title: A Nursing Survey on Nutritional Care Practices in French-Speaking Pediatric Intensive Care Units: NutriRéa-Ped 2014.
abstract: OBJECTIVE
  Malnutrition in critically ill children contributes to morbidity and mortality. The French-speaking pediatric intensive care nutrition group (NutriSIP) aims to promote optimal nutrition through education and research.
  
  
  METHODS
  The NutriSIP-designed NutriRéa-Ped study included a cross-sectional survey. This 62-item survey was sent to the nursing teams of all of the French-speaking pediatric intensive care units (PICUs) to evaluate nurses' nutrition knowledge and practices. One nurse per PICU was asked to answer and describe the practices of their team.
  
  
  RESULTS
  Of 44 PICUs, 40 responded in Algeria, Belgium, Canada, France, Lebanon, Luxemburg, and Switzerland. The majority considered nutrition as a priority care but only 12 of the 40 (30%) had a nutrition support team, 26 of the 40 (65%) had written nutrition protocols, and 19 of 39 (49%) nursing teams felt confident with the nutrition goals. Nursing staff generally did not know how to determine nutritional requirements or to interpret malnutrition indices. They were also unaware of reduced preoperative fasting times and fast-track concepts. In 17 of 35 (49%) PICUs, the target start time for enteral feeding was within the first 24 hours; however, frequent interruptions occurred because of neuromuscular blockade, fasting for extubation or surgery, and high gastric residual volumes. Combined pediatric neonatal intensive care units were less likely to perform systematic nutritional assessment and to start enteral nutrition rapidly.
  
  
  CONCLUSIONS
  We found a large variation in nursing practices around nutrition, exacerbated by the lack of nutritional guidelines but also because of the inadequate nursing knowledge around nutritional factors. These findings encourage the NutriSIP to improve nutrition through focused education programs and research.
authors.affiliation: *Réanimation Pédiatrique, Pediatric Intensive Care Unit, Hôpital Femme Mère Enfant, Lyon-Bron †Réanimation Pédiatrique, Pediatric Intensive Care Unit, CHU Nantes, Nantes ‡Nutrition Department, Hôpital Femme-Mère-Enfant, Groupe Hospitalier Est, Lyon-Bron ||Pediatric Intensive Care Unit and Children's Nursing Research Unit, Alder Hey Children's NHS, Liverpool ††CHRU Montpellier, Centre d'Investigation Clinique et Département d'Information Médicale, Montpellier, France ‡‡Réanimation Pédiatrique, Pediatric Intensive Care Unit, Centre Hospitalier et Universitaire Hôtel-Dieu de France, Beyrouth, Lebanon §§Pediatric Intensive Care Unit, Hôpital Universitaire des Enfants Reine Fabiola, Laeken, Belgium ¶¶Department of Nutrition and Dietetics, University of Applied Sciences Western Switzerland (HES-SO), Geneva †††CHU de Montpellier, Pédiatrie Néonatale et Réanimations, Pediatric Intensive Care Unit, Hôpital Arnaud de Villeneuve, Montpellier, France.
authors.forename: Frédéric V
authors.initials: FV
authors.lastname: Valla
authors.forename: Bénédicte
authors.initials: B
authors.lastname: Gaillard-Le Roux
authors.forename: Carole
authors.initials: C
authors.lastname: Ford-Chessel
authors.forename: Malorie
authors.initials: M
authors.lastname: De Monte
authors.forename: Lyvonne
authors.initials: L
authors.lastname: Tume
authors.forename: Flavie
authors.initials: F
authors.lastname: Letois
authors.forename: Thibault
authors.initials: T
authors.lastname: Mura
authors.forename: Elie
authors.initials: E
authors.lastname: Choueiry
authors.forename: Shancy
authors.initials: S
authors.lastname: Rooze
authors.forename: Clémence
authors.initials: C
authors.lastname: Moullet
authors.forename: Corinne
authors.initials: C
authors.lastname: Jotterand-Chaparro
authors.forename: Aurélien
authors.initials: A
authors.lastname: Jacquot
mesh_terms: D000328:Adult; D000462:Algeria; D001530:Belgium; D002170:Canada; D002648:Child; D002675:Child, Preschool; D064648:Critical Care Nursing / Q000379:methods / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D004750:Enteral Nutrition / Q000379:methods / Q000451:nursing / Q000523:psychology; D005260:Female; D005602:France; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data*; D007802:Language; D007861:Lebanon; D008189:Luxembourg; D008297:Male; D017283:Neonatal Nursing / Q000379:methods / Q000706:statistics & numerical data; D009741:Nursing Staff, Hospital / Q000523:psychology*; D018529:Nutritional Support / Q000379:methods / Q000451:nursing* / Q000523:psychology; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013557:Switzerland