Waging a professional turf war: an examination of professionalization as a strategic communication practice used by registered dietitians

Submitted: 23 February 2018
Accepted: 26 August 2018
Published: 17 December 2018
Abstract Views: 1167
PDF: 475
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

In 2012, the American Dietetic Association changed its name to the Academy of Nutrition and Dietetics. The following year, the association allowed their members to select between two titles: registered dietitian (RD) or registered dietitian nutritionist. Based on interviews with dietitians, we argue that these semantic changes added fuel to a pre-existing discursive struggle for professional legitimacy. As of June 2017, there were over 100,000 registered dietetic practitioners, globally. Approximately 74% of RDs are members of the Academy, a notably high percent of representation, suggesting the influence of this professional organization on the occupation. Academy members work in a variety of occupational settings and fields, including hospitals, nonprofit organizations, and the food industry, and as such make significant contributions to patient health and public health outcomes.The Academy and its members have established a discursive turf war to strategically establish and defend boundaries within the field of nutrition and dietetics. Their discursive turf war has implications on the day-to-day work life of registered dietitians and other nutritional professionals as well as perceptions of professionalism made by audiences outside the field.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Academy of Nutrition and Dietetics. Eat Right. 2018. Available from: http://www.eatright.org Accessed: 19 February 2018.
Cheney G, Ashcraft KL. Considering “the professional” in communication studies: Implications for theory and research within and beyond the boundaries of organizational communication. Commun Theory 2007;17:146-75. DOI: https://doi.org/10.1111/j.1468-2885.2007.00290.x
Barber MI. History of the American Dietetic Association, 1917-1959. Philadelphia, PA: J.B. Lippincott Company; 1959.
Cassell JA. Carry the flame: the history of the American Dietetic Association. The American Dietetic Association; 1990.
Weigley ES. It might have been euthenics: The Lake Placid conferences and the home economics movement. Am Quart 1974:26:79-96. DOI: https://doi.org/10.2307/2711568
Payne-Palacio J, Canter DD. The profession of dietetics : a team approach. Burlington, MA: Jones & Bartlett Learning; 2014.
Gingras J. The passion and melancholia of performing dietitian. J Sociol 2010;46:437-53. DOI: https://doi.org/10.1177/1440783310384450
Meisenbach RJ. Working with tensions. Manage Commun Q 2008;22:258-87. DOI: https://doi.org/10.1177/0893318908323150
Torstendahl R. Essential properties, strategic aims and historical development: Three approaches to theories of professionalism. In Burrage MC, Torstendahl R, eds. Professions in theory and history: rethinking the study of the professions. London, UK: Sage; 1990. pp 45-61.
Esser F, Tenscher J. The professionalization dilemma: Exploring a strategic approach for political communication experts. Political Communication Division 2005. Proceedings of the at the International Communication Association Annual Conference. New York City, NY; 2005.
Larson MS. In the matter of experts and professionals, or how impossible it is to leave nothing unsaid. In Torstendhal R, Burrage M, eds. The formation of professions: Knowledge, state and strategy. London, UK: Sage; 1990. pp 24-50.
Malin N. Professionalism, boundaries, and the workplace. New York, NY: Routledge; 2000.
Freidson E. Professional powers: A study of the institutionalization of formal knowledge. Chicago, Illinois: University of Chicago Press; 1988.
Sela-Sheffy R, Shlesinger M. Identity and status in the translational professions. Amsterdam: John Benjamins Publishing; 2011. DOI: https://doi.org/10.1075/bct.32
Nanacarrow SA, Borthwick AM. Dynamic professional boundaries in the healthcare workforce. Soc Health Ill 2005;27:897-919. DOI: https://doi.org/10.1111/j.1467-9566.2005.00463.x
Saks M. The wheel turns? Professionalisation and alternative medicine in Britain. J Interprof Care 1999;12:129-38. DOI: https://doi.org/10.3109/13561829909025545
Foley L, Faircloth CA. Medicine as discursive resource: Legitimation in the work narratives of midwives. Sociol Health Ill 2003;25:165-84. DOI: https://doi.org/10.1111/1467-9566.00330
Timmons S, Tanner J. A disputed occupational boundary: Operating theatre nurses and operating department practitioners. Sociol Health Ill 2004:26:645-66. DOI: https://doi.org/10.1111/j.0141-9889.2004.00409.x
Khalili, H Hall J, DeLuca S. Historical analysis of professionalism in western societies: Implications for interprofessional education and collaborative practice. J Interprof Care 2014;28:92-7. DOI: https://doi.org/10.3109/13561820.2013.869197
Barnhart PA. The guide to national professional certification programs. Amherst, MA: HRD Press; 1997.
National Center for Complementary and Integrative Health. Credentialing, licensing, and education. 2016. Available from: https://nccih.nih.gov/health/decisions/credentialing.htm Accessed: 19 February 2018.
Lindlof TR, Taylor BC. Qualitative communication research methods. Thousand Oaks, CA: Sage; 2011.
Academy of Nutrition and Dietetics. Why the Academy changed its name. [n.d.] Available from https://www.eatrightpro.org/leadership/academy-policies/strategic-plan/why-the-academy-changed-its-name Accessed: 19 February 2018.
Commission on Dietetic Registration. RDN Credential: Frequently Asked Questions. [n.d.] Available from: https://www.cdrnet.org/news/rdncredentialfaq Accessed: 19 February 2018.
Boeije H. A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Qual Quant 2002;36:391-409. DOI: https://doi.org/10.1023/A:1020909529486
Weick KE, Sutcliffe KM, Obstfeld D. Organizing and the process of sensemaking. Organ Sci 2005;16:409-21. DOI: https://doi.org/10.1287/orsc.1050.0133
Ashcraft KL, Muhr SL, Rennstam J, Sullivan K. Professionalization as a branding activity: Occupational identity and the dialectic of inclusivity‐exclusivity. Gend Work Organ 2012;19:467-88. DOI: https://doi.org/10.1111/j.1468-0432.2012.00600.x
Shapiro L. Perfection salad : women and cooking at the turn of the century. New York, NY: Farrar, Straus, and Giroux; 1986.
Norander S, Mazer JP, Bates BR. ‘“D.O. or Die”: Identity negotiation among osteopathic medical students’, Health Commun 2011;26:59-70.

Supporting Agencies

Vermont Agricultural Experimentation Station

How to Cite

Heiss, Sarah N., Kristin K. Smith, and Heather J. Carmack. 2018. “Waging a Professional Turf War: An Examination of Professionalization As a Strategic Communication Practice Used by Registered Dietitians”. Qualitative Research in Medicine and Healthcare 2 (3). https://doi.org/10.4081/qrmh.2018.7376.