Huyck N I, McNamara P M
J Am Diet Assoc. 1987 May;87(5):620-3.
The first step in the effort to establish a stronger link between nutrition care intervention and health status is to identify actual services provided. This study examined the accountability of a clinical dietetic staff by using an explicit procedure that made it possible for performance to be measured. Data were gathered at an urban teaching hospital to determine the nutrition care provided as compared with stated standards. Using the Policy and Procedure Manual as the written standard, the authors analyzed data from medical record audit, time utilization studies, staff interviews, and monthly reports. The level of accountability was very high, with less than 1 discrepancy in 10, for all the data collected. The dietetic staff members at the hospital verified the attainment of established standards by clearly and specifically documenting their services. It would appear that a decision about priorities and responsibilities had been made that was well supported by staff and institution. The establishment of a nutrition care team, in which clinical dietitians assumed a supervisory role that promoted and supported delegation to dietetic technicians and dietetic assistants, also contributed to good performance.
在努力建立营养护理干预与健康状况之间更紧密联系的过程中，第一步是确定实际提供的服务。本研究通过使用一种明确的程序来检验临床营养师团队的责任，该程序使绩效测量成为可能。在一家城市教学医院收集数据，以确定所提供的营养护理与既定标准相比的情况。作者以《政策与程序手册》作为书面标准，分析了来自病历审计、时间利用研究、员工访谈和月度报告的数据。对于所收集的所有数据，责任水平非常高，每10个数据中差异不到1个。医院的营养师通过清晰、具体地记录他们的服务，证实达到了既定标准。似乎已经做出了关于优先事项和责任的决定，并且得到了员工和机构的有力支持。营养护理团队的建立也有助于良好的绩效，在该团队中，临床营养师承担监督角色，促进并支持将工作委托给营养技师和营养助理。
