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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 sand 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.

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기사명 저자명 페이지 원문 목차
다이어트 진행 중인 동료와 비교한 다이어트 경험 및 계획을 가진 여중생의 식습관, 체중조절행위, 심리적 섭식장애 위험 및 우울증상 정애경, 류현숙, 송경희, 이홍미 pp.178-187

성인 정신적 장애인의 영양소와 카로티노이드 섭취 수준 및 식습관에 대한 연구 안미연, 문황운, 정혜연, 박유경 pp.208-219

전국 요양병원에서의 임상영양서비스 실태 조사 엄미향, 류은순, 이송미, 이승민, 이은, 차진아, 박미선, 이호선, 라미용, 박유경 pp.220-235

사회인지론과 건강신념모델을 적용한 저소득층 아동 대상 영양교육 프로그램 개발 이샛별, 정유리, 안효진, 안민지, 유수아, 강남이, 오세영 pp.165-177

창원지역 일부 환아에서 혈청 비타민 D의 주된 급원과 신체적 성장과의 관계 강혜영, 허은실, 이경혜 pp.197-207

한국 일부 대학생의 거주형태에 따른 가공식품의 선호도 및 섭취빈도 = Preference and the Frequency of Processed Food Intake according to the Type of Residence of College Students in Korea 김수진, 부소영, 최미경 pp.188-196

참고문헌 (49건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
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3 Kwon CY, Lee YH, Lim MT. A study on the architectural planning of skilled nursing facilities for the elderly. Proceedings of 2004 Fall Symposium of the Architectural Institute of Korea;2004 Oct 29; Gangwon: p. 654-659. 미소장
4 Korea Ministry of Government Legislation. Medical law [internet]. 2015 [cited 2015 Apr 13]. Available from: http://www.law.go.kr/. 미소장
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11 Yoo HJ. Geriatric medicine. 1st ed. Busan: Yeoleumsa; 1999. p. 237-254. 미소장
12 Position of the American dietetic association: Nutrition — an essential component of medical education 네이버 미소장
13 Effectiveness of Nutrition Intervention : Systematic Review & Meta-Analysis 소장
14 Evidence-based diabetes nutrition therapy recommendations are effective: the key is individualization. 네이버 미소장
15 Effectiveness of medical nutrition therapy provided by dietitians in the management of non-insulin-dependent diabetes mellitus: a randomized, controlled clinical trial. 네이버 미소장
16 Lemon CC, Lacey K, Lohse B, Hubacher DO, Klawitter B, Palta M. Outcomes monitoring of health, behavior, and quality of life after nutrition intervention in adults with type 2 diabetes. J Am Diet Assoc 2004; 104(12):1805-1815. 미소장
17 Individual Diabetes Nutrition Education Can Help Management for Type II Diabetes 소장
18 Clinical and Cost Effectiveness of Medical Nutrition Therapy for Patients with Type 2 Diabetes Mellitus 소장
19 Benefits and Costs of Medical Nutrition Therapy by Registered Dietitians for Patients With Hypercholesterolemia 네이버 미소장
20 Medical Nutrition Therapy Lowers Serum Cholesterol and Saves Medication Costs in Men with Hypercholesterolemia 네이버 미소장
21 The Clinical and Cost Effectiveness of Medical Nutrition Therapy in Persons with Hypercholesterolemia 소장
22 Park MS. Nutrition care and dietitian's perception of job importance and performance at long term care hospital in Pusan-Kyungnam area [master’s thesis]. Pukyong University; 2011. 미소장
23 Lyu ES. Demand and Supply Outlook of Clinical Dietitians. Korea Health Promotion Foundation; 2013 Dec. Report No. 13-37. 미소장
24 Choi KB, Lee SM, Lyu ES. Perceptions of clinical nutrition service. J Korean Diet Assoc 2012; 18(1): 59-71. 미소장
25 Ministry of Health and Welfare. Press release [internet]. 2015[cited 2015 Apr 13]. Available from: http://www.mw.go.kr/. 미소장
26 Clinical Nutrition Management Status in Convalescent Hospitals Before and After Healthcare Accreditation Process 소장
27 Clinical Nutrition Service in Korean Tertiary Hospitals and General Hospitals: Result of Nationwide Cross-Sectional Survey 소장
28 Kim KJ. Study about work force of hospital food service dietitians. Proceedings of Korean Diet Assoc's Symposium; 1992Sep 22; Seoul: p. 179-192. 미소장
29 Nutritional Management by Dietitian at Elderly Nursing Homes in Gyeonggi-do 소장
30 Mo YH. Effectiveness analysis of nutrition support team in the intensive care unit [master’s thesis]. Sungkyunkwan University;2010. 미소장
31 Clinical Nutrition Service at Medical Centers in Seoul 소장
32 Job Performance, Perception of Job Importance, and Job Satisfaction in Dietitians Working in Geriatric Hospitals in Busan 소장
33 Korea Institute for Healthcare Accreditation. Standards for convalescent hospital accreditation [internet]. 2013 [cited 2015Apr 13]. Available from: https://www.koiha.or.kr/. 미소장
34 Effects of Job Characteristics, Job Performance and Organizational Commitment on Job Satisfaction of Hospital Dietitians in the Taegu·Kyungpook Area 소장
35 Ministry of Health and Welfare. Ministry of health and welfare trends [internet]. 2006 [cited 2015 Apr 13]. Available from:https://www.kihasa. re.kr/. 미소장
36 A Study of Hospital Foodservice Satisfaction after Covering Hospital Foodservice in the National Health Insurance 소장
37 Lee YS. Ways to improve human resources issues the hospital [internet]. 2013 [cited 2015 Apr 13]. Available from: https://www.kihasa.re.kr/. 미소장
38 Cho EH. Job-analysis of dietitians in the elderly healthcare facilities [master’s thesis]. Yonsei University; 2006. 미소장
39 Ministry of Employment and Labor. Salary statistics [internet]. 2012 [cited 2015 Apr 13]. Available from: http://laborstat.molab.go.kr/. 미소장
40 A study on the Current of Hospital Practices in Clinical Dietetics 네이버 미소장
41 Relationship of Nutritional Status at the Time of Admission to Length of Hospital Stay ( LOS ) and Mortality : A Prospective Study Based on Computerized Nutrition Screening 소장
42 Chung HT, Kim YS, Kwak SM, Lee YK. The system dynamics model development for management performance forecasting of small and medium hospital. Korea Syst Dyn Rev 2007; 8(2):209-234 미소장
43 Lee MS, Kim MH. Medical service satisfactions of main caregivers of elderly inpatients according to the grades of longterm care hospitals. Global Health Nurs 2013; 3(2): 73-81. 미소장
44 Han WJ. Trends and current issues in health services quality improvement: Case of the united states. Qual Improv Health Care 2008; 14(2): 101-114. 미소장
45 Different Perceptions of Clinical Nutrition Services between Doctors and Dietitians in the Busan-Gyeongnam Area 소장
46 A Study on the Factors of Job Satisfaction of the Dietitians Working in Hospitals 네이버 미소장
47 A Study on Factors of Job Satisfaction and Burnout of Hospital Dietitians 소장
48 부산·경남지역 요양병원 영양사의 업무에 대한 중요도와 수행도 연구 네이버 미소장
49 A Review of the Medical Nutrition Therapy (MNT) of the U.S. Medicare System 소장

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