Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
권호 표지
DOI QR코드

DOI QR Code

Development of Job Description of Clinical Dietitians in Hospitals by the DACUM Method

DACUM 기법에 의한 병원 임상영양사의 직무기술서 개발

  • Cha, Jin-A (Dept. of Korean Cuisine, Jeonju University) ;
  • Kim, Kang-Eun (Dept. of Food & Nutrition, Yeungnam University) ;
  • Kim, Eun-Mi (Dept. of Dietetics, Kangbuk Samsung Hospital) ;
  • Park, Mi-Sun (Dept. of Food & Nutritional Care, Seoul National University Hospital) ;
  • Park, Yoo-Kyoung (Dept. of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Baek, Hee-Joon (Dept. of Food & Nutrition Service, Hanyang University Hospital) ;
  • Lee, Song-Mi (Dept. of Nutrition Services, Gangnam Severance Hospital, Yosei University) ;
  • Choi, Soo-Kyong (Dept. of Food & Nutrition, Yeungnam University) ;
  • Seo, Jung-Sook (Dept. of Food & Nutrition, Yeungnam University)
  • 차진아 (전주대학교 한식조리학과) ;
  • 김강은 (영남대학교 식품영양학과) ;
  • 김은미 (강북삼성병원 영양실) ;
  • 박미선 (서울대학교병원 급식영양과) ;
  • 박유경 (경희대학교 동서의학대학원 의학영양학과) ;
  • 백희준 (한양대학교병원 영양팀) ;
  • 이송미 (연세대학교 강남세브란스병원 영양팀) ;
  • 최수경 (영남대학교 식품영양학과) ;
  • 서정숙 (영남대학교 식품영양학과)
  • Received : 2013.06.12
  • Accepted : 2013.07.12
  • Published : 2013.08.02
Download PDF
⟨ Previous Next ⟩

Abstract

The present study was conducted to develop a standardized job description for clinical dietitians working in hospitals. A developing curriculum (DACUM) method was used for the job analysis of clinical dietitians. Based on DACUM analysis with 14 members, including clinical dietitians and professors majoring in clinical nutrition and job analysis, information on the duties, tasks, and task elements of clinical dietitians was determined. To verify the job descriptions derived from DACUM analysis, a total of 46 tertiary and general hospitals with over 500 beds were recruited for the survey. The final developed job description for clinical dietitians included 7 duties, 27 tasks, and 93 task elements. The duties consisted of nutritional assessment, nutrition diagnosis, nutrition intervention, nutrition monitoring evaluation, consultation cooperation, nutrition research, and self-development. The mean scores of perceived importance, performance, and difficulty on the clinical dietitian's task elements (out of a maximum score of 5.0) were 4.5, 3.7, and 3.5, respectively, with significant differences between the items (P<0.001). The perceived importance and performance grid of clinical dietitian's tasks showed that "construction and maintenance of collaboration" (E2) and "activity of quality improvement" (F1) received relatively low scores for performance despite their high importance scores; thus the performance of these tasks requires significant improvement. In conclusion, the job descriptions of clinical dietitians developed from this study are useful for the qualitative improvement of clinical nutrition services in hospitals.

