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[Requirement for the structure and function of a nutritional support team]
U Suchner1, A Dormann, E Hund-Wissner
1Klinik für Anästhesiologie, Klinikum Grosshadern, Ludwig-Maximilians Universität, München.
Der Anaesthesist
|September 2, 2000
Summary
Hospital nutritional support teams (NSTs) require structured organization and clear responsibilities for effective clinical nutrition therapy. Demonstrating cost-effectiveness and ensuring optimal working conditions are crucial for NST success and quality patient care.
Area of Science:
- Clinical Nutrition
- Healthcare Management
- Interdisciplinary Collaboration
Context:
- Clinical nutrition procedures are increasingly complex and invasive.
- There is a growing demand for improved professional education and collaboration within hospital-based nutritional support teams (NSTs).
- Existing models of collaboration include interdisciplinary nutrition committees and departments for nutritional therapy.
Purpose:
- To present the structure and tasks of an independently operating department for nutritional support therapy.
- To outline key areas of activity: clinical nutrition therapy, home nutrition, education, research, and quality management.
- To discuss the composition and responsibilities of NST members, including physicians, dietitians, nurses, nutritionists, and pharmacists.
Summary:
- The proposed NST department encompasses clinical nutrition, home nutrition, education, research, and quality management.
- Team members include physicians, dietitians, nurses, nutritionists, and pharmacists, with defined roles and responsibilities.
- The discussion includes potential cost reductions, performance-related reimbursement, NST certification, and inter-disciplinary service integration.
Impact:
- NSTs can potentially reduce healthcare costs if provided with adequate working conditions.
- Individual NSTs must demonstrate their effectiveness and document cost-benefit analyses.
- High-quality performance by NSTs is contingent upon acceptable working conditions and proven effectiveness.