Controlled enteral nutrition in critical care patients – A randomized clinical trial of a novel management system

Kagan, Ilya; Hellerman-Itzhaki, Moran; Bendavid, Itai; Statlender, Liran; Fishman, Guy; Wischmeyer, Paul E.; Waele, Elisabeth De; Singer, Pierre

doi:10.1016/j.clnu.2023.06.018

Cited by 7 publications

(1 citation statement)

References 38 publications

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“…Previous studies have shown [12,13] that the reasons for ENI in ICU patients include hemodynamic instability, high GRV, and medical procedures. It is difficult to avoid ENI, but as shown by Kagan et al [36], the use of nutritional management feeding platforms (such as the smART + platform) can monitor ICU patients' ENI in real-time, calculate the amount of compensation needed when restarting, and ultimately help patients reach their EN goal. In other words, most ENIs caused by ICU nurses can be avoided through the use of management tools28.…”

Section: Discussionmentioning

confidence: 99%

Cognitive influencing factors of ICU nurses on enteral nutrition interruption: a mixed methods study

Pan,

Zhang,

Yang

et al. 2024

BMC Nurs

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Background The incidence of clinically avoidable enteral nutrition interruptions is high. ICU nurses, as the implementers and monitors of enteral nutrition, have a close relationship between their cognitive level of enteral nutrition interruption and the incidence of enteral nutrition interruption. The level of ICU nurses’ cognition of enteral nutrition interruption and the key factors influencing the level of ICU nurses’ cognition of enteral nutrition interruption are not known. Objectives This study aims to explore the cognitive level of ICU nurses on enteral nutrition interruption and delve into the key factors that affect their cognitive level from the perspective of management. Design A sequential explanatory mixed methods research design was used. Methods With the convenience sampling method, an online survey questionnaire was distributed to ICU nurses in Chongqing, and 336 valid questionnaires were collected. After the survey, ICU managers were invited to participate in qualitative interviews, in which 10 participants from five hospitals completed face-to-face individual semi-structured interviews and were analyzed with thematic analysis. Results The survey found that ICU nurses had a good level of cognition towards enteral nutrition interruption but poor knowledge about the definition, causes, and consequences of enteral nutrition interruption, as well as negative attitudes toward active learning, assessment, and communication. And the longer work time in the ICU, joining the nutrition team, receiving systematic training, and acquiring relevant knowledge from academic journals more frequently were favorable to improving ICU nurses’ knowledge level of enteral nutrition interruption. Personal interviews further identified the key factors affecting their cognitive level, including (1) lack of knowledge, (2) lack of proactive thinking, (3) lack of enteral nutrition management programs, and (4) lack of quality management tools for enteral nutrition interruption. Conclusion Although ICU nurses demonstrate a relatively high level of cognition, there is still room for improvement. ICU administrators must take specific measures to improve the knowledge of ICU nurses, especially in non-tertiary hospitals, in order to prevent nurse-induced enteral nutrition interruption in all ICUs and improve medical quality. Trial registration Not applicable.

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Section: Discussionmentioning

confidence: 99%