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JCPSLP

Volume 19, Number 2 2017

61

Food services meetings

As shown in Table 3, the majority of respondents (n = 71)

reported their facility or health service had regular food

services meetings which mostly occurred on a monthly

basis (49%). Figure 2 depicts which members of the team

reportedly attended these meetings, with the majority

having dietitians, food services managers and SLPs in

attendance. One quarter of respondents reported “others”

attended food services meetings; these included nutrition

assistants, chefs, food service coordinators, kitchen

manager, food service assistants and menu monitors.

Perceptions of a dedicated speech-

language pathology role in food services

A total of 77 participants responded to the open-ended

question “What are your thoughts on a dedicated Speech

Pathology role in food services?” Two major themes were

identified: (a) potential benefits of the position and (b)

service considerations of such a position. Subthemes within

each of these categories are shown in Table 4.

Perceived benefits

Nine respondents (12%) commented that a dedicated

speech pathology role within food services could have

possible benefits to patients in terms of safety and quality of

meals. For example, participant 51 noted:

position. The remaining participant reported that the role

involved one full-time grade 1 (entry level clinician) and one

part-time grade 2 clinician (> 1 year of experience, but not

senior level).

Participants 14, 71, 78, 88, 89 and 108 also answered

the question “Why was the position created?” Responses

ranged from developing and maintaining good working

relationships with food services, addressing issues

pertaining to texture-modified foods and fluids, to providing

ongoing representation at food services meetings. All

respondents (n = 6) reported that a range of duties were

undertaken within this dedicated position. These duties

included: auditing compliance of texture-modified diets with

national standards, research/quality improvement in texture-

modified diet/fluids management, resolving joint SLP and

food services issues, and creating links between food

services and SLP. In addition, one respondent described

working with food services to develop a new patient

menu. No respondents reported that their organisation

had evaluated the impact of a dedicated SLP role in food

services.

Speech-language pathologists completing

food services tasks within existing

clinical roles

A total of 85% of respondents (n = 99) answered the

question “Do any speech pathologists from your

department perform the following food services related

tasks within their existing clinical roles?” A large proportion

of these respondents (n = 88) reported that SLPs in their

department provided education and training to food

services staff and worked to resolve clinical issues related

to texture-modified diets/thickened fluids (n = 87), such as

items of inappropriate texture being provided to patients.

They also reported performing audits on texture-modified

diets (n = 71) and thickened fluids (n = 87). Of these 99

participants, almost 60% indicated someone within their

department attended food services meetings and 64% (n =

64) resolved requests from food services (e.g., issues with

texture-modified diets) at a departmental or service level,

while 65% (n = 65) indicated that they or someone within

their department provided input into development and/or

selection of new meals. Twenty-eight per cent of

respondents (n = 28) reported participating in state-wide

food services networks. Two of the 99 respondents

indicated they did not perform any of the aforementioned

duties within their department or any other food services

tasks. Figure 1 depicts how many hours per fortnight SLPs

within their departments reportedly spent on food services

tasks, with the most common response (58%) being

between 1 and 4 hours per fortnight. However, 15% of

respondents (n = 15) indicated that they or someone in

their department spent up to 32 hours per fortnight

performing these tasks.

1-4 hours,

(57), 58%

4-8 hours,

(18),18%

>32 hours,

(15),15%

0 hours, (6), 6%

8-16hours,

(3), 3%

16-32 hours,

(0), 0%

Note:

differences in sizes between departments

unknown; data may be impacted by number of staff

within a facility.

Figure 1. Hours per fortnight department spends on food-

services-related tasks within existing clinical roles

Table 3. Food services meetings

Questions

Responses

Does your health service have regular food service meetings?

Yes

71% (n = 71)

No

7% (n = 7)

Unsure

22% (n = 22)

How often do they meet?

Weekly

4% (n = 3)

Monthly

49% (n = 33)

Quarterly

18% (n = 12)

Other:

28% (n = 19)