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1 "Masoumeh Mirhosiny"
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Original Article
Nursing
How do physicians and nurses differ in their perceived barriers to effective enteral nutrition in the intensive care unit?
Masoumeh Mirhosiny, Mansour Arab, Parvin Mangolian Shahrbabaki
Acute Crit Care. 2021;36(4):342-350.   Published online November 16, 2021
DOI: https://doi.org/10.4266/acc.2021.00185
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  • 6 Web of Science
  • 7 Crossref
AbstractAbstract PDF
Background
Patients hospitalized in intensive care units are susceptible to chronic malnutrition from changes in protein and energy metabolism in response to trauma. Therefore, nutritional support, especially enteral nutrition, is one of the most important treatment measures for these patients. However, there are several barriers in the hospitals in treating patients with enteral nutrition. This study was performed to compare the perceptions of care providers (physicians and nurses) on the barriers to enteral nutrition in intensive care units.
Methods
This was a cross-sectional descriptive and analytic study. This study included 263 nurses and 104 physicians in the intensive care units of XXXX southeast hospitals. A questionnaire of enteral nutrition barriers in intensive care units was used. IBM SPSS ver. 19 was used to analyze data.
Results
There was a significant difference between the two groups in the three subscales of intensive care units (P=0.034), dietician support (p=0.001>) and critical care provider attitudes and behavior (P=0.031). There was also a significant difference between having completed educational courses and the score of enteral nutrition barriers in the two groups (P<0.05); the people who received an educational course had a better perception of enteral nutrition barriers.
Conclusions
Physicians and nurses agreed with the perception of enteral nutrition barriers, but there was a difference in their perception on some barriers. Strategies such as in-service training and increasing the knowledge and skills of physicians and nurses can reduce these differences.

Citations

Citations to this article as recorded by  
  • Nutrition practices in critically ill adults receiving noninvasive ventilation: A quantitative survey of Australian and New Zealand intensive care clinicians
    Kaitlyn Page, Elizabeth Viner Smith, Mark P. Plummer, Emma J. Ridley, Kristy Burfield, Lee-anne S. Chapple
    Australian Critical Care.2024; 37(1): 43.     CrossRef
  • El hambre invisible en la Unidad de Cuidados Intensivos. Estrategias de Cuidado y Consideraciones Esenciales
    Ignacio Zaragoza-García
    Enfermería Intensiva.2024; 35(1): 1.     CrossRef
  • Invisible hunger in the Intensive Care Unit: Care strategies and essential considerations
    I. Zaragoza-García
    Enfermería Intensiva (English ed.).2024; 35(1): 1.     CrossRef
  • Evidence-Based Investigation of Nurses' Nutrition Interventions in Intensive Care Patients Regarding Enteral Nutrition
    Mensure Turan, Zeliha Cengiz, Dilek Olmaz
    Dimensions of Critical Care Nursing.2024; 43(3): 123.     CrossRef
  • Contribution to the Validation of the Portuguese Version of the “Barriers to Enterally Feeding Critically Ill Patients” Questionnaire and Its Application in a Hospital Context
    Mário Rui Abade, Noémia Lopes, José de Santo Amaro
    Topics in Clinical Nutrition.2024; 39(3): 184.     CrossRef
  • Adequacy of protein and calorie delivery according to the expected calculated targets: a day‐by‐day assessment in critically ill patients undergoing enteral feeding
    Adam Fabiani, Lorella Dreas, Enzo Mazzaro, Elena Trampus, Michela Zanetti, Antonella Calabretti, Giuseppe Gatti, Gianfranco Sanson
    Journal of Human Nutrition and Dietetics.2023; 36(3): 697.     CrossRef
  • Barriers to Delivery of Enteral Nutrition in Intensive Care Settings in Saudi Arabia: A Comparative Study of the Perceptions of Health Care Providers Working in Adult and Paediatric ICUs
    Sara Zaher
    Risk Management and Healthcare Policy.2022; Volume 15: 2357.     CrossRef

ACC : Acute and Critical Care