Nutrition Nurses Research Articles

Construction of a three-level enteral nutrition nursing system under the "Internet + medical" mode and an evaluation of its effect in clinical application.

ObjectiveThis study aimed to explore the construction of a three-level enteral nutrition nursing system under the “Internet + medical” mode and the clinical application effect.MethodsA total of 40 nurses from four primary and secondary hospitals in Jiangxi Province and 100 patients treated with enteral nutrition between January 2020 and December 2021 were enrolled in this study. Patients in the control group received routine enteral nutrition nursing. In the study group, a three-level enteral nutrition nursing system was applied under the “Internet + medical” mode to train and guide the implementation of clinical enteral nutrition. The changes in nurses' cognition and behavior in enteral nutrition safety nursing, comprehensive core competence before and after training, and the effect of enteral nutrition nursing were compared between the two groups.ResultsAfter 3 months of training, nurses' cognition and behavior scores in enteral nutrition safety nursing were higher than those before training (t = 11.780, P < 0.05), and nurses' core competence scores were higher than before training (P < 0.05). After 1 week of nursing, the nutritional risk screening 2002 (NRS2002) score decreased, and the levels of albumin and hemoglobin increased in both groups (P < 0.05). However, after 1 week of nursing, the NRS2002 score of the study group (2.89 ± 0.75) was lower than that of the control group (3.25 ± 0.82), and the levels of albumin (39.89 ± 3.21) and hemoglobin (119.57 ± 8.78) were higher in the study group than in the control group (albumin 36.25 ± 3.45, hemoglobin 113.66 ± 9.55) (P < 0.05).ConclusionThree-level enteral nutrition nursing linkage assisted by the “Internet + medical” mode can improve the cognition and behavior of medical staff in enteral nutrition safety nursing, as well as the comprehensive core competence of nurses, achieving good clinical effects.

Application Analysis of Early Gastrointestinal Nutrition Nursing Intervention in ICU Patients

Application Analysis of Early Gastrointestinal Nutrition Nursing Intervention in ICU Patients

Application Value of Standardized Enteral Nutrition Nursing in ICU Patients with Severe Pneumonia

Application Value of Standardized Enteral Nutrition Nursing in ICU Patients with Severe Pneumonia

Nasogastric tube never events during the Covid-19 crisis in the UK; fewer than predicted.

Early in the Covid-19 pandemic, the NGSIG predicted the number of sick Covid-19 patients requiring nasogastric tube (NGT) feeding in critical care and high dependency areas would increase dramatically with consequent increased risk of unrecognised misplacement leading to Never Events (NE) and/or pneumothorax. Based on our Position Paper on NGT safety1 we produced an Aide Memoire2 with NHSE/I endorsed by NNNG (National Nutrition Nurse Group), The Faculty of Intensive Care Medicine, The Intensive Care Society, The Royal College of Anaesthetists and the Association of Anaesthetists before publication2.

Exploration of the Application of Early Jejunal Nutrition Nursing in ICU Patients with Severe Pancreatitis

Exploration of the Application of Early Jejunal Nutrition Nursing in ICU Patients with Severe Pancreatitis

Application Effect of Intra-Abdominal Pressure Monitoring System in Early Enteral Nutrition Nursing of ICU Patients.

In order to study and explore the application effect of intra-abdominal pressure monitoring in guiding ICU patients to implement early enteral nutrition therapy, we selected patients admitted to the emergency department of a hospital and classified them into groups A (n = 105) and B (n = 98). Among them, the A group gave early enteral nutrition treatment by monitoring the residual gastric mass, and the B group gave early enteral nutrition treatment by monitoring the stomach. It has been established that, compared to gastric residue monitoring, intra-abdominal pressure monitoring in ICU patients with early enteral nutrition therapy has an obvious advantage, it helps to improve the prognosis of patients, and intra-abdominal pressure combined with gastric residual monitoring scheme can effectively reduce the early enteral nutrition in the ICU patients, the incidence of abdominal distension, vomiting, and make it reach the goal as soon as possible. Early enteral nutrition in patients with increased tolerance is of great significance.

