Implementing an Evidence-Based Feeding Protocol: Impact on Nurses' Knowledge, Perceptions, and Feeding Culture in the...

Area of Science:

• Neonatal nursing
• Evidence-based practice
• Infant feeding

Background:

• Neonatal intensive care unit (NICU) feeding practices vary due to provider knowledge gaps and established unit norms.
• Standardizing feeding protocols is crucial for optimal infant nutrition and development.

Purpose of the Study:

• To assess the impact of an evidence-based Infant-Driven Feeding (IDF) protocol on NICU nurses' knowledge, perceptions, and feeding practices.
• To evaluate changes in the NICU feeding culture following IDF implementation.

Main Methods:

• A pre-/postprospective comparative study surveyed 120 NICU nurses.
• Data collected on feeding practices, knowledge, and culture before and after IDF education and implementation.

Main Results:

• Fewer nurses initiated oral feedings post-IDF (P=.035).
• Increased use of gestational age for feeding frequency (P=.03) and combination interventions (P=.001).
• Reduced reliance on weight loss (P=.018) and greater flexibility in feeding rest periods (P=.03) were observed.

Conclusions:

• IDF implementation and education show positive trends supporting evidence-based practices in neonatal feeding.
• Further research on nurse perceptions and the role of mentorship in integrating EBPs is recommended.
• Education and mentorship are key to successfully integrating evidence-based practices like IDF into clinical settings.