Reducing Diarrhea in Critically Ill Patients Receiving Enteral Nutrition Support: An Evidence-Based Quality Improvement Project.

IF 1.2 4区 医学 Q3 NURSING Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI:10.1097/NCQ.0000000000000795
Mei He, Ying Wang, Hui Wang, Mei Wang, Mei J Du, Jie Xiong, Chun L Li, Shu Huang, Xin Y Zhang
{"title":"Reducing Diarrhea in Critically Ill Patients Receiving Enteral Nutrition Support: An Evidence-Based Quality Improvement Project.","authors":"Mei He, Ying Wang, Hui Wang, Mei Wang, Mei J Du, Jie Xiong, Chun L Li, Shu Huang, Xin Y Zhang","doi":"10.1097/NCQ.0000000000000795","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Diarrhea during enteral nutrition may induce various complications and increase the nursing workload.</p><p><strong>Local problem: </strong>The diarrhea rate in our intensive care units (ICUs) was 37.14% from May to July 2021. Nurses reported a moderate to heavy burden regarding care for those with diarrhea.</p><p><strong>Methods: </strong>A pre-post implementation design was used to evaluate the impact of evidence-based interventions for diarrhea screening and prevention.</p><p><strong>Interventions: </strong>A diarrhea risk screening tool and countermeasures were developed through an extensive literature review. Tools were integrated into the electronic health record system.</p><p><strong>Results: </strong>The rate of diarrhea decreased from 37.14% to 17.33% ( P = .000). Nurse's compliance with practice standards increased for diarrhea assessment, risk factor screening, agent choice, and countermeasures provision ( P < .05).</p><p><strong>Conclusions: </strong>The evidence-based tools developed for this project helped decrease the diarrhea rate in our ICUs.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000795","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/20 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Diarrhea during enteral nutrition may induce various complications and increase the nursing workload.

Local problem: The diarrhea rate in our intensive care units (ICUs) was 37.14% from May to July 2021. Nurses reported a moderate to heavy burden regarding care for those with diarrhea.

Methods: A pre-post implementation design was used to evaluate the impact of evidence-based interventions for diarrhea screening and prevention.

Interventions: A diarrhea risk screening tool and countermeasures were developed through an extensive literature review. Tools were integrated into the electronic health record system.

Results: The rate of diarrhea decreased from 37.14% to 17.33% ( P = .000). Nurse's compliance with practice standards increased for diarrhea assessment, risk factor screening, agent choice, and countermeasures provision ( P < .05).

Conclusions: The evidence-based tools developed for this project helped decrease the diarrhea rate in our ICUs.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
减少接受肠内营养支持的重症患者腹泻:以证据为基础的质量改进项目。
背景:当地问题:2021 年 5 月至 7 月期间,我院重症监护病房(ICU)的腹泻率为 37.14%。护士们表示,腹泻患者的护理负担为中度至重度:干预措施:腹泻风险筛查工具和应对措施:干预措施:通过广泛的文献综述,开发了腹泻风险筛查工具和对策。干预措施:通过广泛的文献综述,开发了腹泻风险筛查工具和应对措施,并将工具整合到电子健康记录系统中:结果:腹泻率从 37.14% 降至 17.33% ( P = .000)。护士在腹泻评估、风险因素筛查、药剂选择和对策提供等方面对实践标准的依从性有所提高 ( P 结论:该项目开发的循证工具能够帮助护士在腹泻评估、风险因素筛查、药剂选择和对策提供等方面提高依从性:为本项目开发的循证工具有助于降低重症监护室的腹泻率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
期刊最新文献
Regional Transformation: An Integrated System's Approach to Magnet Designation Utilizing High-Reliability Organization Implementation Strategies. Teaching Evidence-Based Practice Competencies to Meet Professional Practice Needs. Using Failure Mode and Effects Analysis to Decrease Risk When Developing a Home Health Nurse Residency Program. Improving Early Detection of Clostridioides difficile Infections Through Electronic Reports. Clinical Nurse Leader Practice Development: An Integrative Review of the Literature.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1