使用最佳实践模型,制定成人肠道功能衰竭服务的饮食人员要求
Sharon Carey1,2,3, Brooke Chapman4, Emma Osland5,6
1Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, New South Wales, Australia.
概括
确定慢性肠衰竭 (CIF) 的营养师人员需要一种新的方法. 这项研究估计,每位有CIF的成年人有0.028名全职营养师,相当于每位营养师有36名患者获得最佳护理.
科学领域:
- 营养学 营养学 营养学
- 胃肠病学 胃肠病学
- 医疗保健管理的管理
背景情况:
- 慢性肠衰竭 (CIF) 是一种罕见,复杂的疾病,需要密集管理.
- 目前关于CIF服务最佳饮食人员配置的指南不足.
- 这项研究解决了基于证据的饮食人员推的需要.
研究的目的:
- 提出和使用一种新的方法来确定成人慢性肠衰竭服务中足够的饮食人员数量.
- 通过适当的资源,确保CIF患者获得最佳实践的饮食护理.
- 根据患者需求,为计算饮食人员需求提供一个框架.
主要方法:
- 文献搜索确定了CIF的最佳实践饮食护理途径.
- 患者的旅程被绘制出地图,详细介绍了每个阶段的护理.
- 临床和非临床时间要求被分配给每个活动.
- 饮食人员的需求是按患者计算的.
主要成果:
- 该方法建立了自下而上的方法来计算人员需求.
- 据估计,最佳实践护理需要0.028名全职营养师,每个有CIF的成年人.
- 这意味着每位全职营养师的推病例量为36名成年CIF患者.
- 计算的员工数量远远超过澳大利亚目前的分配.
结论:
- 建议的方法有效地确定饮食人员,以满足CIF的最佳实践标准.
- 目前澳大利亚成人CIF服务的饮食人员不足.
- 增加饮食资源有潜力改善患者的治疗结果,减少并发症,提高生活质量.
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