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在儿科肠道衰竭中提供饮食服务:一项全国调查
Ruth Stanley1, David M Bourne2
1Newcastle Nutrition, Great North Childrens Hospital, Newcastle upon Tyne, UK.
概括
英格兰的儿科肠道功能衰竭 (IF) 营养师缺乏足够的全职等价 (WTE) 支持,导致不可持续的工作量和不安全的案件负载. 需要进一步的国家指导来制定安全和有效的患者护理标准.
科学领域:
- 临床营养学 临床营养学
- 儿科胃肠病学 儿科胃肠病学
- 医疗保健管理的管理
背景情况:
- 儿科肠道衰竭 (IF) 需要专门的多学科团队 (MDT) 的支持.
- 目前为儿科IF营养师的全职等价 (WTE) 拨款缺乏国家指导.
- 评估目前的饮食服务供应对于患者安全和员工可持续性至关重要.
研究的目的:
- 评估英国各地FI的儿科营养师目前的服务供应情况.
- 确定现有的饮食WTE是否足以完成工作计划.
- 为了确定IF的饮食资源分配的区域差异.
主要方法:
- 两项前性在线调查对英格兰的儿科IF服务进行了管理.
- 调查1评估了家庭亲肠道营养 (HPN) 患者人数和当前的饮食人员.
- 调查2调查了营养师的工作量需求和可持续性.
主要成果:
- 观察到29/百万接受HPN的儿童的患病率,具有显著的区域差异 (11.7-65.8/百万).
- 整个英格兰,营养学家的WTE总量为12.2个,每个信托基金的中位数为1.2个.
- 80%的被调查的营养学家报告说,他们没有足够的时间来完成他们的职责,50%的受访者认为他们的工作负担不安全,100%的受访者工作超出了合同时间.
结论:
- 与HPN患病率相比,在儿科IF营养师服务提供方面存在显著的区域不平等.
- 目前的饮食人员人数水平使得饮食师无法履行所有工作计划责任.
- 国家指导和研究对于为儿科IF营养师定义适当的服务提供标准至关重要,确保安全和可持续的护理.
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