McManners M H, Barina S A
J Am Diet Assoc. 1984 Sep;84(9):1035-8, 1041.
A study of dietitian performance, based on pre-established criteria, was conducted to measure current levels of clinical services and define productivity standards. Each dietitian supplied lists of job functions or duties performed and the length of time spent on each function. Results indicated a need to establish a list of prioritized duties that was mutually agreed upon, as well as an analysis of existing scheduling and floor assignments. Changes were made in all areas, which improved performance but still did not reach the 75% goal. An analysis of staffing needs versus productive time necessary for patient care was then conducted. Each function of clinical care was assigned a time value with consideration of patient acuity level. After 18 months of research, it was possible to justify an additional full-time employee (FTE) on the basis of the number of productive hours needed for patient care to achieve our goal. By June 1983, acceptable standards were met for 86% of patients, as measured in terms of the seven criteria.
基于预先设定的标准，开展了一项关于营养师工作表现的研究，以衡量当前临床服务水平并确定生产力标准。每位营养师都提供了所履行的工作职责清单以及每项职责所花费的时间长度。结果表明，需要制定一份双方共同认可的优先职责清单，以及对现有排班和楼层分配进行分析。所有领域都进行了变革，这提高了工作表现，但仍未达到75%的目标。随后对人员配备需求与患者护理所需的有效时间进行了分析。考虑到患者的 acuity 水平，为临床护理的每项功能都赋予了一个时间值。经过18个月的研究，根据患者护理达到我们目标所需的有效工时数量，有理由增设一名全职员工（FTE）。到1983年6月，根据七项标准衡量，86%的患者达到了可接受的标准。
