Prevention and management of enteral nutrition-related diarrhea among adult inpatients: a best practice implementation project.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-03-13 DOI:10.1097/XEB.0000000000000412

Xinyue Zhang, Meijie Du, Mei He, Mei Wang, Mengyao Jiang, Yue Cai, Mengying Cui, Ying Wang

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Abstract

Introduction: Diarrhea, the most common complication for patients during enteral nutrition, 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.

Objectives: 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.

Methods: 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.

Results: 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%.

Conclusions: 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.

Spanish abstract: http://links.lww.com/IJEBH/A168.

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成人住院患者肠内营养相关腹泻的预防和管理：最佳实践实施项目。

导言：腹泻是肠内营养期间患者最常见的并发症，会带来一系列风险和护理负担。医务人员意识到积极预防和处理肠内营养相关腹泻的重要性。然而，临床预防和处理方法并不规范，这些方法的科学依据和有效性有待进一步验证：本项目旨在向中国一家公立三甲医院的成年住院患者推广以循证医学为基础的肠内营养相关腹泻预防和管理方法：该项目以JBI循证实施框架为指导，使用了JBI临床证据实际应用系统（PACES）和JBI将研究应用于实践（GRiP）工具。制定了 12 项审核标准，以进行基线审核，衡量最佳实践的合规性。进行了障碍分析，并实施了克服障碍的策略。项目最后进行了一次后续审计，以确定在遵守最佳做法方面是否有任何变化：结果：审计标准的总体合规率从基线的 27.37% 提高到后续审计的 89.62%，其中六项标准的合规率达到 100%：结论：实施循证实践可有效缩小当前实践与最佳实践之间的差距。该项目提高了医务人员预防和处理肠内营养相关腹泻的能力，并在医院内推广了循证实践。西班牙文摘要：http://links.lww.com/IJEBH/A168。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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