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The Status of Clinical Nutrition in Hospitals of Guilan Province, Iran – a Mixed-Method Study; [El Estado De La Nutricion Clinica En Los Hospitales De La Provincia De Guilan, Iran: Estudio De Metodo Mixto] Publisher Pubmed



Mirzaei Dahka S1 ; Fathi S2 ; Salimi Z3 ; Roumi Z4 ; Aminnejad B5 ; Valisoltani N6 ; Shafaei H7 ; Gholamalizadeh M8 ; Shadnoush M9 ; Doaei S10 ; Ajami M11
Authors
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Authors Affiliations
  1. 1. Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran
  2. 2. Department of Nutrition, Faculty of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Isfahan, Iran
  3. 3. Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  4. 4. Department of Nutrition, Electronic Health and Statistics Surveillance Research Center, Science and Research Branch. Islamic Azad University, Tehran, Iran
  5. 5. Department of Nutrition, Science and Research Branch. Islamic Azad University, Tehran, Iran
  6. 6. Department of Clinical Nutrition, School of Nutrition Science and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Nursing and Midwifery School, Guilan University of Medical Sciences, Rasht, Iran
  8. 8. Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  9. 9. Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  10. 10. Department of Community Nutrition, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  11. 11. Department of Food and Nutrition Policy and Planning National Nutrition and Food Technology Research Institute School of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: Nutricion Hospitalaria Published:2023


Abstract

Background: nutritional therapy has an important role in the development of medical care services, and quantitative and qualitative assessments of the status of clinical nutrition in hospitals is crucial. This study aimed to explore the current status of clinical nutrition in hospitals of Guilan province, Iran. Methods: this quantitative-qualitative (mixed method) study was performed on public hospitals in Guilan province, Iran (n = 26). The required information was collected by visiting the hospitals and interviewing with hospital dietitians. The data collection tool had two quantitative and qualitative subscales. The quantitative subscale included a 21-item checklist containing information about the referral system, cooperation of hospital staff in clinical nutrition, clinical nutrition staff status, enteral nutrition, and parenteral nutrition. Results: in more than 55 % of hospitals the patients were not adequately referred to a dietitian. In about 31.2 % of hospitals, cooperation of other departments in the field of clinical nutrition was insufficient. In 37 % of hospitals with intensive care unit (ICU), enteral nutrition was not provided properly. Only 27 % of the hospital properly provided parenteral nutrition for their patients. The most important problems mentioned by hospital dietitians included noncompliance of the food services employers with recommended diets, insufficient number of hospital dietitians, and lack of per case payment method for dietitians. Coverage of diet services by health insurance was the most common suggestion of dietitians to promote diet therapy in public hospitals. Conclusion: the situation of providing nutritional services to patients in public hospitals is not favorable in terms of quantity and quality in Guilan province, Iran. Designing the necessary policies and reorient the clinical nutrition system in hospitals to promote patients’ health and accelerate patient recovery is warranted. © 2023 SENPE y©Aran Ediciones S.L.
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