Construction and Evaluation of a Nutrition Nurse Specialist Training Center Impact Statement

Background: To construct and evaluate the new Clinical Nutrition Nurse Practice Training Center in Guangdong Province. Methods: Seventy-four specialized nutrition nurses were trained from 2019-2020. Their core abilities and performance of duties were evaluated using the Clinical Nutrition Specialty Nurses Core Competence Self-evaluation Scale. This study adhered to the Revised Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0) guidelines. This study was approved by the Ethics Committee of “The Third Affiliated Hospital of Sun Yat-sen University”. Results: The nurses obtained higher results one year after graduation compared with before training. Except for the areas of writing and participation, all training dimension differences were statistically significant (p < 0.05) for working nutritional nurses. Conclusions: The results indicate that the training provided in the Clinical Nutrition Nurse Practice Training Center is effective in improving the quality of specialist nursing as a whole.

Application of Enteral Nutrition Nursing in the Treatment of Severe Pancreatitis in ICU and the Improvement Evaluation of Patients' Signs

Application of Enteral Nutrition Nursing in the Treatment of Severe Pancreatitis in ICU and the Improvement Evaluation of Patients' Signs

Career talk: specialist nutrition nurses

In this interview, part of a series about the career pathways of experienced gastrointestinal specialists, Sara Santos speaks with Edel Smyth and Iris Barbaso

Exploration of the Curative Effect of Early Enteral Nutrition Nursing on Patients with Severe Acute Pancreatitis and the Improvement of Patients' Mental Health and Inflammation Level.

In order to explore the curative effect of early enteral nutrition nursing on patients with severe acute pancreatitis and the improvement of patients' mental health and inflammation levels, this paper compares the curative effect of early enteral nutrition nursing and traditional care on patients with severe acute pancreatitis and the improvement effects of patients' mental health and inflammation levels through controlled trials. Moreover, this paper combines statistical methods for data processing and visually expresses data through statistical graphs and statistical tables. Through the comparison of experiments, it can be seen that the improvement effect in all aspects of patients in the test group is significantly higher than that in the control group. Finally, through the analysis of the test results, it can be known that the use of early enteral nutrition nursing for patients with acute severe acute pancreatitis has a certain effect in improving their nutritional status, regulating immune function, and promoting mental health.

Effect of Systematic Nutrition Nursing Intervention on Nutritional Status of Patients with Head and Neck Cancer Undergoing Radiotherapy and Chemotherapy

Effect of Systematic Nutrition Nursing Intervention on Nutritional Status of Patients with Head and Neck Cancer Undergoing Radiotherapy and Chemotherapy

Nutrition and oncology: best practice and the development of a traffic light system

Malnutrition is common in oncology patients, with age, disease stage and tumour type all influencing malnutrition risk. There are several detrimental effects of malnutrition in oncology patients, including weight loss, which is associated with negative oncological outcomes, and reduced survival. The causes of malnutrition in this group may be multifactorial and include effects from the tumour itself, altered metabolism, increased nutritional requirements, and cancer treatments and their associated side effects, which can impact on an individual's ability and desire to eat. Nutritional screening to identify early nutritional risk is essential and should involve the use of a validated screening tool, with commonly used tools usually assessing nutritional risk and weight loss over a period of months, for example a 3- to 6-month period. It is also important to consider weight changes over a shorter time period to identify rapid weight changes. Multidisciplinary teamworking is essential in tackling malnutrition, with collaborative working between the dietitians and the nutrition nurses shown to be beneficial in the authors' practice to develop community pathways and improve their service and manage increasing patient numbers. Malnutrition within oncology can often be managed with additional supplementation with oral nutritional supplements or enteral nutrition, where indicated. A low-volume, energy-dense, high-protein supplement can help to meet nutritional needs and to achieve dietetic aims, with compliance improved by the use of a low-volume product.

