Barriers to feeding critically ill patients: A multicenter survey of critical care nurses

Cahill, Naomi E.; Murch, Lauren; Cook, Deborah J.; Heyland, Daren K.

doi:10.1016/j.jcrc.2012.07.006

Cited by 69 publications

(86 citation statements)

References 21 publications

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“…Although this study had an acceptable response rate of 45% (Baruch & Holtom, 2008), bias from non‐responders was another limitation in this study. This response rate is comparable to that of other survey studies focusing on critical care nurses (Cahill, Murch, Cook & Heyland, 2012) and the demographic characteristics of our sample resemble that of the full population of Dutch ICUs (Hansen, Van Velden & Hingstman, 2008). …”

Section: Discussionsupporting

confidence: 85%

Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units

et al. 2017

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AimTo identify nurses’ barriers and facilitators to monitoring of nurse‐sensitive outcomes in intensive care units (ICUs), and to explore influential nurse characteristics and work environment factors.DesignA cross‐sectional survey in three Dutch ICUs between October 2013 ‐ June 2014.MethodsA questionnaire with questions regarding facilitators and three types of barriers: knowledge, attitude and behaviour. The Dutch Essentials of Magnetism II was used to examine work environments.ResultsAll 126 responding nurses identified pressure ulcers and patient satisfaction as outcomes that are nurse‐sensitive and nurses’ full responsibility. Lack of time (behaviour) was perceived as the most prominent barrier, followed by unfamiliarity with mandatory indicators (knowledge), and unreliability of indicators as benchmark data (attitude). Education and clear policies were relevant facilitators. Of nurse characteristics, only regularity of shifts was related to perceived attitude related barriers. The work environment factor “clinical autonomy” was potentially associated with behaviour related barriers.

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Section: Discussionsupporting

confidence: 85%

Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units

et al. 2017

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“…Challenging traditional dogma is just the beginning of overcoming barriers which prevent change in practice. Barriers to implementation of EN protocols and aggressive early feeding derive from perceived lack of supporting evidence, poor implementation processes, systems characteristics (financial regulations, organizational structure, lack of resources), individual provider behavior, and patient complexity (69,70). Moving forward, strategies designed to reduce the barriers will likely improve our abilities to deliver nutrition to critically ill patients.…”

Section: Strategies To Promote Deliverymentioning

confidence: 99%

Feeding the Critically Ill Patient

McClave

Martindale²,

Rice

et al. 2014

Critical Care Medicine

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Current evidence suggests that enteral nutrition, started as soon as possible after acute resuscitative efforts, may serve therapeutic roles beyond providing calories and protein. Although many new studies have further advanced our knowledge in this area, the appropriate level of standardization has not yet been achieved for nutrition therapy, as it has in other areas of critical care. Protocolized nutrition therapy should be modified for each institution based on available expertise, local barriers, and existing culture in the ICU to optimize evidence-based nutrition care for each critically ill patient.

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“…As part of our ongoing research program in critical care nutrition, we adopted a mixed‐methods approach to identify and explore the barriers to adherence with critical care nutrition guideline recommendations 12 . ‐ 15 Implementing interventions tailored to overcome these barriers may be a potential strategy to improve current nutrition performance 16 .…”

Section: Introductionmentioning

confidence: 99%

Revised Questionnaire to Assess Barriers to Adequate Nutrition in the Critically Ill

Cahill

Jiang

Heyland

2015

J Parenter Enteral Nutr

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Barriers to feeding critically ill patients: A multicenter survey of critical care nurses

Cited by 69 publications

References 21 publications

Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units

Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units

Feeding the Critically Ill Patient

Revised Questionnaire to Assess Barriers to Adequate Nutrition in the Critically Ill

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