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Table 3 Workload components and activity standards for additional service activities

From: A Delphi consensus study to determine the workload components and activity standards of dietitians in South Africa’s central and tertiary public hospitals

Additional service activities

Strongly agree

(%)

Agree

(%)

Do not agree/disagree

(%)

Disagree/strongly disagree

(%)

Activity standard (h per year)

Delphi round one

     

 Managerial duties (risk management, planning of duty rosters)

86

14

  

24

 Financial management (budgeting and procurement) *

76

24

  

24

 Asset management and physical resource management*

67

24

10

 

24

 Develop departmental plans (strategic, business, and operational)*

71

29

  

16

 Develop and review policies/strategies/guidelines/protocols and norms and standards*

76

24

0

 

24

 Evaluate and monitor the implementation of policies/strategies/guidelines/protocols and norms and standards

71

24

5

 

24

 Human resource management (grievances and disciplinary processes, HPCSA registration and compliance, attendance and leave register)

86

5

10

 

48

 Recruitment, selection, and appointment of new staff*

81

19

  

16

 Training, support and supervision of lower-level staff and community service dietitians

90

5

5

 

191

 Performance development and management system (PMDS)

90

10

  

20

 CPD activities*

81

19

  

24

 Report writing, validations, and presentations

67

29

 

5

36

 Participation in accreditation of facilities for student training*

48

38

14

 

8

 National core standards (QIP)-develop plans, evaluation, and reports

62

33

 

5

19

 Planning and coordination of departmental meetings

76

24

  

36

 District, provincial INP and allied meetings

76

10

10

5

24

 Participation in research activities

57

33

 

10

24

 Food service management, development and costing of therapeutic diets (cycle menus, menu analyses, standardize recipes)*

52

29

10

10

16

 Education, training, and supervision of foodservice/diet kitchen staff/milk kitchen/tube feed personnel

67

10

10

15

53

 Ward rounds (foodservice)

43

19

14

24

 

 Generate reports (meals, incidents, infection control)*

43

29

5

24

37

 Operational management of human milk bank

43

24

10

24

 

Newly proposed health service activities: Delphi round two

     

 Outreach activities (Community or lower-level activities)†

14

19

33

35

 

 Hospital committee/ Internal stakeholder meetings*

48

43

5

5

44

 MBFI mentor/committee participation and activities

43

33

19

5

24

 Audits (stock take and stock take audits, diet sheet audits, equipment audits, etc.)

57

38

5

0

24

 Stock takes of enteral feeds and supplements*

62

33

0

0

57

 Develop and review departmental plans (Strategic, Business and Operational)

67

29

0

5

16

 Asset management and physical resource management (including dietetic related equipment monitoring, repair, and monitoring) *

43

57

0

0

24

  1. *excluded from the final list due to duplication; excluded due to low agreement