Show simple item record

dc.contributor.authorTume, L
dc.contributor.authorEveleens, R
dc.contributor.authorVerbruggen, S
dc.contributor.authorHarrison, G
dc.contributor.authorLatour, Jos M
dc.contributor.authorValla, F
dc.date.accessioned2020-02-13T10:06:01Z
dc.date.issued2020-06-11
dc.identifier.issn1529-7535
dc.identifier.issn1947-3893
dc.identifier.urihttp://hdl.handle.net/10026.1/15378
dc.description.abstract

<jats:sec> <jats:title>Objectives:</jats:title> <jats:p>To explore the perceived barriers by pediatric intensive care healthcare professionals (nurses, dieticians, and physicians) in delivering enteral nutrition to critically ill children across the world.</jats:p> </jats:sec> <jats:sec> <jats:title>Design:</jats:title> <jats:p>Cross-sectional international online survey adapted for use in pediatric settings.</jats:p> </jats:sec> <jats:sec> <jats:title>Setting:</jats:title> <jats:p>PICUs across the world.</jats:p> </jats:sec> <jats:sec> <jats:title>Subjects:</jats:title> <jats:p>PICU nurses, physicians, and dietitians.</jats:p> </jats:sec> <jats:sec> <jats:title>Interventions:</jats:title> <jats:p>The 20-item adult intensive care “Barriers to delivery of enteral nutrition” survey was modified for pediatric settings, tested, and translated into 10 languages. The survey was distributed online to pediatric intensive care nurses, physicians, and dieticians via professional networks in March 2019 to June 2019. Professionals were asked to rate each item indicating the degree to which they perceived it hinders the provision of enteral nutrition in their PICUs with a 7-point Likert scale from 0 “not at all a barrier” to 6 “an extreme amount.”</jats:p> </jats:sec> <jats:sec> <jats:title>Measurement and Main Results:</jats:title> <jats:p>Nine-hundred twenty pediatric intensive care professionals responded from 57 countries; 477 of 920 nurses (52%), 407 of 920 physicians (44%), and 36 of 920 dieticians (4%). Sixty-two percent had more than 5 years PICU experience and 49% worked in general PICUs, with 35% working in combined cardiac and general PICUs. The top three perceived barriers across all professional groups were as follows: 1) enteral feeds being withheld in advance of procedures or operating department visits, 2) none or not enough dietitian coverage on weekends or evenings, and 3) not enough time dedicated to education and training on how to optimally feed patients.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>This is the largest survey that has explored perceived barriers to the delivery of enteral nutrition across the world by physicians, nurses, and dietitians. There were some similarities with adult intensive care barriers. In all professional groups, the perception of barriers reduced with years PICU experience. This survey highlights implications for PICU practice around more focused nutrition education for all PICU professional groups.</jats:p> </jats:sec>

dc.format.extente661-e671
dc.format.mediumPrint
dc.languageen
dc.language.isoen
dc.publisherLippincott, Williams & Wilkins
dc.subjectchild
dc.subjectcritical care
dc.subjectenteral nutrition
dc.subjectfeeding
dc.subjectinfant
dc.subjectpractices
dc.titleBarriers to delivery of enteral nutrition in pediatric intensive care: a world survey
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000571080600009&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue9
plymouth.volume21
plymouth.publication-statusPublished
plymouth.journalPediatric Critical Care Medicine
dc.identifier.doi10.1097/PCC.0000000000002382
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeUnited States
dcterms.dateAccepted2020-02-12
dc.rights.embargodate2021-6-11
dc.identifier.eissn1947-3893
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1097/PCC.0000000000002382
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2020-06-11
rioxxterms.typeJournal Article/Review


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
Atmire NV