Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Clinical Nutrition Services of a Long-term Care Hospital in Korea

전국 요양병원에서의 임상영양서비스 실태 조사

  • Um, Mi Hyang (Depatment of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Lyu, Eun Soon (Division of Food Science & Biotechnology, Pukyong National University) ;
  • Lee, Song Mi (Depatment of Nutrition Service, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Seung Min (Depatment of Food & Nutrition, Sungshin Women's University) ;
  • Lee, Eun (Depatment of Health Care Center, Konkuk University Medical Center) ;
  • Cha, Jin A (Depatment of Korean Cuisine, Jeonju University) ;
  • Park, Mi Sun (Depatment of Food & Nutritional Care, Seoul National University Hospital) ;
  • Lee, Ho Sun (Depatment of Nutrition and Dietetics, Severance Hospital) ;
  • Rha, Mi Yong (Depatment of Dietetics, Samsung Medical Center) ;
  • Park, Yoo Kyoung (Depatment of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University)
  • 엄미향 (경희대학교 동서의학대학원 외식영양학과) ;
  • 류은순 (부경대학교 식품영양학과) ;
  • 이송미 (강남세브란스병원 영양팀) ;
  • 이승민 (성신여자대학교 식품영양학과) ;
  • 이은 (건국대학교병원 헬스케어센터) ;
  • 차진아 (전주대학교 한식조리학과) ;
  • 박미선 (서울대학교병원 급식영양과) ;
  • 이호선 (세브란스병원 영양팀) ;
  • 라미용 (삼성서울병원 영양팀) ;
  • 박유경 (경희대학교 동서의학대학원 외식영양학과)
  • Received : 2015.04.27
  • Accepted : 2015.06.12
  • Published : 2015.06.30
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Abstract

Objectives: The purpose of this study was to investigate how clinical nutrition services is provided at a long term care hospital in Korea and to investigate job satisfaction levels of the clinical dietitians. Methods: Survey questionnaire was sent to dietitians working at a long term care hospital in Korea. The participating hospitals (n=240) were randomly selected from 1,180 long- term care hospitals using a stratified sampling method. A total of 134 long term care hospital s and 223 dietitians completed the survey of clinical nutrition service s and job satisfaction questionnaires The job satisfaction questionnaire included 27 job satisfaction questions on task, stability vision, working conditions, and relationship areas. Results: The average nutritional screening rate was 17.9% and the rate of computerized nutritional screening system was 9.7% in the participating hospitals. Nutritional intervention rate was only 3.2% of all patients. KOIHA (Korea Institute for Healthcare Accreditation) accreditated hospitals showed only 50% performance rate of nutrition service evaluation area. This shows that after achieving KOIHA accredition, many hospitals do not emphasize the performance of nutritional services. The job satisfaction scores in all four areas ranged from 2/5 to 3/5, implying generally low job satisfaction level in hospital dietitians. Linear regression analysis results showed that the "hospital adequacy grade" type was a significant predictor of job satisfaction level for two areas (working conditions & relationship). Conclusions: There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service s in long term care hospitals. Therefore, government and local hospitals have to work on implementing nutritional programs and policies for improved service and care.

Keywords

References

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