Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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Development of Job Standards for Clinical Dietitians Administering Clinical Nutrition Therapy to Diabetic Patients in Hospitals

당뇨병 환자의 임상영양치료를 위한 임상영양사의 직무표준 개발

  • Gwon, Su-Jin (Dept. of Food & Nutrition, Yeungnam University) ;
  • Woo, Mi-Hye (Dept. of Nutrition Team, Kyung Hee University Medical Center) ;
  • Ju, Dal Lae (Dept. of Food & Nutrition Care, Seoul National University Hospital) ;
  • Kim, Eun Mi (Dept. of Dietetics, Kangbuk Samsung Hospital) ;
  • Park, Mi-Sun (Dept. of Food & Nutrition Care, Seoul National University Hospital) ;
  • Sohn, Cheongmin (Dept. of Food & Nutrition, Wonkwang University) ;
  • Wie, Gyung-Ah (Dept. of Clinical Nutrition, National Cancer Center) ;
  • Lee, Song-Mi (Dept. of Nutrition Services, Gangnam Severance Hospital) ;
  • Cha, Jin-A (Dept. of Korean Cuisine, Jeonju University) ;
  • Seo, Jung-Sook (Dept. of Food & Nutrition, Yeungnam University)
  • 권수진 (영남대학교 식품영양학과) ;
  • 우미혜 (경희대학교병원 영양팀) ;
  • 주달래 (서울대학교병원 급식영양과) ;
  • 김은미 (강북삼성병원 영양실) ;
  • 박미선 (서울대학교병원 급식영양과) ;
  • 손정민 (원광대학교 식품영양학과) ;
  • 위경애 (국립암센터 임상영양실) ;
  • 이송미 (강남세브란스병원 영양팀) ;
  • 차진아 (전주대학교 한식조리학과) ;
  • 서정숙 (영남대학교 식품영양학과)
  • Received : 2014.12.18
  • Accepted : 2015.01.14
  • Published : 2015.02.02
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Abstract

This study was conducted to develop job standards for clinical dietitian administering clinical nutrition therapy to diabetic patients in hospitals. Based on DACUM (Developing A Curriculum) analysis of 17 members including clinical dietitians, professors majoring in clinical nutrition and researchers, information on duties, tasks and task elements of clinical dietitians for diabetes care were derived and applied to diabetes mellitus-specific clinical nutrition care in hospitals for evaluation. The final developed job standards for clinical dietitians for diabetes care included four duties, 19 tasks and 56 task elements. The duties consisted of nutrition assessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring evaluation. For application of diabetes mellitus-specific job standards in clinical nutrition care, 108 work activities were developed and classified into 90 basic and 18 recommended types. Performance rates of standardized jobs were 80.2% at nutrition assessment, 99.6% at nutrition diagnosis, 78.5% at nutrition intervention, and 32.9% at nutrition monitoring evaluation. These results can be applied as guidelines to implement jobs for diabetes mellitus-specific clinical nutrition services in clinical settings. In addition, they would be useful for education standards in educational institutions for education and training of clinical dietitian.

