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Um, Lyu, Lee, Lee, Lee, Cha, Park, Lee, Rha, and Park: Clinical Nutrition Services of a Long-term Care Hospital in Korea
Research Article

Korean Journal of Community Nutrition 2015; 20(3): 220-235.

Published online: 30 June 2015

DOI: https://doi.org/10.5720/kjcn.2015.20.3.220

Clinical Nutrition Services of a Long-term Care Hospital in Korea

Mi Hyang Um1, Eun Soon Lyu2, Song Mi Lee3, Seung Min Lee4, Eun Lee5, Jin A Cha6, Mi Sun Park7, Ho Sun Lee8, Mi Yong Rha9, Yoo Kyoung Park1

1Depatment of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin, Korea.

2Division of Food Science & Biotechnology, Pukyong National University, Busan, Korea.

3Depatment of Nutrition Service, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

4Depatment of Food & Nutrition, Sungshin Women's University, Seoul, Korea.

5Depatment of Health Care Center, Konkuk University Medical Center, Seoul, Korea.

6Depatment of Korean Cuisine, Jeonju University, Jeonju, Korea.

7Depatment of Food & Nutritional Care, Seoul National University Hospital, Seoul, Korea.

8Depatment of Nutrition and Dietetics, Severance Hospital, Seoul, Korea.

9Depatment of Dietetics, Samsung Medical Center, Seoul, Korea.

Corresponding author: Yoo Kyoung Park. Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin, Gyeonggi 446-701, Korea. Tel: (031) 201-3816, Fax: (031) 203-3816, ypark@khu.ac.kr

Received 27 April 2015       Revised 12 June 2015       Accepted 12 June 2015

Copyright © 2015 The Korean Society of Community Nutrition

(open-access):

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

The purpose of this study was to investigate how clinical nutrition services is provided at a long term care hospital in Korea and to investigate job satisfaction levels of the clinical dietitians.

Methods

Survey questionnaire was sent to dietitians working at a long term care hospital in Korea. The participating hospitals (n=240) were randomly selected from 1,180 long- term care hospitals using a stratified sampling method. A total of 134 long term care hospital s and 223 dietitians completed the survey of clinical nutrition service s and job satisfaction questionnaires The job satisfaction questionnaire included 27 job satisfaction questions on task, stability vision, working conditions, and relationship areas.

Results

The average nutritional screening rate was 17.9% and the rate of computerized nutritional screening system was 9.7% in the participating hospitals. Nutritional intervention rate was only 3.2% of all patients. KOIHA (Korea Institute for Healthcare Accreditation) accreditated hospitals showed only 50% performance rate of nutrition service evaluation area. This shows that after achieving KOIHA accredition, many hospitals do not emphasize the performance of nutritional services. The job satisfaction scores in all four areas ranged from 2/5 to 3/5, implying generally low job satisfaction level in hospital dietitians. Linear regression analysis results showed that the "hospital adequacy grade" type was a significant predictor of job satisfaction level for two areas (working conditions & relationship).

Conclusions

There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service s in long term care hospitals. Therefore, government and local hospitals have to work on implementing nutritional programs and policies for improved service and care.

Keywords: long term care hospital, clinical nutrition service, KOIHA, job satisfaction levels

Figures and Tables

Table 1

General statistics of the dietitians (n=223)

kjcn-20-220-i001

1) Respondent dietitian

Table 2

General statistics of the long-term care hospitals

kjcn-20-220-i002

1) Mean ±SD

2) Number of patients divided by the number of available beds.

3) 1grade (good)~5grade (bad) in 2012

4) Korean institute for healthcare accrediation in 2013

5) N (%)

abcd: Duncan's multiple comparison

*: P < 0.05 **: P < 0.01, ***: P < 0.001

Table 3

General statistics of the clinical nutrition service in long-term care hospitals

kjcn-20-220-i003

1) N (%)

2) N: respondent hospital

3) Mean ±SD

4) The number of patients in nutrition intervention divided by nutrition screening.

ab: Duncan's multiple comparison (a < b)

**: P < 0.01

Table 4

General statistics of the clinical nutrition service according to hospital adequacy grades of long-term care hospitals

kjcn-20-220-i004

1) N (%)

2) N: respondent hospital

3) Mean ±SD

4) The number of patients in nutrition intervention divided by nutrition screening.

ab: Duncan's multiple comparison (a<b)

***: P < 0.001

Table 5

Current statistics of the clinical nutrition service according to KOIHA accreditation of long-term care hospitals

kjcn-20-220-i005

1) N (%)

Table 6

Improvement area of clinical dietitian's task according to the KOIHA accreditation of long-term care hospitals

kjcn-20-220-i006

Subjects were guided to select 5 items out of response options.

Table 7

Job satisfaction levels in long-term care hospitals' dietitians by hospital adequacy grades

kjcn-20-220-i007

1) Linear regression analysis

2) Mean ±SD

ab: Duncan's multiple comparison(a<b)

*: P < 0.05 **: P < 0.01

Table 8

Job satisfaction levels in tertiary hospitals' dietitians by KOIHA

kjcn-20-220-i008

Scale score 1 (not at all) ~ 5 (very much)

*: P < 0.05 by independent t-test

Table 9

National Registration data on long term care hospital and dietitian

kjcn-20-220-i009

1) Numbers of long term care hospital admission in Health Insurance Review & Assessment Service by 2013.

2) Numbers of long term care hospital's dietitian admission in Health Insurance Review & Assessment Service by 2013.

3) Calculated numbers of dietitian/hospital : the number of dietitian divided by number of long term care hospital.

Acknowledgments

This study was supported by the Health Promotion Fund, Ministry of Health & Welfare, Republic of Korea (13-37).

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