Quantifying the Time Used for Renal Dietitian's Responsibilities: A Pilot Study
| Autor: | Ashwini R. Sehgal, Rosa K. Hand, Jeffrey M. Albert |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Work activity medicine.medical_specialty 030109 nutrition & dietetics Nutrition and Dietetics business.industry Cross-sectional study medicine.medical_treatment Direct patient care 030232 urology & nephrology MEDLINE Medicine (miscellaneous) Renal dietitian 03 medical and health sciences 0302 clinical medicine Nephrology Physical therapy Medicine Observational study Time management business Dialysis |
| Zdroj: | Journal of Renal Nutrition. 29:416-427 |
| ISSN: | 1051-2276 |
| Popis: | Objective The purpose of this study was to quantify how dialysis dietitians spend their time and whether the activities that were most frequent varied based on the ratio of patient to full-time equivalent (FTE) dietitian. Methods This study is a cross-sectional, observational, time-and-motion study carried out using the Work Activity Measurement by Activity Timing software/method for time recording. This study was carried out in 14 dialysis centers in and around Cleveland, Ohio. Fourteen registered dietitian nutritionists participated in this study. The mean time/experience of these nutritionists in dietetics was 26.6 ± 8.5 years. Percent of time in direct care (e.g., patient interaction) versus indirect care (e.g., documentation and plans of care, professional communication) versus other responsibilities (e.g., administrative work, education of self or others). Results The mean number of tasks recorded per 3-hour observation session was 38.3 ± 14.0, including 18.5 ± 7.7 indirect care tasks, 7.7 ± 6.2 direct care tasks, and 9.7 ± 5.4 other tasks. The mean number of unique patients seen per observation session was 6.9 ± 5.4; the mean direct care time per patient encounter was 6.95 ± 4.05 minutes. Indirect care took the highest proportion of observed time, 56.0 ± 22.2%, followed by direct care, 24.9 ± 18.8%. Increasing the ratio of patient to FTE had a moderate negative correlation with the percent of time spent in direct patient care (r = −0.35, P = .21), but there was no relationship between the ratio of patient to FTE and direct care time per patient (r = 0.02, P = .94). Conclusion About 25% of dietitians' time was available for direct patient care. This is much less than that reported in previous studies and may not be sufficient to improve the nutritional status. Limitations of our study include a small sample size from a single region. Further work is needed to understand the balance of responsibilities among renal dietitians and their impact on patient outcomes. |
| Databáze: | OpenAIRE |
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