Implementation of a best-practice guideline: Early enteral nutrition in a neuroscience intensive care unit.


Journal

JPEN. Journal of parenteral and enteral nutrition
ISSN: 1941-2444
Titre abrégé: JPEN J Parenter Enteral Nutr
Pays: United States
ID NLM: 7804134

Informations de publication

Date de publication:
01 2023
Historique:
revised: 10 05 2022
received: 17 12 2021
accepted: 23 05 2022
pubmed: 27 5 2022
medline: 11 1 2023
entrez: 26 5 2022
Statut: ppublish

Résumé

Current evidence suggests that early enteral nutrition is a best practice and leads to improved clinical outcomes. An evidence-based practice project was implemented in a busy neurointensive care unit in a midwestern tertiary care facility that was designed to improve care by implementing the early nutrition portion of Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine and the American Society for Enteral and Parenteral Nutrition. The Registered Nurses' Association of Ontario's (RNAO) Toolkit: Implementation of Best Practice Guidelines (BPGs) was selected and followed to guide implementation and achieve optimal results. During a 90-day implementation period, this project resulted in a 100% improvement in early nutrition. Interventions included the use of a series of cards that reminded the team to order enteral nutrition and prepacked bundles of nasogastric tube supplies. The RNAO toolkit served as a structured and effective step-by-step methodology for the implementation of a BPG.

Identifiants

pubmed: 35616290
doi: 10.1002/jpen.2411
pmc: PMC10084295
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

87-91

Informations de copyright

© 2022 The Authors. Journal of Parenteral and Enteral Nutrition published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.

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Auteurs

Sunshine Barhorst (S)

University of Cincinnati Medical Center, Cincinnati, Ohio, USA.

Richard M Prior (RM)

Department of Neurology, College of Nursing, University of Cincinnati, Cincinnati, Ohio, USA.

Daniel Kanter (D)

Department of Neurology, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.

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