Framework to determine the staffing needs of dietitians at central and tertiary public hospitals

This PhD study was aimed at developing a staffing norm framework for dietitians based at South Africa`s central and tertiary public hospitals. All data for the study was collected through online surveys via the UP Qualtrics platform. The study was based on the WHO Workload Indicators of Staffing Need (WISN) and as a result this methodology led to the development of a framework specifically for the central and tertiary hospital setting. Data emanating from a Delphi consensus exercise with head dietitians at central and tertiary hospitals provided a standardised set of workload components and activity standards covering health, support, and individual activities of dietitians. A case study conducted at 21 central and tertiary public hospitals using this standard set of workload components and activity standards provided much needed data on the workloads and work pressures of dietitians.

本研究系一项博士研究，旨在为南非中央及三级公立医院的营养师建立一套人员配置规范框架。所有研究数据均通过UP Qualtrics平台进行的在线调查收集而来。研究基于世界卫生组织（WHO）的人员配置需求工作负荷指标（WISN），因此该方法论导致了专为中央及三级医院环境设计的框架的开发。通过在中央及三级医院的负责人营养师中进行的德尔菲共识练习所产生的数据，提供了一套标准化的工作负荷组成部分和活动标准，涵盖营养师的健康、支持及个人活动。在21家中央及三级公立医院进行的案例研究，运用这套标准化的工作负荷组成部分和活动标准，为营养师的工作负荷和工作压力提供了迫切所需的数据。