Reducing Diarrhea in Critically Ill Patients Receiving Enteral Nutrition Support: An Evidence-Based Quality
1Author Affiliations: Department of Nursing, Tongji Medical College of Huazhong University of Science and Technology, Wuhan (Ms He, Dr Wang, and Mss Wang and Du); Unit of Gerontology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China (Ms Wang); Intensive Care Unit, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China (Mr Xiong); Neurosurgical Intensive Care Unit, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China (Messrs Li and Huang); and School of Nursing, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China (Mr Zhang).
Background:
Diarrhea during enteral nutrition may induce various complications and increase the nursing workload.
Local Problem:
The diarrhea rate in our intensive care units (ICUs) was 37.14% from May to July 2021. Nurses reported a moderate to heavy burden regarding care for those with diarrhea.
Methods:
A pre-post implementation design was used to evaluate the impact of evidence-based interventions for diarrhea screening and prevention.
Interventions:
A diarrhea risk screening tool and countermeasures were developed through an extensive literature review. Tools were integrated into the electronic health record system.
Results:
The rate of diarrhea decreased from 37.14% to 17.33% ( P = .000). Nurse's compliance with practice standards increased for diarrhea assessment, risk factor screening, agent choice, and countermeasures provision ( P < .05).
Conclusions:
The evidence-based tools developed for this project helped decrease the diarrhea rate in our ICUs.
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