Keywords

References

  1. American Dietetic Association (2008): Job descriptions: Models for careers in dietetics. 2nd ed. American Dietetic Association. Chicago, Illinois. pp.13-67
  2. Bonett DG (2002): Sample size requirements for testing and estimating coefficient alpha. J Educational & Behavioral Statistics 27(4):335-340 https://doi.org/10.3102/10769986027004335
  3. Byun SJ, Kim HK, Kim AR, Ha HS, Joen KO (2003): Task analysis of Korean transplantation nurse practitioner. Taehan Kanho Hakhoe Chi 33(2):179-188
  4. Cha JA, Park HR, Lim YS, Lim SH (2008): Developing job description for dietitians working in public health nutrition areas. Korean J Community Nutr 13(6):890-902
  5. Cho CM (2008): Task analysis of geriatric care helpers based on DACUM method. J Korean Soc Living Environ Sys 15(1):66-75
  6. Cho KS, Son HM, Kang HS, Kim JH, Lim NY, Yoon KS, Han HJ (2008): Job description of the nurses who work in operating room using DACUM technique. J Korean Acad Fundam Nurs 15(4):566-577
  7. Cho MR, Koo CM, Lee HO, Choue RW (2001): A study for dietetic practitioner's job analysis: Labor time spent and staffing need indices. J Korean Diet Assoc 7(1):38-49
  8. Choi J, Park E (2013): Different perceptions of clinical nutrition services between doctors and dietitians in the Busan-Gyeongnam area. J Korean Diet Assoc 19(1):69-81 https://doi.org/10.14373/JKDA.2013.19.1.069
  9. Choi KB, Lee SM, Lyu ES (2012): Patient perceptions of clinical nutrition service. J Korean Diet Assoc 18(1):59-71 https://doi.org/10.14373/JKDA.2012.18.1.059
  10. Green CG (1993): Using customer survey data to develop marketing strategies in college/university foodservices. Journal of College & University Foodservice 1(1):39-51
  11. Hakel-Smith N, Lewis NM (2004): A standardized nutrition care process and language are essential components of a conceptual model to guide and document nutrition care and patient outcomes. J Am Diet Assoc 104(12):1878-1884 https://doi.org/10.1016/j.jada.2004.10.015
  12. Hakel-Smith N, Lewis NM, Eskridge KM (2005): Orientation to nutrition care process standards improves nutrition care documentation by nutrition practitioners. J Am Diet Assoc 105(10):1582-1589 https://doi.org/10.1016/j.jada.2005.07.004
  13. Han MH, Lee SM, Lyu ES (2012): Doctors' perception and needs on clinical nutrition services in hospitals. J Korean Diet Assoc 18(3):266-275 https://doi.org/10.14373/JKDA.2012.18.3.266
  14. Hong SY, Seo S (2010): Job performance frequency and the training needs of dieticians in elderly healthcare facilities. J Korean Diet Assoc 16(2):160-177
  15. Inman Felton A, Rops MS (1998): Ensuring staff competence:A guide for meeting JCAHO competence standards in all settings. The American Dietetic Association. Chicago, Illinois. pp.47-116
  16. Kieselhorst KJ, Skates J, Pritchett E; American Dietetic Association (2005): American Dietetic Association: standards of practice in nutrition care and updated standards of professional performance. J Am Diet Assoc 105(4):641-645 https://doi.org/10.1016/j.jada.2005.02.039
  17. Kim HA, Yang IS, Lee HY, Lee YE, Park EC, Nam CM (2003): Evaluation of cost-effectiveness of medical nutrition therapy: meta-analysis. Korean J Nutr 36(5):515-527
  18. Kim HJ, Jang EJ, Hong WS (2000): The assessment of management practices on foodservice. clinical nutrition service in hospital foodservice operations. J Korean Diet Assoc 6(2):136-147
  19. Kim HJ, Kim EM, Lee GJ, Lee JJ, Lim JH, Lee JM, Jeon HJ, Lee HY (2011): Clinical nutrition service at medical centers in Seoul. J Korean Diet Assoc 17(2):176-189
  20. Kim KS, Park YH, Lim NY (2008): Task analysis of the job description of gerontological nurse practitioners based on DACUM. J Korean Acad Nurs 38(6):853-865 https://doi.org/10.4040/jkan.2008.38.6.853
  21. Kim SY (2012): Evidence based medicine. The Korean Society of Clinical Nutrition 2012 Summer conference. The Korean Society of Clinical Nutrition. Seoul. pp.39
  22. Lee GJ (2012): Nutrition care process and diabetes: focus on nutrition diagnosis. J Korean Diabetes 13(1):48-51 https://doi.org/10.4093/jkd.2012.13.1.48
  23. Lee HY, Kim HA, Yang IS, Nam CM, Park EC (2004):Effectiveness of nutrition intervention: systematic review & meta-analysis. Korean J Community Nutr 9(1):81-89
  24. Lee JE, Kwak TK (2009): Development and verification of indicators for a foodservice & nutrition management evaluation at a hospital nutrition department. J Korean Diet Assoc 15(4):364-382
  25. Lee SJ (2000): Development of quality management standards and tool for the quality improvement of hospital food and nutrition services. Ph.D. thesis. Yonsei University. pp.45-51, 117-118
  26. Moon HK, Jang YJ (2002): Analysis of the dietitian's job description in the hospital. J Korean Diet Assoc 8(2):132-142
  27. Moon HK, Lee AR, Lee YH, Jang YJ (2001): Analysis and framing of dietitian's job description. J Korean Diet Assoc 7(1):87-104
  28. Park EC, Kim HA, Lee HY, Lee YE, Yang IS (2002): A review of the medical nutrition therapy (MNT) of the U.S. medicare system. Korean J Community Nutr 7(6):852-862
  29. Park HJ (2012): A survey on application of nutrition care process(NCP) in Korean hospitals. The Korean Society of Clinical Nutrition 2012 summer conference. The Korean Society of Clinical Nutrition. Seoul. pp.17-20
  30. Park MS, Lyu ES (2011): Importance and performance of dietitian's task at long term care hospital foodservice in Busan.Kyungnam area. Korean J Community Nutr 16(5):602-612 https://doi.org/10.5720/kjcn.2011.16.5.602
  31. United States Employment and Training Admimistration (1991): The revised handbook for analyzing jobs. JIST Works, Inc., USA. pp2-1∼2-3
  32. Yang IS, Lee SJ, Cha JA (1995): Identifying current hospital practices in clinical dietetics. Korean J Nutr 28(5):460-470
  33. Yeom JK, Kang CY (2007): The critical factors on improvement of medical institution competitiveness. Korean J Hospital Management 12(1):1-30
  34. Yun HJ, Lee JE, Hong WS (2009): A study on factors of job satisfaction and burnout of hospital dietitians. Korean J Community Nutr 14(1):100-113

