Enteral feeding: a change in practice.
There is an unacceptably high incidence of malnutrition in PICU. The delivery of nutritional support requires a structured approach. Early enteral feeding has been shown to reduce the stress response. Implementing a change in practice involves identification of resources, objectives and motivation for change. A randomised retrospective audit of the change in practice did demonstrate the value of earlier commencement of enteral feeding. Informal interviews with practitioners suggested improved practice and knowledge.
Anderson
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PICU, Royal Brompton and Harefield NHS Trust, London.
D000465:Algorithms; D001291:Attitude of Health Personnel; D002648:Child; D015400:Clinical Nursing Research; D003422:Critical Care / Q000379:methods* / Q000592:standards; D003663:Decision Trees; D004750:Enteral Nutrition / Q000379:methods* / Q000451:nursing* / Q000592:standards; D019317:Evidence-Based Medicine; D006801:Humans; D015278:Intensive Care Units, Pediatric; D009730:Nursing Assessment / Q000379:methods; D009731:Nursing Audit; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D010371:Pediatric Nursing / Q000193:education / Q000379:methods* / Q000592:standards; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D011795:Surveys and Questionnaires