Assessment of barriers to optimum enteral nutrition practices as perceived by critical care providers
Abstract Background Nutritional support is a vital intervention for critically ill patients. Despite the existence of several clinical practice guidelines focused on enteral nutrition of critically ill, there is still a gap between guideline recommendations and actual nutrition practices. The purpos...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-07-01
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| Series: | Future Journal of Pharmaceutical Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43094-023-00507-y |
| _version_ | 1797784787626229760 |
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| author | Eman Mohamed Elmokadem Maha Gamil Hanna Ebtissam Abdelghaffar Darweesh Ahmed Mohamed Bassiouny Nagwa A. Sabri Radwa Maher El Borolossy |
| author_facet | Eman Mohamed Elmokadem Maha Gamil Hanna Ebtissam Abdelghaffar Darweesh Ahmed Mohamed Bassiouny Nagwa A. Sabri Radwa Maher El Borolossy |
| author_sort | Eman Mohamed Elmokadem |
| collection | DOAJ |
| description | Abstract Background Nutritional support is a vital intervention for critically ill patients. Despite the existence of several clinical practice guidelines focused on enteral nutrition of critically ill, there is still a gap between guideline recommendations and actual nutrition practices. The purpose of this study is to understand the role of the clinical pharmacist in identifying the barriers to applying optimum enteral nutritional practices from the perspective of critical care providers. A descriptive cross-sectional design was utilized using self-administered questionnaire. A total of 90 critical care providers comprising of 3 categories: physicians (n = 30), clinical pharmacists (n = 30), and nurses (n = 30) were recruited. "The barriers to enteral feeding critically ill patients" questionnaire was used to explore the barriers that hinder them from optimal delivery of enteral nutrition. Results Not enough dietitian coverage during holidays was the most important barrier facing the physicians. As for the clinical pharmacists, the most important barrier was waiting for the dietitian to assess the patient. Regarding the nurses, familiarity with nutrition guidelines was the most important barrier. There was a highly significant difference between physicians, clinical pharmacists, and nurses regarding subscales’ scores and overall scores of Barriers Questionnaire except for the resources and provider attitudes. Conclusion Barriers to optimum enteral nutrition practices were explored with more attention on barriers regarding dietitian support and critical care providers' attitudes. This article provides the basis for the creation of interventions intended to overcome these barriers and enhance enteral nutrition practices. |
| first_indexed | 2024-03-13T00:44:51Z |
| format | Article |
| id | doaj.art-b75a36b05ada4886812d95141d812196 |
| institution | Directory Open Access Journal |
| issn | 2314-7253 |
| language | English |
| last_indexed | 2024-03-13T00:44:51Z |
| publishDate | 2023-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Future Journal of Pharmaceutical Sciences |
| spelling | doaj.art-b75a36b05ada4886812d95141d8121962023-07-09T11:08:22ZengSpringerOpenFuture Journal of Pharmaceutical Sciences2314-72532023-07-01911810.1186/s43094-023-00507-yAssessment of barriers to optimum enteral nutrition practices as perceived by critical care providersEman Mohamed Elmokadem0Maha Gamil Hanna1Ebtissam Abdelghaffar Darweesh2Ahmed Mohamed Bassiouny3Nagwa A. Sabri4Radwa Maher El Borolossy5Pharmacy Practice and Clinical Pharmacy, Faculty of Pharmacy, Future University in EgyptAnesthesia and Surgical Intensive Care, Faculty of Medicine, Cairo UniversityPharmacy Practice and Clinical Pharmacy, Faculty of Pharmacy, Future University in EgyptRadiodiagnosis and Interventional Radiology, Faculty of Medicine, Ain Shams UniversityClinical Pharmacy, Faculty of Pharmacy, Ain Shams UniversityClinical Pharmacy, Faculty of Pharmacy, Ain Shams UniversityAbstract Background Nutritional support is a vital intervention for critically ill patients. Despite the existence of several clinical practice guidelines focused on enteral nutrition of critically ill, there is still a gap between guideline recommendations and actual nutrition practices. The purpose of this study is to understand the role of the clinical pharmacist in identifying the barriers to applying optimum enteral nutritional practices from the perspective of critical care providers. A descriptive cross-sectional design was utilized using self-administered questionnaire. A total of 90 critical care providers comprising of 3 categories: physicians (n = 30), clinical pharmacists (n = 30), and nurses (n = 30) were recruited. "The barriers to enteral feeding critically ill patients" questionnaire was used to explore the barriers that hinder them from optimal delivery of enteral nutrition. Results Not enough dietitian coverage during holidays was the most important barrier facing the physicians. As for the clinical pharmacists, the most important barrier was waiting for the dietitian to assess the patient. Regarding the nurses, familiarity with nutrition guidelines was the most important barrier. There was a highly significant difference between physicians, clinical pharmacists, and nurses regarding subscales’ scores and overall scores of Barriers Questionnaire except for the resources and provider attitudes. Conclusion Barriers to optimum enteral nutrition practices were explored with more attention on barriers regarding dietitian support and critical care providers' attitudes. This article provides the basis for the creation of interventions intended to overcome these barriers and enhance enteral nutrition practices.https://doi.org/10.1186/s43094-023-00507-yEnteral nutritionBarriersCritically illCritical care providers |
| spellingShingle | Eman Mohamed Elmokadem Maha Gamil Hanna Ebtissam Abdelghaffar Darweesh Ahmed Mohamed Bassiouny Nagwa A. Sabri Radwa Maher El Borolossy Assessment of barriers to optimum enteral nutrition practices as perceived by critical care providers Future Journal of Pharmaceutical Sciences Enteral nutrition Barriers Critically ill Critical care providers |
| title | Assessment of barriers to optimum enteral nutrition practices as perceived by critical care providers |
| title_full | Assessment of barriers to optimum enteral nutrition practices as perceived by critical care providers |
| title_fullStr | Assessment of barriers to optimum enteral nutrition practices as perceived by critical care providers |
| title_full_unstemmed | Assessment of barriers to optimum enteral nutrition practices as perceived by critical care providers |
| title_short | Assessment of barriers to optimum enteral nutrition practices as perceived by critical care providers |
| title_sort | assessment of barriers to optimum enteral nutrition practices as perceived by critical care providers |
| topic | Enteral nutrition Barriers Critically ill Critical care providers |
| url | https://doi.org/10.1186/s43094-023-00507-y |
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