Clin Nutr Res.  2017 Apr;6(2):99-111. 10.7762/cnr.2017.6.2.99.

Applicability Evaluation of Job Standards for Diabetes Nutritional Management by Clinical Dietitian

• Baek YJ
• Oh NG
• Sohn CM
• Woo MH
• Lee SM
• Ju DL
• Seo JS

• KMID: 2383698
• DOI: http://doi.org/10.7762/cnr.2017.6.2.99

Abstract

This study was conducted to evaluate applicability of job standards for diabetes nutrition management by hospital clinical dietitians. In order to promote the clinical nutrition services, it is necessary to present job standards of clinical dietitian and to actively apply these standardized tasks to the medical institution sites. The job standard of clinical dietitians for diabetic nutrition management was distributed to hospitals over 300 beds. Questionnaire was collected from 96 clinical dietitians of 40 tertiary hospitals, 47 general hospitals, and 9 hospitals. Based on each 5-point scale, the importance of overall duty was 4.4 ± 0.5, performance was 3.6 ± 0.8, and difficulty was 3.1 ± 0.7. "˜Nutrition intervention' was 4.5 ± 0.5 for task importance, "˜nutrition assessment' was 4.0 ± 0.7 for performance, and "˜nutrition diagnosis' was 3.4 ± 0.9 for difficulty. These 3 items were high in each category. Based on the grid diagram, the tasks of both high importance and high performance were "˜checking basic information,'"˜checking medical history and therapy plan,'"˜decision of nutritional needs,'"˜supply of foods and nutrients,' and "˜education of nutrition and self-management.' The tasks with high importance but low performance were "˜derivation of nutrition diagnosis,'"˜planning of nutrition intervention,'"˜monitoring of nutrition intervention process.' The tasks of both high importance and high difficulty were "˜derivation of nutrition diagnosis,'"˜planning of nutrition intervention,'"˜supply of foods and nutrients,'"˜education of nutrition and self-management,' and "˜monitoring of nutrition intervention process.' The tasks of both high performance and high difficulty were "˜documentation of nutrition assessment,'"˜supply of foods and nutrients,' and "˜education of nutrition and self-management.'

Keyword

Job standards; Clinical nutrition service; Diabetic patient; Clinical dietitian

MeSH Terms

Hospitals, General
Nutritionists*
Tertiary Care Centers

Figure

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  Figure 1 Grid diagram of importance and performance of task in job standards for diabetes nutritional management. 1) Quadrant 1: A1. checking basic information, A2. checking medical history and therapy plan, A7. decision of nutritional needs, C2. supply of foods and nutrients, and C3. education of nutrition and self-management. 2) Quadrant 2: B1. derivation of nutrition diagnosis, C1. planning of nutrition intervention, and D2. monitoring of nutrition intervention process. 3) Quadrant 3: A4. examination of test data, B2. documentation of nutrition diagnosis, C4. conducting nutrition counseling, C5. documentation of nutrition intervention, D1. monitoring of nutritional status, D3. evaluation of nutrition intervention, and D4. documentation of nutrition monitoring evaluation. 4) Quadrant 4: A3. evaluation of anthropometric measurement data, A5. examination of physical signs data, A6. collection and evaluation of food nutrition-related data, and A8. documentation of nutrition assessment.

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  Figure 2 Grid diagram of importance and difficulty of task in job standards for diabetes nutritional management. 1) Quadrant 1: B1. derivation of nutrition diagnosis, C1. planning of nutrition intervention, C2. supply of foods and nutrients, C3. education of nutrition and self-management, and D2. monitoring of nutrition intervention process. 2) Quadrant 2: A1. checking basic information, A2. checking medical history and therapy plan, and A7. decision of nutritional needs. 3) Quadrant 3: A3. evaluation of anthropometric measurement data, A5. examination of physical signs data, and A6. collection and evaluation of food nutrition-related data. 4) Quadrant 4: A8. documentation of nutrition assessment, B2. documentation of nutrition diagnosis, C4. conducting nutrition counseling, C5. documentation of nutrition intervention, D3. evaluation of nutrition intervention, and D4. documentation of nutrition monitoring evaluation.

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  Figure 3 Grid diagram of performance and difficulty of task in job standards for diabetes nutritional management. 1) Quadrant 1: A8. documentation of nutrition assessment, C2. supply of foods and nutrients, and C3. education of nutrition and self-management. 2) Quadrant 2: A1. checking basic information, A2. checking medical history and therapy plan, A3. evaluation of anthropometric measurement data, A5. examination of physical signs data, A6. collection and evaluation of food nutrition-related data, and A7. decision of nutritional needs. 3) Quadrant 4: B1. derivation of nutrition diagnosis, B2. documentation of nutrition diagnosis, C1. planning of nutrition intervention, C4. conducting nutrition counseling, C5. documentation of nutrition intervention, D2. monitoring of nutrition intervention process, D3. evaluation of nutrition intervention, and D4. documentation of nutrition monitoring evaluation.

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