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

Please wait, while we are loading the content...

Year: 2017 Volume: 22

Year: 2016 Volume: 21

Year: 2015 Volume: 20

Year: 2015 Volume: 20 Issue: 6

Year: 2015 Volume: 20 Issue: 5

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

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

Report on Third International Intensive Aftercare Conference in Norrköping, Sweden.

Transferring critically ill patients home to die: developing a clinical guidance document.

Moving on in life after intensive care--partners' experience of group communication.

What's in this issue?

A roadmap for paediatric and neonatal critical care nursing science in Europe: engage, action and impact.

To cure sometimes, to relieve often and to comfort always: nurses' role in end-of-life decision-making.

A letter from Catherine Jones (Winner of Southern Region's June study day prize).

Year: 2015 Volume: 20 Issue: 4

Year: 2015 Volume: 20 Issue: 3

Year: 2015 Volume: 20 Issue: 2

Year: 2015 Volume: 20 Issue: 1

Year: 2014 Volume: 19

Year: 2013 Volume: 18

Year: 2012 Volume: 17

Year: 2011 Volume: 16

Year: 2010 Volume: 15

Year: 2009 Volume: 14

Year: 2008 Volume: 13

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

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Jarden, Rebecca J. Sutton, Lynsey J.
Description	Country affiliation: New Zealand Author Affiliation: Jarden RJ ( AUT University, Auckland 1142, New Zealand.); Sutton LJ ( Intensive Care Unit, Wellington Regional Hospital, Wellington 6018, New Zealand.)
Abstract	AIM: To describe a practice change initiative that improved the provision of enteral nutrition (EN) to patients in a New Zealand tertiary intensive care unit (ICU). METHODS: The project reviewed and summarized EN literature, amended local policy, and an evidence-based EN delivery algorithm was developed. The EN practice change initiative was implemented and evaluated. Data was collected and analyzed in a pre-audit (2009) and a post-audit (2013). RESULTS: Comparison of the pre-audit (N = 25) and the post-audit (N = 40) data demonstrated improvements in three areas of EN delivery. The commencement of early EN within 24 h of admission was evident for a large proportion of patients in both 2009 and 2013 audits. There was a large reduction in time between the two audits for both ICU admission to achievement of EN goal rate (M = 57·71 h versus M = 33·79 h, p = 0·006) and also for EN commencement to achievement of EN goal rate (M = 31·65 h versus M = 10·15 h, p = 0·000). The volume of prescribed EN delivered on days 2, 4 and 6 was greater in the 2013 audit in comparison to the 2009 audit. Staff compliance with adhering to the EN policy and algorithm improved from 46% in 2009, to 95% in 2013. CONCLUSIONS: The practice change has significantly improved the practice delivery of EN for patients in the local ICU resulting in optimal care. RELEVANCE TO CLINICAL PRACTICE: Malnutrition is highly prevalent among intensive care patients. Strategies and initiatives that improve the delivery of enteral nutrition to the critical care population is therefore vitally important. This article describing such an initiative is thus highly relevant to all health care professionals delivering enteral nutrition in intensive and critical care units.
File Format	HTM / HTML
ISSN	13621017
Issue Number	5
Journal	Nursing in Critical Care
Volume Number	20
e-ISSN	14785153
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2015-09-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Critical Care Discipline Nursing
Content Type	Text
Resource Type	Article
Subject	Critical Care Nursing

Central Library (ISO-9001:2015 Certified)
Indian Institute of Technology Kharagpur
Kharagpur, West Bengal, India | PIN - 721302

See location in the Map
03222 282435
Mail: support@ndl.gov.in

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in