Agriesti-Johnson C, Dwyer K, Steinbaugh M
School of Allied Medical Professions, Ohio State University, Columbus 43210.
JPEN J Parenter Enteral Nutr. 1988 Mar-Apr;12(2):130-4. doi: 10.1177/0148607188012002130.
The purpose of this study was to determine the degree of intercorrelation among dietitian, physician, and team nutrition support functions. Eight hundred and eighty dietitians and physicians were asked to respond to a questionnaire describing nutrition support functions as reported in the literature and validated by a panel of nutrition support physicians and dietitians. Two hundred and fifty-four completed questionnaires were included in the study, 84 from physicians and 170 from dietitians. Intercorrelations among function statements were subjected to factor analysis. The magnitude and consistency of factor loadings suggest that nutrition support is not perceived as independent components, but as a comprehensive pattern or structure. However, there was one important difference in perception. The sample tended to have an "enteral" orientation to the dietitian role and a "parenteral" orientation to the physician and team roles. The data support the contention that all members of nutrition support teams need a common core of knowledge and a set of highly developed process skills which can best be attained through an integrated, rather than segmented, approach to team training.
本研究的目的是确定营养师、医生和团队营养支持功能之间的相互关联程度。880名营养师和医生被要求对一份问卷做出回应，该问卷描述了文献中报道的并经营养支持医生和营养师小组验证的营养支持功能。254份完整的问卷被纳入研究，其中84份来自医生，170份来自营养师。对功能陈述之间的相互关联进行了因子分析。因子载荷的大小和一致性表明，营养支持并非被视为独立的组成部分，而是一种综合模式或结构。然而，在认知上存在一个重要差异。样本倾向于对营养师角色有“肠内”导向，而对医生和团队角色有“肠外”导向。数据支持了这样一种观点，即营养支持团队的所有成员都需要一个共同的核心知识和一套高度发达的流程技能，而这最好通过综合而非分段的团队培训方法来实现。
