An evaluation of intensive care nurses' performance of indirect calorimetry measurements.
evaluation of practice
indirect calorimetry
intensive care
nurses
Journal
Nursing in critical care
ISSN: 1478-5153
Titre abrégé: Nurs Crit Care
Pays: England
ID NLM: 9808649
Informations de publication
Date de publication:
16 Jan 2024
16 Jan 2024
Historique:
revised:
05
12
2023
received:
28
11
2022
accepted:
12
12
2023
medline:
17
1
2024
pubmed:
17
1
2024
entrez:
16
1
2024
Statut:
aheadofprint
Résumé
Indirect calorimetry (IC) is the gold standard to monitor energy expenditure in critically ill patients. In several intensive care units (ICUs), nurses are responsible for carrying out the measurements. The aim of this study was to assess nurses' perception of their involvement in IC. This was a prospective survey conducted in the surgical ICU of a French university hospital after 18 months of use of the Q-NRG + ® calorimeter (COSMED©, Italy). All nurses who have used the calorimeter in the previous 6 months in this ICU were questioned through a questionnaire about their theoretical and practical knowledge and experience in using it. The participation rate was 93% (28/30 surveyed). All the respondents understood the objectives of performing an IC and 23 of them (82%) had used the device at least once in the previous 6 months. All the users thought it was pertinent that ICU nurses were in charge of the IC measurements, 16 of them (70%) reported having been formally trained, mostly by a colleague, and 17 (77%) felt comfortable with the device after 2 to 5 uses. The five non-users (8%) did not have the opportunity to do so. Theoretical and practical knowledge could be improved as only 5 of the users (22%) declared to know the main criteria of reliability of the IC measurement and 4 of them (18%) declared to know the maintenance and cleaning protocol of the device. Nurses quickly felt comfortable with the Q-NRG + ® in this ICU. Formal initial and ongoing training of all staff completing IC is essential to perform IC measurements safely and to obtain reliable and interpretable results in practice. Involving the nursing team in nutritional care, even if it is technical, seems to bring satisfaction in terms of overall patient care.
Sections du résumé
BACKGROUND
BACKGROUND
Indirect calorimetry (IC) is the gold standard to monitor energy expenditure in critically ill patients. In several intensive care units (ICUs), nurses are responsible for carrying out the measurements.
AIM
OBJECTIVE
The aim of this study was to assess nurses' perception of their involvement in IC.
STUDY DESIGN
METHODS
This was a prospective survey conducted in the surgical ICU of a French university hospital after 18 months of use of the Q-NRG + ® calorimeter (COSMED©, Italy). All nurses who have used the calorimeter in the previous 6 months in this ICU were questioned through a questionnaire about their theoretical and practical knowledge and experience in using it.
RESULTS
RESULTS
The participation rate was 93% (28/30 surveyed). All the respondents understood the objectives of performing an IC and 23 of them (82%) had used the device at least once in the previous 6 months. All the users thought it was pertinent that ICU nurses were in charge of the IC measurements, 16 of them (70%) reported having been formally trained, mostly by a colleague, and 17 (77%) felt comfortable with the device after 2 to 5 uses. The five non-users (8%) did not have the opportunity to do so. Theoretical and practical knowledge could be improved as only 5 of the users (22%) declared to know the main criteria of reliability of the IC measurement and 4 of them (18%) declared to know the maintenance and cleaning protocol of the device.
CONCLUSION
CONCLUSIONS
Nurses quickly felt comfortable with the Q-NRG + ® in this ICU. Formal initial and ongoing training of all staff completing IC is essential to perform IC measurements safely and to obtain reliable and interpretable results in practice.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
Involving the nursing team in nutritional care, even if it is technical, seems to bring satisfaction in terms of overall patient care.
Types de publication
Journal Article
Langues
eng
Informations de copyright
© 2024 British Association of Critical Care Nurses.
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