CNM's experiencing downsizing

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Byham-Gray, L. (2009). Managing human resources. Nutrition Dimension. 1-24.             http://www.nutrition411.com/pdf/Managing%20Human%20Resources.pdf
Mousazadeh, Y., Jannati, A., Jabbari Beiramy, H., AsghariJafarabadi, M., & Ebadi, A.     (2013). Advantages and disadvantages of different methods of hospitals’             downsizing: a narrative systematic review. Health Promotion      Perspectives, 3(2), 276–287. http://doi.org/10.5681/hpp.2013.032

CNM’s experiencing downsizing
In an era where efficient management of hospitals is promoted, downsizing is prevalent. Downsizing often leads to clinical positions in health care experiencing far less security than ever before. Downsizing has been defined as a set of activities that reduce the number of employees and results in higher efficiency and cost reduction. Organizations may decide to downside in order to achieve an appropriate size, reconstruction, cost reduction, stay competitive, and more.

In order to maintain a desirable dietitian-to-patient ratio of 1:50 or 60, clinical nutrition managers must oversee patient care activities closely and continuously track environmental trends. It is the CNM’s job to provide meaningful statistics and reasons why their employees are essential when arguing for the maintenance of adequate staffing to administrators of higher departments. When the dietary department experiences downsizing, it is important for the CNM to think about various ways to establish alternative systems for providing nutritional care. Maybe some responsibilities that were originally given to the RD could be given to a diet technician. The CNM will be responsible for justifying personnel needs and budgets in order to defend the department. This can be done through the routine collection, compilation, and interpretation of timely data like patient acuity, previous staffing arrangements, and productivity statistics. Larger patient case loads and an increased demand for nutritional care combined with the potential for downsizing are all issues and stressors that a CNM could face. 

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