J Acad Nutr Diet. 2019 Sep;119(9 Suppl 2):S49-S55. doi: 10.1016/j.jand.2019.05.021.
Malnutrition is a frequent, but often overlooked clinical issue that can significantly impact patient health outcomes and thus has been identified as a critical target for quality improvement. One recent advancement helping build momentum in quality improvement is the Malnutrition Quality Improvement Initiative (MQii). Frameworks like the MQii need clinical leadership to achieve success. A new taxonomy for clinical dietetics leadership describes five components of leadership behaviors-change, patient focus, self-direct, technical, and relationship-that align with the MQii tools and resources. Qualitative interviews were conducted with four clinical nutrition leaders from three health care systems or institutions who were part of the 2018-2019 MQii Learning Collaborative and had reported success and innovations using the MQii framework. The clinical dietetics leadership taxonomy was applied to describe how the clinical nutrition leaders demonstrated and supported leadership opportunities for clinical nutrition staff through implementation of the MQii. FUNDING/SUPPORT: Publication of this supplement was supported by Abbott. The Academy of Nutrition and Dietetics does not receive funding for the MQii. Avalere Health's work to support the MQii was funded by Abbott.
营养不良是一种常见但经常被忽视的临床问题，它会对患者的健康结果产生重大影响，因此已被确定为质量改进的关键目标。最近，一项有助于推动质量改进的进展是营养不良质量改进倡议（MQii）。像 MQii 这样的框架需要临床领导才能取得成功。临床营养学领导的新分类法描述了领导行为的五个组成部分——改变、以患者为中心、自我指导、技术和关系——与 MQii 工具和资源相一致。对来自三个医疗保健系统或机构的四位临床营养领导者进行了定性访谈，他们是 2018-2019 年 MQii 学习合作的一部分，并且报告了使用 MQii 框架取得的成功和创新。临床营养学领导分类法被应用于描述临床营养领导者如何通过实施 MQii为临床营养工作人员展示和支持领导机会。资金/支持：本增刊的出版得到了 Abbott 的支持。Academy of Nutrition and Dietetics 并未为 MQii 获得资金。Avalere Health 支持 MQii 的工作得到了 Abbott 的资助。
