Original Publication
Open Access

Critical Synthesis Package: Nutrition in Patient Care Survey

Published: December 27, 2013 | 10.15766/mep_2374-8265.9647

Included in this publication:

  • Critical Analysis of the Nutrition in Patient Care Survey.pdf
  • Nutrition in Patient Care Survey.doc
  • NIPS Scoring Guide.docx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications. It is also part of a discontinued collection that focused on the presentation of health sciences education assessment tools and their reported validity data.


This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and the application to health science education of the Nutrition in Patient Care Survey (NIPS), and (2) a copy of the NIPS instrument and the scoring instructions developed by William McGaghie, PhD.

The NIPS is a short, self-administered instrument with 45 declarative statements, divided into 5 validated subscales: (1) Nutrition in Routine Care (incorporation of nutrition in routine care), (2) Physician-Patient Relationship (patient-provider nutrition communication), (3) Patient Behavior/Motivation (causal and mediating factors in patient behavior), (4) Physician Efficacy (physician effectiveness in changing patient behavior), and (5) Clinical Behavior (attitudes related to the importance of nutrition counseling in clinical practice). The response options are presented along a 5-point Likert scale for items 1-25. Items 26-45 (Clinical Behavior subscale) have a yes/no response option. Mean subscale scores can be calculated, with higher scores indicating more favorable attitudes towards nutrition counseling. The percentage of yes responses to the Clinical Behavior subscale can also be calculated. The NIPS has been used in research on medical students, residents, physicians, and other health-care providers. The NIPS has demonstrated sensitivity to changes in attitude in one intervention that incorporated motivational interviewing. The concurrent validity of this scale should be further explored as it has not yet been correlated with other relevant scales. Also, the authors present evidence for test-retest reliability but there is a lack of longitudinal research assessing its application in diverse populations.

Educational Objectives

  1. To describe the purpose and basic properties of the Nutrition in Patient Care Survey (NIPS), including number of items and scales, and psychometric properties;
  2. To describe the application of the NIPS to the field of health sciences education;
  3. To evaluate the relative strengths and weaknesses of the NIPS; and
  4. To provide the NIPS and supplemental materials to aid in its administration.

Author Information

  • Brooke Green, MS: Virginia Commonwealth University School of Medicine
  • Victoria Shivy, PhD: Virginia Commonwealth University School of Medicine

None to report.

None to report.


Green B, Shivy V. Critical synthesis package: nutrition in patient care survey. MedEdPORTAL. 2013;9:9647. https://doi.org/10.15766/mep_2374-8265.9647