Nestle M
J Am Diet Assoc. 1984 Nov;84(11):1349-53.
The success of efforts to improve nutrition training of other health professionals poses a threat to the position of clinical dietitians as authorities in nutrition. In situations in which no dietitians are present or dietitians' skills are not recognized, pharmacists and nurses are especially likely to take over nutritional support roles traditionally assigned to the clinical dietitian. At the University of California, San Francisco, where dietitians are included in nutrition education and patient care programs and where understanding of the role of the dietitian is a stated educational goal, a preliminary survey suggests that conflicts occur in roles that are shared by members of nutritional support teams. Factors contributing to role conflicts include not only inadequate education of other health professionals but also problems of job expectations, education, training, and self-image among dietitians. Improved training in clinical nutrition, acquisition of better team and patient care skills, documentation of the effectiveness of dietetic services, and efforts to improve status and visibility would help alleviate role conflicts and ensure clinical dietitians a more rewarding place in the health care system.
改善其他健康专业人员营养培训工作的成功，对临床营养师作为营养领域权威的地位构成了威胁。在没有营养师在场或营养师技能未得到认可的情况下，药剂师和护士尤其有可能接管传统上分配给临床营养师的营养支持角色。在加利福尼亚大学旧金山分校，营养师被纳入营养教育和患者护理项目，且对营养师角色的理解是既定的教育目标，但一项初步调查表明，营养支持团队成员共享的角色中存在冲突。导致角色冲突的因素不仅包括其他健康专业人员教育不足，还包括营养师自身的工作期望、教育、培训和自我认知等问题。加强临床营养培训、获得更好的团队协作和患者护理技能、记录饮食服务的有效性，以及努力提高地位和知名度，将有助于缓解角色冲突，并确保临床营养师在医疗保健系统中获得更有价值的地位。
