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G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

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Clinical practice guidelines on gastro-intestinal feeding in critically ill patients in Taiwan

Meeting Abstract

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  • Y.S. Yurh - Department of Nursing, Taipei Medical University Wan Fang Medical Center, Taipei, Taiwan
  • C.F. Huang - Department of Nursing, Taipei Medical University Wan Fang Medical Center, Taipei, Taiwan
  • C.C. Lin - College of Nursing, Taipei Medical University, Taipei, Taiwan
  • K.J. Bai - Department of Medical, Taipei Medical University-Wan Fang Medical Center, Taipei, Taiwan
  • M.Y. Chin - Department of Nutrition, Taipei Medical University Wan Fang Medical Center, Taipei, Taiwan
  • S.P. Hunag - Department of Nursing, Taipei Medical University Wan Fang Medical Center, Taipei, Taiwan
  • K.H. Liao - Department of Nursing, Taipei Medical University Wan Fang Medical Center, Taipei, Taiwan
  • Y.M. Hsu - Department of Nursing, Taipei Medical University Wan Fang Medical Center, Taipei, Taiwan
  • M.Y. Chen - Department of Nursing, Taipei Medical University Wan Fang Medical Center, Taipei, Taiwan

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP026

doi: 10.3205/12gin138, urn:nbn:de:0183-12gin1383

Published: July 10, 2012

© 2012 Yurh et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Background: The critically ill patients are very susceptible to problems of nutrition. One of the fundamental roles of nutrition in the critically ill patients is to maintain of organ function and recovery from disease. The critically ill patients can not be feeded by mouth due to severity of illness or frail. Nutrition supplement by gastro-intestinal feeding is the first way. The Clinical practice guidelines of gastro-intestinal feeding can provide appropriate interventions for the critically ill patients.

Methods: The 5-step evidence-based approaches were established, including asking an answerable issue, systematic review, critical appraisal, integrating the appraisal with clinical expertise, and evaluating performance in step1–4. AGREE instrument is selected to assess the quality of Clinical practice guidelines of gastro-intestinal feeding among the critically ill patients.

Results: The Clinical practice guidelines of gastro-intestinal feeding among the critically ill patients includes selection of gastro-intestinal feeding formula, caring of gastro-intestinal feeding, complications and interventions of gastro-intestinal feeding. The average scores for the six domains of AGREE were 96.3, 63.9, 84.1, 80.6, 44.4 and 61.1, respectively. We also surveyed the clinical applicability in 5 hospitals RNs (n=95) in northern, eastern and central Taiwan. The results showed that 89% nurses agree this guidelines help them to provide more effective and higher quality of care as well as health education.

Conclusions: We developed the Clinical practice guidelines and planned to meet critical patient's nutrition needs and avoid feeding complications. Parents' opinions, simple flow charts and education resources in this Clinical practice guideline are very promising for usage in the clinical application.