Zhang Xinyue, Du Meijie, He Mei, Wang Mei, Jiang Mengyao, Cai Yue, Cui Mengying, Wang Ying
Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
JBI Evid Implement. 2025 Apr 1;23(2):142-152. doi: 10.1097/XEB.0000000000000412.
Diarrhea, the most common complication for patients during enteral nut. rition, poses a range of risks and care burdens. Medical staff are aware of the importance of proactively preventing and managing enteral nutrition-related diarrhea. However, clinical prevention and management methods are not standardized, and the scientific basis and effectiveness of these methods need to be further verified.
This project aimed to promote evidence-based practices for the prevention and management of enteral nutrition-related diarrhea among adult inpatients in a public tertiary hospital in China.
This project was guided by the JBI Evidence Implementation Framework and used the JBI Practical Application of Clinical Evidence System (PACES) and the JBI Getting Research into Practice (GRiP) tools. Twelve audit criteria were developed to conduct a baseline audit to measure compliance with best practices. A barrier analysis was conducted, and strategies were implemented to overcome the barriers. The project was finalized with a follow-up audit to determine any changes in compliance with best practices.
The overall compliance rate for the audit criteria increased from 27.37% at baseline to 89.62% in the follow-up audit, with six criteria achieving a compliance rate of 100%.
The implementation of evidence-based practices can effectively narrow the gap between current practice and best practice. This project improved the ability of medical staff to prevent and manage enteral nutrition-related diarrhea, as well as promoting evidence-based practice in the hospital.
腹泻是肠内营养患者最常见的并发症，会带来一系列风险和护理负担。医护人员意识到积极预防和管理肠内营养相关性腹泻的重要性。然而，临床预防和管理方法并不规范，这些方法的科学依据和有效性需要进一步验证。
本项目旨在促进中国一家公立三级医院成年住院患者预防和管理肠内营养相关性腹泻的循证实践。
本项目以JBI循证实践框架为指导，使用JBI临床证据系统实用应用（PACES）和JBI将研究应用于实践（GRiP）工具。制定了12条审核标准进行基线审核，以衡量对最佳实践的依从性。进行了障碍分析，并实施了克服障碍的策略。项目最后进行了跟进审核，以确定最佳实践依从性的任何变化。
审核标准的总体依从率从基线时的27.37%提高到跟进审核时的89.62%，其中6条标准的依从率达到100%。
循证实践的实施可以有效缩小当前实践与最佳实践之间的差距。本项目提高了医护人员预防和管理肠内营养相关性腹泻的能力，并在医院推广了循证实践。
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