Survey On Cognition To Clinical Nutrition Among Tertiary Hospital Managers In Shandong

BackgroundThe new concept of modern medical care-clinical nutrition, medical cure and nursing care are the three polar of the best medical practice. It has been used from the surgical system to every department gradually. In nowadays of foreign country's, it has been developed and used clinical nutrition very well, But in our countries, it has been lagged behind seriously. The possible reason maybe basic medical education or medical management or the medical expenses payments or the standard application of clinical nutrition and so on.It should be asked for the reason in this research.ObjectiveTo investigate the nutritional status of the management of clinical nutritional organizations and the cognition levels of different management groups in six tertiary hospitals of our province. Analysis the reason that affects the development of clinical nutritional and the cognition levels of different management groups in order to provide reliable data for clinical nutrition support organizations and have the basic clinical nutritional lessons to open in medical college and offer other supports such as economy and policy and the senses of nutrition on common people.MethodsA cross sectional survey was conducted among six tertiary hospitals which in reading lots of articles and consulting experts that have designed four research tools that the samples who were hospital top management groups, middle management groups, professional directors and head-nurses in departments during 3 months (From July to October of 2006). In the six tertiary hospitals which have two local hospitals, two vocational hospitals and two teaching hospitals. All the samples answered questionnaire respectively. It has been used the SAS software to deal with the data analysis that have been used t-test, x~2-test and one-factor variance and so on.Main ResultsIt has been issued 587 questionnaires, retrieved 549 questionnaires, the rate of retrieve is 93.52%; Effected questionnaires is 549, Effected rates of retrieve is 100%.The results as follows:1. The allocation of profession personnel and departments of clinical nutrition in our provincial six tertiary hospitals, there are 5 nutrition departments but there is no specialized personnels and it is belonged to logistic management. One teaching hospital has the clinical nutrition center, two hospitals have the nutrition supplying center but no CNST and there is no any nutrition inquired clinics.2. The knowledge of clinical nutrition to the professional department's management groups. The knowledge deficiency of professional department's directors and head-nurses in our provincial six tertiary hospitals, But there is no difference between them (P>0.05); the directors basic nutrition knowledge superior to the head nurses but the clinical knowledge inferior to the head nurses(P<0.05). Different kind of hospitals which the teaching hospitals are superior to other two kind hospitals and the worst is the enterprised hosoital.Different management levels have a great difference in cognitions. The best cognitions results are the surgical management groups' nutritional knowledge are better than other majors which in sequences is surgical department, medical department, paediatrics, gynaecology and obstetrics and obstetrics, anaesthesia , otorhinolaryngology(E.N.T) and medical skill departments and so on. Between different educational backgrounds which postgraduates (doctors' degree and masters' degree) are better than undergraduates, There are no great difference between doctor' degrees and master' degrees. There are no great difference between Professional ranks and titles (P>0.05) namely the levels of nutrition knowledge is not changed as the working periods increased.3. The acquired channel of clinical nutrition knowledge. In the investigated samples, there is 22.14% through professional curriculum and 18.23% through training class and academic conference is 12.10% and skimming the newspaper and magazine is 47.87%, the self-study is about 32.03%.4. The understanding of the meaning and the pay attention to the clinical nutrition. Different levels of management groups have a big difference (P<0.05), the best cognition level is the directors and the worst is the functional departments and different hospital and professions have an influence; there is no difference between the groups of different professional ranks and titles and education backgrounds (P>0.05).Conclusions and suggestions1. The knowledge deficiency of professional department's management groups and the basic education of clinical nutrition weaked in our provincial six tertiary hospitals.it is suggested to have clinical nutrition courses offered in the medical college and opened all kinds of training classes to clinical nutrition and broaden the scope, expand the propaganda of the idea of clinical nutrition greatly and clinical nutrition knowledge.2. There are no well-build management organizations of clinical nutrition and disorder management of the nutrition department and lack of professionals which could not conduct the clinical nutrition works. It is suggested to set up the clinic of nutrition consultancy service and CNST, if possiple could be sut up clinical nutrition center and training high-quality personnel of clinical nutrition and standard applying and solved the belonging of clinical nutrition organizations.3. There is an obscure concept of clinical nutrition and the deficiency meaning in all kinds of management groups of tertiary hospitals in our province. It is suggested to set up the academic institution to the clinical nutrition and have meeting every year which could have the platform of exchange experience, it would be establish the magazine of clinical nutrition and build up the information reservoir of clinical nutrition qualified personnel and the website of clinical nutrition education.4. The nutrition concept laged behind, knowledge deficiency, the status of economy are the key points. In addition, the model of medical system that may be limited the standard works of clinical nutrition. It is suggested to strengthen the study on health economics of clinical nutrition which could be illustrate the meaning and support and cooperation of all departments and expand the medicalcare systems and the reform of medical structure.