Development of Evidence-Based Guidelines and Critical Care Nurses ’ Knowledge of Enteral Feeding

Gastric residual volume measurement in the intensive care unit: an international survey reporting nursing practice

“…Bourgault et al . () found that proper knowledge was needed to ensure best practices and that this knowledge directly influences nursing practice. In our study, only 18% of respondents reported that their practice was based on current guidelines, which might explain the wide variety in daily practice.…”

A practice change initiative to improve the provision of enteral nutrition to intensive care patients

“…Ensuring the existing practices related to GRVs are evidence-based is crucial in improving patient outcomes. Inconsistencies in recommendations are evident between acceptable GRVs, both in the literature (Cerra et al, 1997;Pinilla et al, 2001;McClave and Snider, 2002;Parrish and McCray, 2003b;Keithley and Swanson, 2004;Bowman et al, 2005;Marshall, 2005;Zaloga, 2005;Kattelmann et al, 2006;Bourgault et al, 2007;Metheny, 2008;Parrish and McClave, 2008;Montejo et al, 2010;Soroksky et al, 2010;Kuppinger et al, 2013;Reignier et al, 2013;Williams et al, 2013), and in recommendations of clinical practice guidelines (Cerra et al, 1997;Jolliet et al, GRV is a poor marker for risk of aspiration. Pinilla et al (2001) Randomized controlled trial Comparison of two groups: Group 1: GRV 150 mL with an optional prokinetic.…”

Jordanian nurses' knowledge and responsibility for enteral nutrition in the critically ill

“…HOB elevation is a widely accepted aspiration reduction method achieved through keeping backrest elevated at least 30-45 • (Stroud et al, 2003, Williams and Leslie, 2005, Bourgault et al, 2007, McClave et al, 2009, Albertos et al, 2011. The mean of back rest elevation in the three sectors was approximately 42 • which is absolutely optimal, Miller et al (2008) found that only 4·9% of patients met the recommendation of maintaining HOB at 45 • .…”