Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Reducing interruptions to continuous enteral nutrition in the intensive care unit: A comparative study

    Access Status
    Fulltext not available
    Authors
    Williams, T.
    Leslie, Gavin
    Leen, T.
    Mills, L.
    Dobb, G.
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Williams, Teresa A. and Leslie, Gavin D. and Leen, Tim and Mills, Lauren and Dobb, Geoff J. 2013. Reducing interruptions to continuous enteral nutrition in the intensive care unit: A comparative study. Journal of Clinical Nursing. 22 (19-20): pp. 2838-2848.
    Source Title
    Journal of Clinical Nursing
    DOI
    10.1111/jocn.12068
    ISSN
    0962 1067
    URI
    http://hdl.handle.net/20.500.11937/30079
    Collection
    • Curtin Research Publications
    Abstract

    Aims and objectives: To develop and test strategies to reduce interruptions to enteral feeding to improve practice and promote attainment of nutritional goals. Background: Enteral nutrition is preferred for feeding patients in the intensive care unit who are unable to have oral nutrition. Interruption to feeding is likely to be a major contributor to patients not receiving their prescribed nutrition goals. Design: Prospective before (May–November 2009) and after (March–September 2010) study. Method: Patients admitted to the intensive care unit (except cardiac surgery) and who were eligible to receive enteral nutrition were enrolled. After gaining Ethics Committee approval, baseline data were collected to identify interruptions to enteral nutrition. Nurse-led multidisciplinary teams developed interventions to target specific reasons for interruption. Change champions implemented the improvements after staff were provided with an education package. Post intervention data were then collected.Results: Six hundred and fifty-three patients received enteral nutrition with the majority (88%) fed within 48 hours. Considering the first 28 days of feeding for patients fed longer than 24 hours (505 patients), the number of interruptions for patients who had an interruption decreased from 907–662. Interruptions due to gastrointestinal issues decreased (14 vs 10%), while those due to airway issues, enteral nutrition delivery system problems and other interruptions were similar before-and-after the practice change. Time lost to feeding because of interruptions was similar between groups. Conclusion: Targeted strategies to enteral feeding practice resulted in a reduction to the number of interruptions but not the duration of enteral nutrition lost to interruption. Reducing unnecessary interruption of feeding circuits is likely to minimise the risk for splash injury and contamination of feeding sets through less manipulation and interruption to enteral nutrition flow. Relevance to clinical practice: Review of practice may reveal opportunities for improvement. Nurse champions can facilitate change processes to improve care.

    Related items

    Showing items related by title, author, creator and subject.

    • Continuous enteral nutrition in ICU is not continuous
      Williams, T.; Leslie, Gavin; Dobb, G.; Mills, L.; Leen, T. (2012)
      Enteral nutrition (EN) is preferred method for feeding patients unable to eat in the intensive care unit (ICU). Interruption to feeding is likely to be a major contributor to patients not receiving their prescribed nutrition ...
    • Improving health outcomes by preventing intensive care related infection in Malaysia Intensive Care Unit (INVEST study)
      Soh, Kim Lam (2012)
      Ventilator-associated pneumonia (VAP), catheter-related blood stream infection (CRBSI) and pressure ulcers (PU) are well recognized complications in intensive care units (ICUs). Many of these are preventable but can also ...
    • Breastfeeding and health outcomes in infants who receive continuing care from hospitals or community health centres in Chengdu Sichuan Province, People’s Republic of China
      Yu, Chuan (2013)
      Introduction. The child health is one of the most important indicators of population health and the development of society. The health of children in China has improved in the past decades. The child health care system ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.