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From Tradition to Evidence: The Evolution of NPO Guidelines
1Advanced Practice Nursing, Duke University Hospital, 7605 Duke North, 2301 Erwin Road, Durham, NC 27710, USA.
Abstract:
Evidence-based guidelines support that shorter, individualized fasting periods improve patient comfort and outcomes while maintaining patient safety and decreasing prolonged fasting. However, the historical practice of "NPO after midnight" persists in practice. Evidence-based NPO practices reduce complications associated with prolonged fasting and enhance the patient experience. Nurses play a critical role in advocating for updated practices, educating patients and staff, and implementing change through multidisciplinary collaboration.
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