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Implementation of a best‐practice guideline: Early enteral nutrition in a neuroscience intensive care unit
Author(s) -
Barhorst Sunshine,
Prior Richard M.,
Kanter Daniel
Publication year - 2023
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1002/jpen.2411
Subject(s) - parenteral nutrition , neurointensive care , guideline , best practice , medicine , clinical nutrition , enteral administration , psychological intervention , intensive care unit , intensive care medicine , feeding tube , nursing , surgery , management , pathology , economics
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.