The Knowledge and Practice of ICU Nurses Regarding Enteral Nutrition

Main Article Content

Muhammad Junaid
Humaira Saddique
Syed Sidra Tasneem

Abstract

Background: Enteral nutrition is a critical aspect of care for patients in intensive care units (ICUs) who cannot consume food orally. Understanding the practices and knowledge of ICU nurses regarding enteral nutrition is essential for ensuring effective patient care and outcomes.


Objective: This study aimed to assess the knowledge and practices of ICU nurses regarding enteral nutrition and identify any gaps that could potentially impact patient care.


Methods: A cross-sectional study was conducted at Jinnah Hospital, Lahore, using purposive sampling to recruit 142 ICU nurses. Data were collected over a nine-month period using a validated questionnaire designed to evaluate the nurses' knowledge and practices concerning enteral nutrition. Statistical analysis was performed using SPSS software version 25, focusing on descriptive and inferential statistics to understand the trends and associations within the data.


Results: The study revealed that 65% of nurses correctly identified pancreatitis as an indication for starting enteral nutrition. However, 73% incorrectly believed that a continuous drip method of enteral feeding does not require a pump. Furthermore, 63% recognized tube dislodgement as a complication, yet 57% either did not know or incorrectly handled protocols for flushing enteral feeding tubes before use. The assessment of nasogastric tube placement every 24 hours was misunderstood by 57% of the participants.


Conclusion: The findings indicate a considerable deficiency in the knowledge and practices of ICU nurses regarding enteral nutrition, with significant implications for patient care. There is a clear need for targeted educational programs and updated protocols to enhance the skills and understanding of nurses in this crucial area.

Article Details

How to Cite
Junaid, M., Saddique, H., & Tasneem, S. S. (2024). The Knowledge and Practice of ICU Nurses Regarding Enteral Nutrition. Journal of Health and Rehabilitation Research, 4(2), 514–518. https://doi.org/10.61919/jhrr.v4i2.894
Section
Articles
Author Biographies

Muhammad Junaid, The Superior University Lahore Pakistan.

BSN (Generic) Student, Department of Nursing, The superior university Lahore Pakistan.

Humaira Saddique, The Superior University Lahore Pakistan.

Faculty, Department of Nursing, The superior university Lahore Pakistan.

Syed Sidra Tasneem, The Superior University Lahore Pakistan.

Faculty, Department of Nursing, The superior university Lahore Pakistan.

References

Kim H, Chang SJ. Implementing an educational program to improve critical care nurses' enteral nutritional support. Australian Critical Care. 2019;32(3):218-22.

Reintam Blaser A, Starkopf J, Alhazzani W, Berger MM, Casaer MP, Deane AM, et al. Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines. Intensive care medicine. 2017;43:380-98.

Fernández-Quintela A, Milton-Laskibar I, Trepiana J, Gómez-Zorita S, Kajarabille N, Léniz A, et al. Key aspects in nutritional management of COVID-19 patients. Journal of clinical medicine. 2020;9(8):2589.

McGinnis CM, Homan K, Solomon M, Taylor J, Staebell K, Erger D, et al. Dysphagia: interprofessional management, impact, and patient‐centered care. Nutrition in Clinical Practice. 2019;34(1):80-95.

Turan M, Cengiz Z, Olmaz D. Evidence-Based Investigation of Nurses' Nutrition Interventions in Intensive Care Patients Regarding Enteral Nutrition. Dimensions of Critical Care Nursing. 2024 May 1;43(3):123-9.

Ramuada L, Veldsman L, Livhuwani N, Blaauw R. Assessment of knowledge, attitude and practice of nurses regarding enteral nutrition at a military hospital. South African Journal of Clinical Nutrition. 2022:1-7.

Schuetz P, Seres D, Lobo DN, Gomes F, Kaegi-Braun N, Stanga Z. Management of disease-related malnutrition for patients being treated in hospital. The Lancet. 2021;398(10314):1927-38.

Kurt H, Ceyhan Ö. The Effect of Enteral Nutrition Education Given To Intensive Care Nurses on Their Level Of Knowledge. Sağlık Bilimleri Dergisi. 2023 Mar 4;32(1):34-42.

Barazzoni R, Bischoff SC, Breda J, Wickramasinghe K, Krznaric Z, Nitzan D, et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection. Elsevier; 2020. p. 1631-8.

Anderson L. Enteral feeding tubes: an overview of nursing care. British Journal of Nursing. 2019;28(12):748-54.

Ramuadaa L, Veldsmana L, Livhuwanic N, Blaauw R. Assessment of knowledge, attitude and practice of nurses regarding enteral nutrition at a military hospital. South African Journal of Clinical Nutrition. 2023 Jul 24;36(2):63-9.

Blumenstein I, Shastri YM, Stein J. Gastroenteric tube feeding: techniques, problems and solutions. World journal of gastroenterology: WJG. 2014;20(26):8505.

Alsunaid S, Holden VK, Kohli A, Diaz J, O’Meara LB. Wound care management: tracheostomy and gastrostomy. Journal of Thoracic Disease. 2021;13(8):5297.

Bischoff SC, Austin P, Boeykens K, Chourdakis M, Cuerda C, Jonkers-Schuitema C, et al. ESPEN practical guideline: Home enteral nutrition. Clinical nutrition. 2022;41(2):468-88.

Lee HH, Han MA, Park J, Ryu SY, Jang YK, Choi SW. Enteral Nutrition Practice and Associated Factors Among Intensive Care Unit Nurses in South Korea. Topics in Clinical Nutrition. 2023 Jan 1;38(1):36-46.

Boullata JI, Carrera AL, Harvey L, Escuro AA, Hudson L, Mays A, et al. ASPEN safe practices for enteral nutrition therapy. Journal of Parenteral and Enteral Nutrition. 2017;41(1):15-103.

Yuan L, Chen S, Xu Y. Donning and doffing of personal protective equipment protocol and key points of nursing care for patients with COVID-19 in ICU. Stroke and vascular neurology. 2020;5(3).

Gunes NE, Cetinkaya S. Assessment the knowledge, care, and experiences of neonatal nurses about enteral nutrition. Medicine. 2023 May 26;102(21):e31081.

Berger MM, Reintam-Blaser A, Calder PC, Casaer M, Hiesmayr MJ, Mayer K, et al. Monitoring nutrition in the ICU. Clinical nutrition. 2019;38(2):584-93.

Wangari NJ, Omondi L, Maina D. Nurses' Knowledge, Attitude, and Practice on Enteral Feeding of Critically ill Patients at Kenyatta National Hospital Critical Care Unit. East African Journal of Health and Science. 2024 Jan 17;7(1):22-33.