J Korean Clin Nurs Res.  2020 Apr;26(1):10-25. 10.22650/JKCNR.2020.26.1.10.

Updates of Nursing Practice Guideline for Enteral Nutrition

Affiliations
  • 1Assistant Professor, Red Cross College of Nursing, Chung-Ang University, Korea
  • 2Professor, College of Nursing ․ Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University, Korea
  • 3Associate Professor, College of Nursing ․ Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University, Korea
  • 4Team Manager, Division of Nursing, Severance Hospital, Seoul, Korea
  • 5Unit Manager, Department of Nursing, Bundang Seoul National University Hospital, Bundang , Korea
  • 6Advanced Nurse Practitioner, Department of Nursing, Samsung Medical Center, Seoul, Korea
  • 7Advenced Nurse Practitioner, Department of Nursing, Asan Medical Center, Seoul, Korea

Abstract

Purpose
The purpose of this study was to update the previously developed nursing practice guideline for enteral nutrition (EN).
Methods
The guideline update was done in 22 steps using standardized methodology for nursing practice guidelines.
Results
The updated EN guideline consisted of 16 domains and 228 recommendations. The domains and number of recommendations in each domain were for IDSA (Infectious Diseases Society of America): 8 on general instruction, 9 on general instruction for special nutrition, 9 on general instruction for EN, 3 on assessment of EN, 10 on access to EN, 18 on EN device insertion, 16 on selection and preparation of nutritional supplements, 46 on administration and stopping EN, 22 on maintenance and management of EN, 9 on monitoring EN, 16 on prevention and management of complications of EN, 18 on medication administration, 20 on EN in various situations, 20 on prevention of errors, 1 on nursing education, and 3 on nursing documentation. For the levels of evidence, there were 9.7% for level I, 13.1% for level II, 62.5% for level III and 1.1% for GRADE (Grading of Recommendations Assessment, Development and Evaluation): 3.3% for low, 0.8% for moderate, 9.3% for very low. A total of 133 recommendations were newly developed and 10 previous recommendations were modified.
Conclusion
This updated EN nursing practice guideline can be used to enhance evidence-based practice in fundamentals of nursing practice and it should be disseminated to nurses nationwide in order to improve the efficiency of EN practice.

Keyword

Enteral Nutrition; Evidence-Based Nursing; Practice Guideline
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