Development and Implementation of a Feeding Protocol for Infants in a Pediatric Cardiac Intensive Care Unit
Purpose: It is crucial to provide adequate enteral nutrition for postoperative recovery, wound healing and normal growth in infants in pediatric cardiac ICUs. This study was done to develop a feeding protocol using the vaso-active inotropic (VAI) score and to evaluate the impact of nutritional outco...
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Korean Academy of Child Health Nursing
2016-10-01
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Online Access: | http://www.e-chnr.org/upload/pdf/chnr-22-4-326.pdf |
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doaj-9535db86675f4f4595c264f5ae5426642021-02-02T01:56:42ZengKorean Academy of Child Health NursingChild Health Nursing Research2287-91102287-91292016-10-0122432633510.4094/chnr.2016.22.4.3261511Development and Implementation of a Feeding Protocol for Infants in a Pediatric Cardiac Intensive Care UnitJu-Yeon Uhm0Hyojin Lee1Graduate School, College of Nursing, Yonsei University, Seoul, KoreaDepartment of Nursing, Asan Medical Center, Seoul, KoreaPurpose: It is crucial to provide adequate enteral nutrition for postoperative recovery, wound healing and normal growth in infants in pediatric cardiac ICUs. This study was done to develop a feeding protocol using the vaso-active inotropic (VAI) score and to evaluate the impact of nutritional outcomes following the new feeding protocol for infants who underwent cardiac surgery. Methods: This study consisted of three phases. First, a feeding protocol was developed based on a literature review. Second, ten experts rated the content validity. Third, a comparison study was conducted to evaluate the impact of the new feeding protocol. Data were analyzed using SPSS Version 20. Results: Twenty-nine infants were enrolled in the pre-protocol group, and 22 infants in the post-protocol group. Patients in the 2 groups were similar. Time to reach feeding goal was significantly decreased from 56.0 (27-210) hours to 28.5 (10-496) hours in the post-protocol group (Z=-4.22, p<.001). Level of enteral feeding knowledge among nurses increased significantly after implementation of the protocol. Conclusion: The feeding protocol using VAI score facilitates the achievement feeding goal to decrease feeding interruptions and help nurses in their practice. Larger studies are necessary to examine clinical outcomes following the implementation of this feeding protocol.http://www.e-chnr.org/upload/pdf/chnr-22-4-326.pdfTube feedingCongenital heart defectVaso-active inotropic score |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ju-Yeon Uhm Hyojin Lee |
spellingShingle |
Ju-Yeon Uhm Hyojin Lee Development and Implementation of a Feeding Protocol for Infants in a Pediatric Cardiac Intensive Care Unit Child Health Nursing Research Tube feeding Congenital heart defect Vaso-active inotropic score |
author_facet |
Ju-Yeon Uhm Hyojin Lee |
author_sort |
Ju-Yeon Uhm |
title |
Development and Implementation of a Feeding Protocol for Infants in a Pediatric Cardiac Intensive Care Unit |
title_short |
Development and Implementation of a Feeding Protocol for Infants in a Pediatric Cardiac Intensive Care Unit |
title_full |
Development and Implementation of a Feeding Protocol for Infants in a Pediatric Cardiac Intensive Care Unit |
title_fullStr |
Development and Implementation of a Feeding Protocol for Infants in a Pediatric Cardiac Intensive Care Unit |
title_full_unstemmed |
Development and Implementation of a Feeding Protocol for Infants in a Pediatric Cardiac Intensive Care Unit |
title_sort |
development and implementation of a feeding protocol for infants in a pediatric cardiac intensive care unit |
publisher |
Korean Academy of Child Health Nursing |
series |
Child Health Nursing Research |
issn |
2287-9110 2287-9129 |
publishDate |
2016-10-01 |
description |
Purpose: It is crucial to provide adequate enteral nutrition for postoperative recovery, wound healing and normal growth in infants in pediatric cardiac ICUs. This study was done to develop a feeding protocol using the vaso-active inotropic (VAI) score and to evaluate the impact of nutritional outcomes following the new feeding protocol for infants who underwent cardiac surgery. Methods: This study consisted of three phases. First, a feeding protocol was developed based on a literature review. Second, ten experts rated the content validity. Third, a comparison study was conducted to evaluate the impact of the new feeding protocol. Data were analyzed using SPSS Version 20. Results: Twenty-nine infants were enrolled in the pre-protocol group, and 22 infants in the post-protocol group. Patients in the 2 groups were similar. Time to reach feeding goal was significantly decreased from 56.0 (27-210) hours to 28.5 (10-496) hours in the post-protocol group (Z=-4.22, p<.001). Level of enteral feeding knowledge among nurses increased significantly after implementation of the protocol. Conclusion: The feeding protocol using VAI score facilitates the achievement feeding goal to decrease feeding interruptions and help nurses in their practice. Larger studies are necessary to examine clinical outcomes following the implementation of this feeding protocol. |
topic |
Tube feeding Congenital heart defect Vaso-active inotropic score |
url |
http://www.e-chnr.org/upload/pdf/chnr-22-4-326.pdf |
work_keys_str_mv |
AT juyeonuhm developmentandimplementationofafeedingprotocolforinfantsinapediatriccardiacintensivecareunit AT hyojinlee developmentandimplementationofafeedingprotocolforinfantsinapediatriccardiacintensivecareunit |
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