Monash University, Nursing & Midwifery, PO Box 527, Frankston, VIC 3199, Australia.
Monash University, Nursing & Midwifery, PO Box 527, Frankston, VIC 3199, Australia; Peninsula Health, Intensive Care Unit, PO Box 52, Frankston, VIC 3199, Australia.
Intensive Crit Care Nurs. 2016 Dec;37:68-74. doi: 10.1016/j.iccn.2016.07.001. Epub 2016 Aug 21.
Nurses have an important role in the delivery and management of enteral nutrition in critically ill patients, to prevent iatrogenic malnutrition. It is not clear how nurses source enteral nutrition information.
This study aimed to explore Australian nurses' enteral nutrition knowledge and sources of information.
Data were collected from members of the Australian College of Critical Care Nurses in May 2014 using an online questionnaire. A combination of descriptive statistics and non-parametric analyses were undertaken to evaluate quantitative data. Content analysis was used to evaluate qualitative data.
359 responses were included in data analysis. All respondents were Registered Nurses with experience working in an Australian intensive care unit or high dependency unit. Most respondents reported their enteral nutrition knowledge was good (n=205, 60.1%) or excellent (n=35, 10.3%), but many lacked knowledge regarding the effect of malnutrition on patient outcomes. Dietitians and hospital protocols were the most valuable sources of enteral nutrition information, but were not consistently utilised.
Significant knowledge deficits in relation to enteral nutrition were identified. Dietitians were the preferred source of nurses' enteral nutrition information, however their limited availability impacted their efficacy as an information resource. Educational opportunities for nurses need to be improved to enable appropriate nutritional care in critically ill patients.
护士在危重症患者的肠内营养治疗和管理中发挥着重要作用,以预防医源性营养不良。目前尚不清楚护士从何处获取肠内营养信息。
本研究旨在探讨澳大利亚护士的肠内营养知识和信息来源。
2014 年 5 月,采用在线问卷的方式,对澳大利亚危重病护理学院的成员进行数据收集。采用描述性统计和非参数分析相结合的方法对定量数据进行评估,采用内容分析法对定性数据进行评估。
共纳入 359 份有效问卷。所有受访者均为注册护士,在澳大利亚重症监护病房或高依赖病房工作过。大多数受访者报告称他们的肠内营养知识良好(n=205,60.1%)或优秀(n=35,10.3%),但许多人缺乏关于营养不良对患者结局影响的知识。营养师和医院方案是肠内营养信息最有价值的来源,但并未得到一致利用。
本研究确定了与肠内营养相关的显著知识缺陷。营养师是护士获取肠内营养信息的首选来源,但由于他们的可用性有限,影响了他们作为信息资源的效果。需要改善护士的教育机会,以便为危重症患者提供适当的营养护理。