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Published on: June 11, 2012
An Evidence-Based Quality Improvement Programme for Glycaemic Management in Critically Ill Patients Receiving Enteral
Wenjun Yan1, Zhixiang Zheng1, Yanxia Han1
1First Affiliated Hospital of Soochow University, Suzhou, China.
Nursing in Critical Care
|May 14, 2026
Summary
Implementing evidence-based practice significantly reduced hyperglycaemia in critically ill patients receiving enteral nutrition (EN). This improved blood glucose control and patient outcomes, demonstrating a feasible strategy for clinical settings.
Area of Science:
- Critical care medicine
- Endocrinology
- Clinical nutrition
Background:
- Hyperglycaemia affects one-third of critically ill patients on enteral nutrition (EN).
- Persistent hyperglycaemia increases infection risk, mortality, and hospital stay.
- Effective hyperglycaemia management is vital for improving patient prognosis.
Purpose of the Study:
- To reduce hyperglycaemia incidence in critically ill patients receiving EN.
- To implement and evaluate an evidence-based practice for hyperglycaemia management.
Main Methods:
- A non-concurrent control study design was used.
- Pre- and post-implementation data were collected from intensive care unit (ICU) patients.
- An evidence-based protocol was implemented between July and December 2024.
Main Results:
- Hyperglycaemia incidence decreased from 51.73% to 35.34% (p=0.001).
- Target blood glucose achievement increased from 25.76% to 37.96% (p<0.001).
- Mean blood glucose and fasting blood glucose levels significantly improved (p<0.05).
Conclusions:
- Evidence-based practice enhances staff compliance with glucose management protocols.
- The intervention led to reduced hyperglycaemia and improved glycaemic control.
- This strategy is feasible for clinical settings, including resource-constrained environments.
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