Wassink Heather L, Chapman Gwen E
Faculty of Land and Food Systems, University of British Columbia, Vancouver, BC.
Can J Diet Pract Res. 2010 Spring;71(1):e12-7. doi: 10.3148/71.1.2010.26.
In this study, we sought insight into the clinical practice experiences of dietitians working independently (i.e., as the only dietitian in a facility) in long-term care (LTC). We hoped to learn about their work roles and identify specific factors that facilitate their success.
Grounded theory methods were used. Data were collected through 11 semi-structured interviews. Verbatim transcripts were analyzed using a constant comparative method, which included coding, memo writing, and ongoing discussion between the two researchers.
When speaking about their roles, participants identified both specific tasks they had to complete and broader roles they fulfilled. Many of these roles focused on relationships with co-workers and building effective multidisciplinary teams. Effective teamwork was linked with dietitians' personal feelings of success in providing resident-focused nutritional care in the LTC setting.
The LTC dietitians' various roles were generally self-appointed, and they focused more on the purpose of their work than on tasks. A primary focus of these roles was the multidisciplinary team and the promotion of effective teamwork, especially, but not exclusively, as it applies to the provision of nutritional care. Successful teamwork was linked to dietitians' reports of personal success in their work.
在本研究中，我们试图深入了解长期护理（LTC）机构中独立工作（即作为机构中唯一的营养师）的营养师的临床实践经验。我们希望了解他们的工作角色，并确定促成其成功的具体因素。
采用扎根理论方法。通过11次半结构化访谈收集数据。使用持续比较法对逐字记录进行分析，该方法包括编码、撰写备忘录以及两位研究人员之间的持续讨论。
在谈到他们的角色时，参与者既确定了必须完成的具体任务，也确定了他们所履行的更广泛的角色。其中许多角色侧重于与同事的关系以及建立有效的多学科团队。有效的团队合作与营养师在长期护理环境中提供以居民为中心的营养护理时的个人成就感相关联。
长期护理机构的营养师的各种角色通常是自我设定的，他们更关注工作的目的而非任务。这些角色的主要重点是多学科团队以及促进有效的团队合作，特别是但不限于在提供营养护理方面。成功的团队合作与营养师在工作中个人成功的报告相关。
