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Structure and organisation of 47 nutrition support teams in Germany: a prospective investigation in 2000 German hospitals in 1999

European Journal of Clinical Nutrition volume 57, pages 1311–1316 (2003)Cite this article

Abstract

Objective: Evaluation. Contrary to the Anglo-American region, very little is known in Germany on the structure and organisation of nutrition support teams (NST).

Design: Prospective investigation of the structure and organisation of German NST, using standardised interview questionnaires.

Settings: Hospitals with more than 250 beds in Germany.

Subjects: German NST (n=47).

Interventions: Face-to-face interview in 1999, using a standardised questionnaire.

Results: From a total of 2000 German hospitals, NST have been established at 47 hospitals (2.3%). Most NST are affiliated to a large university hospital or an academic teaching hospital. In general, the NST are not independently operating units but are affiliated to a special discipline, and were in operation for an average of 8 y. The NST cared for a median of 65 outpatients annually. At the university hospitals in average, 477 in-patients were treated per year, at the teaching hospitals 400 and at all other hospitals 179. The work of the NST centred on enteral nutrition. A total of 47% of the physicians, 19% of the nurses and 19% of the dietitians in the NST held a nutrition-specific additional qualification. A total of 2% of the physicians, 68% of the nurses and 77% of the dietitians are exclusively responsible for the NST. More than 70% of the financing of the personnel was secured through third-party funds.

Conclusion: In Germany, neither uniform nor comprehensive patient care by NST existed in 1999. More than 50% of all NST members do not hold a nutrition-specific additional qualification. Frequently, besides their tasks in the team, the NST staff also carries out other clinical functions. Contrary to the American NST, the German NST are not interdisciplinary operating units but are primarily financed through third-party funds of the industry.

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References

  • Allison SP (2001): Nutrition support teams: dissociated ions or the yeast in the loaf? Clin. Nutr. 20, 289.

    Article  CAS  Google Scholar 

  • Ashley C & Howard L (2000): Evidence base for specialized nutrition support. Nutr. Rev. 58, 282–289.

    Article  CAS  Google Scholar 

  • Brown RO, Carlson SD, Cowan GSM et al. (1987): Enteral nutrition support management in a university hospital: team vs non-team. J. Parent. Ent. Nutr. 11, 52–56.

    Article  CAS  Google Scholar 

  • Cohen IL (1993): Establishing and justifying specialized teams in intensive care units for nutrition, ventilator management, and palliative care. Crit. Care Clin. 9, 511–520.

    Article  CAS  Google Scholar 

  • Elia M (1993): Artificial nutritional support in clinical practice in Britain. J. R. Coll. Phys. London 27, 8–15.

    CAS  Google Scholar 

  • Hassel JT, Games AD, Shaffer B & Harkins LE (1994): Nutrition support team management of enterally fed patients in a community hospital is cost-beneficial. J. Am. Diet. Assoc. 94, 993–998.

    Article  Google Scholar 

  • Howard JP, Bruce J & Powell-Tuck J (1997): Nutritional support: a course for developing multidisciplinary clinical teams. Education Committee, British Association for Parenteral and Enteral Nutrition. J. R. Soc. Med. 90, 675–678.

    Article  CAS  Google Scholar 

  • Howard P (2001a): Organizational aspects of starting and running an effective nutritional support service. Clin. Nutr. 20, 367–374.

    Article  CAS  Google Scholar 

  • Howard P (2001b): Practical nutritional support: working together to make it happen. Proc. Nutr. Soc. 60, 415–418.

    Article  CAS  Google Scholar 

  • Howard L, Heaphey L, Fleming CR et al. (1991): Four years of North American Registry Home Parenteral Nutrition outcome data and their implications for patient management. J. Parent Ent. Nutr. 15, 384–393.

    Article  CAS  Google Scholar 

  • Jonkers C, Lochs H, Lerebours E, Meier R, Messing B & Soeters PB (1999): Survey to establish the current status of artificial nutritional support in Europe. Clin. Nutr. 18, 179–188.

    Article  CAS  Google Scholar 

  • Mughal M & Irving M (1986): Home parenteral nutrition in the United Kingdom and Ireland. Lancet ii, 383–387.

    Article  Google Scholar 

  • Payne-James J, de Gara C, Grimble G, Rees R, Bray J, Rana S, Cribb R, Frost P & Silk D (1990): Nutritional support in hospitals in the United Kingdom: national survey 1988. Health Trends 22, 9–13.

    CAS  PubMed  Google Scholar 

  • Regenstein M (1991): Nutritional support teams—alive, well, and still growing. Nutr. Clin. Pract. 7, 296–301.

    Article  Google Scholar 

  • Roberts MF & Levine GM (1992). Nutritional support team recommendations can reduce hospital costs. Nutr. Clin. Pract. 7, 227–230.

    Article  CAS  Google Scholar 

  • Sousa AM (1994): Benefits of dietitian home visits. J. Am. Diet. Assoc. 94, 1149–1151.

    Article  CAS  Google Scholar 

  • Suchner U, Dormann A, Hund-Wissner E, Shang E & Senkal M (2000): Requirement for the structure and function of a nutritional support team. Anaesthesist 49, 675–684.

    Article  CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Surgery, University Hospital Mannheim, Mannheim, Germany

    E Shang

  2. Department of Anaesthesiology, Ludwig Maximilian University Munich, Germany

    U Suchner

  3. Department of Medicine, Minden Hospital, Germany

    A Dormann

  4. Department of Surgery, Ruhr University Bochum, Germany

    M Senkal

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  1. E Shang
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  2. U Suchner
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  3. A Dormann
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  4. M Senkal
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Correspondence to E Shang.

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Shang, E., Suchner, U., Dormann, A. et al. Structure and organisation of 47 nutrition support teams in Germany: a prospective investigation in 2000 German hospitals in 1999. Eur J Clin Nutr 57, 1311–1316 (2003). https://doi.org/10.1038/sj.ejcn.1601693

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  • DOI: https://doi.org/10.1038/sj.ejcn.1601693

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