Effect of Nutritional Nursing on the Quality of Life, Nutritional Status, and Complications in Elderly Uremic Patients Receiving Peritoneal Dialysis

Objective: The aim of this study is to explore the role of nutritional nursing in the quality of life, nutritional status, and complications in elderly uremic patients receiving peritoneal dialysis (PD). Methods: We enrolled 205 uremic patients who were treated with PD in our hospital from March 2018 to April 2019 as the research subjects. Then we grouped them according to different nursing methods: 116 cases receiving nutritional nursing were assigned to the research group (RG) while the other 89 cases receiving routine nursing to the control group (CG). Clinical biochemical markers were detected by the biochemistry analyzer, the nutritional status determined by the Modified Quantitative Subjective Global Assessment (MQSGA), the anxiety and depression intensity assessed by Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS), the sleep quality assessed by the Pittsburgh Sleep Quality Index(PSQI), the nursing satisfaction level assessed by the hospital’s self-made nursing satisfaction questionnaire, and the quality of life evaluated by the Quality of Life Questionnaire (QLQ-C30 ). The complication rate in patients was monitored. Results: The improvement of clinical biochemical markers after nursing was better in RG than in CG. The decrease in the MQSGA score, SAS score, SDS score, and PSQI score after nursing was sharper in RG than in CG. Compared with CG, RG had a remarkably lower complication rate, a notably higher nursing satisfaction level, and a remarkably better quality of life. Conclusion: Nursing intervention for elderly uremic patients receiving PD can enhance the quality of life of patients, improve the nutritional status, promote the recovery from the disease, and reduce the complication rate.

Nutrition and oncology: best practice and the development of a traffic light system.

Malnutrition is common in oncology patients, with age, disease stage and tumour type all influencing malnutrition risk. There are several detrimental effects of malnutrition in oncology patients, including weight loss, which is associated with negative oncological outcomes, and reduced survival. The causes of malnutrition in this group may be multifactorial and include effects from the tumour itself, altered metabolism, increased nutritional requirements, and cancer treatments and their associated side effects, which can impact on an individual's ability and desire to eat. Nutritional screening to identify early nutritional risk is essential and should involve the use of a validated screening tool, with commonly used tools usually assessing nutritional risk and weight loss over a period of months, for example a 3- to 6-month period. It is also important to consider weight changes over a shorter time period to identify rapid weight changes. Multidisciplinary teamworking is essential in tackling malnutrition, with collaborative working between the dietitians and the nutrition nurses shown to be beneficial in the authors' practice to develop community pathways and improve their service and manage increasing patient numbers. Malnutrition within oncology can often be managed with additional supplementation with oral nutritional supplements or enteral nutrition, where indicated. A low-volume, energy-dense, high-protein supplement can help to meet nutritional needs and to achieve dietetic aims, with compliance improved by the use of a low-volume product.

Enteral nutrition and medication administration practices of nurses in a low-resource acute setting

Background: Despite the presence of evidence-based policies and guidelines, and in line with lingering issues in resource availability in low-income settings, inconsistencies are still being documented in the provision of adequate nutritional support and medication administration via the enteral route. Aims: The study aimed to, first, describe the practices of nurses in enteral nutrition and medication administration in the context of a low-resource setting and, second, explore the factors that are associated with the performance of such practices. Methods: The study used a descriptive correlational design. Quota sampling of nurses (n=138) working in wards and intensive care units of a tertiary hospital for adult patients requiring enteral nutritional support was performed. Enteral feeding and medication practices were assessed using a self-report survey. Ethical approval was obtained from an institutional review board. Findings: The majority of nurses correctly identified X-ray as the gold standard for determining tube placement (58.5%). However, only 13.5% correctly identified air insufflation as an unreliable method. Scores on knowledge and skills on enteral feeding and medication were found to have a significant, strong positive correlation (r=0.855, p&lt;0.01). Conclusions: Strengthening of knowledge on standards of enteral nutrition and medication practices may improve the performance of the skill in actual bedside practice. Addressing documented gaps in practices and standards may have an impact on the provision of safe and quality nursing care.

