Mi Hyang Um; Eun Soon Lyu; Song Mi Lee; Seung Min Lee; Eun Lee; Jin A Cha; Mi Sun Park; Ho Sun Lee; Mi Yong Rha; Yoo Kyoung Park

doi:10.5720/kjcn.2015.20.3.220

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Clinical Nutrition Services of a Long-term Care Hospital in Korea: Mi Hyang Um, Eun Soon Lyu, Song Mi Lee, Seung Min Lee, Eun Lee, Jin A Cha, Mi Sun Park, Ho Sun Lee, Mi Yong Rha, Yoo Kyoung Park; Korean Journal of Community Nutrition 2015;20(3):220-235.
DOI: https://doi.org/10.5720/kjcn.2015.20.3.220
Published online: June 30, 2015

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: April 27, 2015 • Revised: June 12, 2015 • Accepted: June 12, 2015

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.

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Abstract
Acknowledgments
Acknowledgments
REFERENCES

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

Acknowledgments

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

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Table 1

General statistics of the dietitians (n=223)

1) Respondent dietitian

Table 2

General statistics of the long-term care hospitals

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

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

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

1) N (%)

Table 6

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

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

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

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

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.

Figure & Data

REFERENCES

Citations

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

Korean J Community Nutr. 2015;20(3):220-235. Published online June 30, 2015

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

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

Table 1

General statistics of the dietitians (n=223)

1) Respondent dietitian

Table 2

General statistics of the long-term care hospitals

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

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

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

1) N (%)

Table 6

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

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

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

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

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.

Table 1 General statistics of the dietitians (n=223)

1) Respondent dietitian

Table 2 General statistics of the long-term care hospitals

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

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

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

1) N (%)

Table 6 Improvement area of clinical dietitian's task according to the KOIHA accreditation of long-term care hospitals

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

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

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

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.