Keywords

References

  1. Arkwright MS, Collins ME, Sharp JL, Yakel RM (1974): Titles, definitions and responsibilities for the professionals of dietetics. J Am Diet Assoc 64(6):661-665
  2. Beak JY, Choi EK (2007): Study on the traning needs assessment for professionaldevelopment of secretary-Through DACUM job analysis-. J Business Educ 15:105-126
  3. Boucher JL, Evert A, Daly A, Kulkarni K, Rizzotto JA, Burton K, Bradshaw BG; Merican Dietetics Association (2011): American Dietetic Association revised standards of practice and standards of professional performance for registered Dietitians (generalist, specialty, and advanced) in diabetes care. J Am Diet Assoc 111(1):156-166 https://doi.org/10.1016/j.jada.2010.10.053
  4. Cha JA, Kim KE, Kim EM, Park MS, Park YK, Baek HJ, Lee SM, Choi SK, Seo JS (2013): Development of job description of clinical dietitians in hospitals by the DACUM method. J Korean Diet Assoc 19(3):265-286 https://doi.org/10.14373/JKDA.2013.19.3.265
  5. 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
  6. 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
  7. 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
  8. Choi SY, Song MS (2010): Behavior change theories in diabetes self-management: a conceptual review. Perspect Nurs Sci 7(1):1-9
  9. Coppell KJ, Kataoka M, Williams SM, Chisholm AW, Vorgers SM, Mann JI (2010): Nutritional intervention in patients with type 2 diabetes who are hyperglycaemic despite optimised drug treatment--Lifestyle Over and Above Drugs in Diabetes (LOADD) study: randomised controlled trial. BMJ 341:c3337 https://doi.org/10.1136/bmj.c3337
  10. Franz MJ, Splett PL, Monk A, Barry B, McClain K, Weaver T, Upham P, Bergenstal R, Mazze RS (1995): Cost-effectiveness of medical nutrition therapy provided by dietitians for persons with non-insulin-dependent diabetes mellitus. J Am Diet Assoc 95(9):1018-1024 https://doi.org/10.1016/S0002-8223(95)00277-4
  11. 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
  12. 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
  13. Jeong JR (2013): Job analysis of chidcare teachers based on the DACUM method. J Curric Stud 31(4):213-240 https://doi.org/10.15708/kscs.31.4.201312.009
  14. Jun JY (1996): A study on the experience of self-care in diabetic patients with complications. Korean J Adult Nurs 8(2):244-263
  15. 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
  16. Kim DJ (2011): The epidemiology of diabetes in Korea. Diabetes Metab J 35(4):303-308 https://doi.org/10.4093/dmj.2011.35.4.303
  17. Kim DW, Han SK, Rho JO (2007): Job analysis of school foodservice dietitians in Chonbuk area. Korean J Hum Ecol 10(3):1-15
  18. 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
  19. Kim MS, Ho SJ, Kim KB, Lee SH (2004): A study on the job analysis for new nurse. J Educ Eval Health Prof 1(1):15-26 https://doi.org/10.3352/jeehp.2004.1.1.15
  20. Kim WY, Cho MS, Lee YH, Kim YH, Lee HS (1998): A study of the payment of nutrition counseling services. J Korean Diet Assoc 4(1):53-64
  21. Ko SH, Kim DJ, Oh SJ, Lee HJ, Shim KH, Woo MH, Kim JY, Kim NH, Kim JT, Kim CH, Kim HJ, Jeong IK, Hong EG, Cho JH, Mok JO, Yoon KH, Kim SR; Committee of Clinical Practice Guidelines, Korean Diabetes Association (2011): 2011 Clinical practice guidelines for type 2 diabetes in Korea. J Korean Diabetes 12(4):183-189 https://doi.org/10.4093/jkd.2011.12.4.183
  22. Kwon YS (1999): A job analysis in common managemant dietitian of school foodservice: centering around Kyoung sang buk-do. J Korean Diet Assoc 5(2):182-193
  23. Lee ER, Kwak MK, Kim EJ, Kwon IG, Hwang MS (2010): Job analysis of Korean oncology advanced practice nurses in clinical workplace: using the DACUM method. J Korean Oncol Nurs 10(1):68-79
  24. 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
  25. Lee MJ, Lee YK (2000): Effects of Job characteristics, job performance and organizational commitment on job satisfaction of hospital dietitians in the Taegu Kyungpook Area. Korean J Community Nutr 5(4):672-682
  26. Ma Y, Olendzki BC, Merriam PA, Chiriboga DE, Culver AL, Li W, Hébert JR, Ockene IS, Griffith JA, Pagoto SL (2008): A randomized clinical trial comparing low-glycemic index versus ADA dietary education among individuals with type 2 diabetes. Nutrition 24(1):45-56 https://doi.org/10.1016/j.nut.2007.10.008
  27. Moon HK, Jang YJ (2002a): Analysis of the dietitian's Job description in the business and industry foodservice. J Korean Diet Assoc 8(2):121-131
  28. Moon HK, Jang YJ (2002b): Analysis of the dietitian's job description in the hospital. J Korean Diet Assoc 8(2):132-142
  29. Moon HK, Jang YJ (2002c): Analysis of the dietitian's job description in the school. J Korean Diet Assoc 8(2):143-153
  30. Moon HK, Lee AR, Lee YH, Jang YJ (2001): Analysis and framing of dietitian's of description. J Korean Diet Assoc 7(1):87-104
  31. 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
  32. 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
  33. Peyrot M, Rubin RR (2007): Behavioral and psychosocial interventions in diabetes: a conceptual review. Diabetes Care 30(10):2433-2440 https://doi.org/10.2337/dc07-1222
  34. Robbins JM, Thatcher GE, Webb DA, Valdmanis VG (2008): Nutritionist visits, diabetes classes, and hospitalization rates and charges: the Urban Diabetes Study. Diabetes Care 31(4):655-660 https://doi.org/10.2337/dc07-1871
  35. Schulze MB, Schulz M, Heidemann C, Schienkiewitz A, Hoffmann K, Boeing H (2007): Fiber and magnesium intake and incidence of type 2 diabetes: a prospective study and meta-analysis. Arch Intern Med 167(9):956-965 https://doi.org/10.1001/archinte.167.9.956
  36. Sheils JF, Rubin R, Stapleton DC (1999): The estimated costs and savings of medical nutrition therapy: the Medicare population. J Am Diet Assoc 99(4):428-435 https://doi.org/10.1016/S0002-8223(99)00105-4
  37. The Academy Quality Management Committee and Scope of Practice Subcommittee of the Quality Management Committee (2013): Academy of nutrition and dietetics: revised 2012 standards of practice in nutrition care and standards of professional performance for registered dietitians. J Acad Nutr Diet 113(6 Suppl):S29-S45
  38. The Diabetes Control and Complications Trial Research Group (1993): The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The Diabetes Control and Complications Trial Research Group. N Engl J Med 329(14):977-986 https://doi.org/10.1056/NEJM199309303291401
  39. UK Prospective Diabetes Study Group (1998): Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet 352(9131):837-853 https://doi.org/10.1016/S0140-6736(98)07019-6
  40. White JV, Young E, Lasswell A (1994): Position of the American Dietetic Association: nutrition-an essential component of medical education. J Am Diet Assoc 94(5):555-557 https://doi.org/10.1016/0002-8223(94)90225-9