Knowledge and Perceived Quality of Nutrition Care amongst Nurses

Purpose: This study was conducted on nurses from The Sheba Medical Center. The purpose of the study was to investigate nurses’ evaluation of the importance of a nutrition assessment, (b) nurses’ knowledge of nutrition care and (c) nurses’ evaluation of the quality of nutrition care in their department. Design: The study was a quantitative correlational study performed in a university-affiliated, teaching hospital. Methods: Data were collected via a digital questionnaire through head nurses, from 203 nurses and analyzed by frequencies, means and Pearson correlations, independent t-tests, oneway ANOVA and stepwise such as the ability of patients to feed themselves, chew and swallow, multiple linear regression were performed to determine predictors observing whether a patient finishes a meal and offering assistance of nurses’ responses where needed. Findings: Importance of nutritional assessment is positively and significantly correlated to knowledge of nutritional care and quality of nutritional treatment. Female nurses’ knowledge is significantly higher than male. Senior nurses’ knowledge is higher than less senior nurses. Nurses who participated in emergency care training have a significantly higher level of knowledge than nurses who did not participate in this course. Knowledge of nutritional care is not significantly correlated to quality of nutritional treatment. It is important to introduce the role of nurses regarding nutritional care within their departments to doctors and dietitians, as well as involving them in building the intervention course. Conclusions: These findings highlight the importance of checking the quality of nurses’ educational knowledge and improving it through an intervention with specified training surrounding knowledge regarding nutrition, including learning and training.

Determination of Intergeneration Differences of Nurses and Student Nurses About Lifelong Learning in The Changing World: Eastern Black Sea Sample

Objective: Advances in medicine and technology have caused professional knowledge to develop and change. The aim of the present study is to find out the intergeneration differences of nurses and student nurses about lifelong learning in the changing world. Methods: This descriptive study was conducted on 532 student nurses and nurses in a city of Eastern Black Sea region. The data were collected through a questionnaire form prepared to find out the views of nurses about lifelong learning. Descriptive statistics and Chi-square test were used in the assessment of data. Results: One third of the participants who were student nurses were in their third of study and nurses were found to be working in the profession with a mean of five years. It was found that the participants thought it should be obligatory for nurses to participate in continuing education activities so that they can work in health institutions. It was found that 68.5% of the nurses preferred applicability feature and 82.6% preferred visual and audio educational materials in lifelong learning programs. It was found that nurses participated in educational programs more and 84.4% of the nurses were found to have received basic electrocardiography education and 60.8% of the nurses stated that they would like to receive education on nutrition nursing. It was found that nurses wanted to participate in education programs for professional development, while student nurses wanted to participate for career development. Conclusions: It can be seen that nurses working participated in education programs more and wanted to participate in educational activities if they were given the opportunity. The awareness for lifelong learning and reaching related programs should be raised starting from years at the university and these studies should be included in the curriculum so that nurses can hear about professional development and changes.

Repair of home parenteral nutrition intravenous access devices by the Nutrition Nurse specialist

Repair of home parenteral nutrition intravenous access devices by the Nutrition Nurse specialist

老年危重症病人肠内营养护理的研究进展

老年危重症病人肠内营养护理的研究进展

Nursing care of a case of multiple organ dysfunction syndrome caused by child abuse combined with severe soft tissue injury

Objective To explore the nursing experience of a child with multiple organ dysfunction syndrome caused by physical abuse and severe soft tissue injury. Methods In this case, multiple soft tissue injuries and multiple organ dysfunction syndrome were caused by domestic violence abuse. Nursing included strengthening artificial airway nursing, continuous blood purification nursing, skin injury nursing, sedation and analgesia management, nutritional support nursing, psychological nursing and family education. Results After careful treatment and nursing, the child′s condition improved and was transferred to the general ward for further treatment and discharged. Conclusions The nursing of multiple soft tissue injuries and multiple organ dysfunction syndrome includes strengthening artificial airway nursing, continuous blood purification nursing, skin injury nursing, sedation and analgesia management, nutritional support nursing, psychological nursing and family education. Key words: Nursing care; Child abuse; Soft tissue injury; Multiple organ dysfunction syndrome