From: Gauging food and nutritional care quality in hospitals
NCQ criteria | Private Hospitals (n=25) | Public Hospitals (n=12) | Difference* | Campinas (n=17) | Ribeirão Preto (n=10) | Florianópolis (n=10) | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
n | % | n | % | % | n | % | n | % | n | % | |
A - Inpatient dietary coverage actions | |||||||||||
A1. Duty shift system in the area of clinical nutrition | 4 | 16.0 | 3 | 25.0 | 9.0 | 2 | 11.8 | 3 | 30.0 | 1 | 10.0 |
A2. Supervision of meal distribution in the ward | 7 | 28.0 | 4 | 33.3 | 5.3 | 6 | 35.3 | 2 | 20.0 | 3 | 30.0 |
A3. Routine visits to patients | 16 | 64.0 | 12 | 100.0 | 36.0 | 12 | 70.6 | 6 | 60.0 | 10 | 100.0 |
B – Evaluation and monitoring of nutritional status actions | |||||||||||
B1. Nutritional assessment (complete)** | 4 | 16.0 | 8 | 66.7 | 50.7 | 7 | 41.2 | 1 | 10.0 | 4 | 40.0 |
B2. Nutritional status monitoring | 8 | 32.0 | 6 | 50.0 | 18.0 | 7 | 41.2 | 4 | 40.0 | 3 | 30.0 |
B3. Entry of nutritional care information in the medical record | 9 | 36.0 | 7 | 58.3 | 22.3 | 7 | 41.2 | 2 | 20.0 | 7 | 70.0 |
B4. Filling in forms about nutritional care | 7 | 28.0 | 4 | 33.3 | 5.3 | 5 | 29.4 | 1 | 10.0 | 5 | 50.0 |
B5. Nutritional guidance at discharge | 24 | 96.0 | 12 | 100.0 | 4.0 | 16 | 94.1 | 10 | 100.0 | 10 | 100.0 |
B6. Assistance protocols | 9 | 36.0 | 6 | 50.0 | 14.0 | 10 | 58.8 | 3 | 30.0 | 2 | 20.0 |
C - Actions on integration of nutritional assistance activities within the team | |||||||||||
C1. Diet prescription in the medical records | 15 | 60.0 | 7 | 58.3 | 1.7 | 12 | 70.6 | 4 | 40.0 | 6 | 60.0 |
C2. Interconsultations on nutritional care | 7 | 28.0 | 5 | 41.7 | 13.7 | 5 | 29.4 | 3 | 30.0 | 4 | 40.0 |
C3. Team visits to patients | 9 | 36.0 | 7 | 58.3 | 22.3 | 9 | 52.9 | 3 | 30.0 | 4 | 40.0 |
C4. Participation in activities outside the HFNS | 18 | 72.0 | 9 | 75.0 | 3.0 | 11 | 64.7 | 9 | 90.0 | 7 | 70.0 |
C5. Nutritional support team | 7 | 28.0 | 3 | 25.0 | 3.0 | 5 | 29.4 | 4 | 40.0 | 2 | 20.0 |
D – HFNS actions supporting diet therapy | |||||||||||
D1. Diet manual *** | 16 | 64.0 | 4 | 33.3 | 30.7 | 14 | 82.4 | 3 | 30.0 | 3 | 30.0 |
D2. Information about energy supply | 14 | 56.0 | 6 | 50.0 | 6.0 | 13 | 76.5 | 3 | 30.0 | 4 | 40.0 |
D3. Selection of nutritional supplements | 7 | 28.0 | 4 | 33.3 | 5.3 | 5 | 29.4 | 4 | 40.0 | 2 | 20.0 |
D4. Mechanisms for patients to require changes to the diet | 12 | 48.0 | 11 | 91.7 | 43.7 | 11 | 64.7 | 3 | 30.0 | 9 | 90.0 |