Cited by

  1. Nurses' Perception on Clinical Nutrition Services by Types of Medical Institution and Area vol.20, pp.4, 2014, https://doi.org/10.14373/JKDA.2014.20.4.235
  2. Job Satisfaction Level and Related Factors among Korean Hospital Dietitians vol.20, pp.4, 2014, https://doi.org/10.14373/JKDA.2014.20.4.257
  3. Development of Job Standards for Clinical Dietitians Administering Clinical Nutrition Therapy to Diabetic Patients in Hospitals vol.21, pp.1, 2015, https://doi.org/10.14373/JKDA.2015.21.1.37
  4. Time Measurement Study of Certified Clinical Dietitians from Tertiary Hospital in Seoul and Gyeonggi-do vol.21, pp.2, 2015, https://doi.org/10.14373/JKDA.2015.21.2.123
  5. Development of Job Standards of Clinical Dietitian for the Clinical Nutrition Therapy to Cancer Patients in Hospitals vol.21, pp.2, 2015, https://doi.org/10.14373/JKDA.2015.21.2.91
  6. Development of Job Standards for Clinical Nutrition Therapy for Dyslipidemia Patients vol.4, pp.2, 2015, https://doi.org/10.7762/cnr.2015.4.2.76
  7. Comparison Study on Perception of Job Importance, Job Performance, and Job Difficulty in Clinical Dietitians at Small and Medium Hospitals in Busan vol.22, pp.1, 2016, https://doi.org/10.14373/JKDA.2016.22.1.26
  8. Development of Job Description of Nutrition Teacher by the DACUM Method vol.22, pp.3, 2016, https://doi.org/10.14373/JKDA.2016.22.3.193
  9. Applicability Evaluation of Job Standards for Diabetes Nutritional Management by Clinical Dietitian vol.6, pp.2, 2017, https://doi.org/10.7762/cnr.2017.6.2.99
  10. Development of Hospital Nurses' Job Description based on DACUM Method: Focusing on General Ward and Intensive Care Unit vol.23, pp.5, 2017, https://doi.org/10.11111/jkana.2017.23.5.535