect to public health nutrition workforce composition, core functions, competency requirements and existing workforce capacity.

Design:

Qualitative study using structured interviews.

Setting:

Australia.

Subjects:

Forty-one advanced-level public health nutritionists employed in academic and senior technocratic positions in state health systems.

Results:

Advanced-level public health nutritionists recognise the diversity of the public health nutrition workforce but clearly identify the need for a specialist public health nutrition workforce tier to provide workforce leadership. Nominated core functions for public health nutrition reflect broader public health core functions but, in the context of nutrition, specific problem resolution. Opinions about competency needs were similar to many of the cross-cutting competencies identified in the public health field but with specific application to nutrition problems. Competency in the scientific underpinning of nutrition was considered particularly important and delineated this public health nutrition workforce from the broader public health workforce. Public health nutrition was identified as a specialisation within public health and dietetics. Workforce capacity assessments by this group indicate a need for workforce development.

Conclusions:

Qualitative data from a large proportion of the Australian public health nutrition leadership group have identified core functions, competencies and workforce development priorities that can be a basis for further systematic research and workforce strategy development.

Type
Research Article
Copyright
Copyright © The Authors 2003

References

1Landman, J. Training in Public Health Nutrition: symposium at the 17th International Congress of Nutrition, Vienna. Public Health Nutrition 2001; 4: 1301–2.CrossRefGoogle ScholarPubMed
2Hughes, R, Somerset, S. Definitions and conceptual frameworks for public health and community nutrition: a discussion paper. Australian Journal of Nutrition and Dietetics 1997; 54: 40–5.Google Scholar
3Tapsell, L. Letter to editor. Australian Journal of Nutrition and Dietetics 1997; 54: 153–4.Google Scholar
4Woods, J. Defining Public Health Nutrition and Community Nutrition. Melbourne: National Specialty Program in Public Health and Community Nutrition, 1996.Google Scholar
5Niall, M, O'Dea, K. Viewpoint article: definitions and conceptual framework for public health and community nutrition – letter to editor. Australian Journal of Nutrition and Dietetics 1997; 54: 208.Google Scholar
6Mackerras, D. Viewpoint article: definitions and conceptual framework for public health and community nutrition – letter to editor. Australian Journal of Nutrition and Dietetics 1998; 55: 37–8.Google Scholar
7Hughes, R. An omnibus survey of the Australian rural health dietetic workforce. Australian Journal of Nutrition and Dietetics 1998; 55: 163–9.Google Scholar
8Hughes, R, Somerset, S. In reply to Ash et al. and Tapsell. Australian Journal of Nutrition and Dietetics 1997; 54: 154–5.Google Scholar
9Ash, S, Capra, S, Cumming, F, Gibbons, K, Roberts, N, Tapsell, L. Viewpoint article: definitions and conceptual framework for public health and community nutrition – letter to editor. Australian Journal of Nutrition and Dietetics 1997; 54: 152–3.Google Scholar
10Campbell, K, Steele, J, Woods, J, Hughes, R. Developing a Public Health Nutrition Workforce in Australia: Workforce Issues. Melbourne: National Specialty Program in Public Health and Community Nutrition, 1997.Google Scholar
11Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry. Strategic Plan for Public Health Workforce Development. Toward a Life-long Learning System for Public Health Practitioners. Washington, DC: US Department of Health and Human Services, 2001.Google Scholar
12Lichtveld, M, Cioffi, J, Baker, E Jr, Bailey, SB, Gebbie, K, Henderson, JV, 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(4): 17.CrossRefGoogle Scholar
13Strategic Intergovernmental Nutrition Alliance. Eat Well Australia: An Agenda for Action for Public Health Nutrition 2000–2010. Canberra: Department of Health and Aged Care, 2001.Google Scholar
14Rogers, 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.CrossRefGoogle Scholar
15Public Health Association of Australia, Inc. (PHAA) Workforce Issues for Public Health: The Report of the Public Health Workforce Study 1990. Canberra: PHAA, 1990.Google Scholar
16Adamson, 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.CrossRefGoogle Scholar
17Haughton, 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.CrossRefGoogle ScholarPubMed
18Gatchell, S, Woolcott, D. A demographic profile of Canadian public health nutritionists. Journal of the Canadian Dietetic Association 1992; 53: 30–4.Google ScholarPubMed
19National Public Health Partnership (NPHP). Public Health Practice in Australia Today – Core Functions. Melbourne: NPHP, 2001.Google Scholar
20US Department of Health and Human Services (DHHS). The Essential Public Health Services Work Group of the Core Public Health Functions Steering Committee. Washington, DC: DHHS, 1995.Google Scholar
21Pelletier, D. Advanced training in food and nutrition: disciplinary, interdisciplinary, and problem orientated approaches. Food and Nutrition Bulletin 1997; 18: 134–45.CrossRefGoogle Scholar
22Yngve, A, Sjostrom, M, Warm, D, Margetts, B, Rodrigo, CP, 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.CrossRefGoogle ScholarPubMed
23Landman, J, Buttriss, J, Margetts, B. Curriculum design for professional development in public health nutrition in Britain. Public Health Nutrition 1998; 1: 6974.CrossRefGoogle ScholarPubMed
24Hess, A, Haughton, B. Continuing education needs for public health nutritionists. Journal of the American Dietetic Association 1996; 96: 716–8.CrossRefGoogle ScholarPubMed
25Dodds, 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.CrossRefGoogle ScholarPubMed
26Kennedy, V, Moore, F. A systems approach to public health workforce development. Journal of Public Health Management and Practice 2001; 7: 1722.CrossRefGoogle ScholarPubMed
27Mays, N, Pope, C. Qualitative research in health care. Assessing quality in qualitative research. British Medical Journal 2000; 320: 50–2.CrossRefGoogle Scholar
28Johnson, D, Eaton, D, Wahl, P, Gleason, C. Public health nutrition practice in the United States. Journal of the American Dietetic Association 2001; 101: 529–34.CrossRefGoogle ScholarPubMed
29Olmstead-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.CrossRefGoogle ScholarPubMed
30Ash, S, Phillips, S. What is dietetic competence? Competency standards, competence and competency explained. Australian Journal of Nutrition and Dietetics 2000; 57: 147–51.Google Scholar
31Phillips, S, Ash, S, Tapsell, L. Dietitians' views on the current competency standards for entry level dietitians. Australian Journal of Nutrition and Dietetics 2000; 57: 190–7.Google Scholar
32Phillips, S, Ash, S, Tapsell, L. Relevance of the competency standards to entry level dietetic practice. Australian Journal of Nutrition and Dietetics 2000; 57: 198207.Google Scholar