Barriers to the delivery of enteral nutrition in pediatric intensive care units: A national survey
Background and Aim: According to previously reported studies in the literature, a significant number of patients do not receive enteral nutrition in pediatric intensive care unit (PICU) because of avoidable barriers. Optimal nutrition is a fundamental goal in PICU. This study aims to identify the ba...
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2021-09-01
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doaj-a5c27650eef448cd9ccd91f3ab6d823e2021-07-15T04:28:02ZengElsevierInternational Journal of Pediatrics and Adolescent Medicine2352-64672021-09-0183186190Barriers to the delivery of enteral nutrition in pediatric intensive care units: A national surveyFahad Alsohime0Ghadeer Assiry1Munirah AlSalman2Wejdan Alabdulkareem3Hissah Almuzini4Malak Alyahya5Reema Allhidan6Ayman Al-Eyadhy7Mohamad-Hani Temsah8Ahmed A. Al Sarkhy9College of Medicine, King Saud University, Riyadh, Saudi Arabia; Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia; Corresponding author. College of Medicine, King Saud University, P.O. 231418, Riyadh, 11321, Saudi Arabia.College of Medicine, King Saud University, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi ArabiaPediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi Arabia; Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi Arabia; Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Saudi Arabia; Gastroenterology Unit, Pediatric Department, King Khalid University Medical City, King Saud University, Riyadh, Saudi Arabia; Prince Abdullah Bin Khalid Celiac Disease Research Chair, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi ArabiaBackground and Aim: According to previously reported studies in the literature, a significant number of patients do not receive enteral nutrition in pediatric intensive care unit (PICU) because of avoidable barriers. Optimal nutrition is a fundamental goal in PICU. This study aims to identify the barriers of enteral nutrition in PICU. Setting and Design: A cross-sectional study of the results of a 25-item questionnaire-based survey distributed during the Annual International Critical Care Conference by the Saudi Critical Care Society. Methods and material: A 7-point Likert-type scale was used to rank the participants’ responses, and the relative importance index (RII) approach was used to analyze the relative contribution of each indicator to its main theme.The factor and parallel analysis methods were used to assess the factorial and unidimensionality of the enteral feeding barriers scale. Results: A total of 223 PICU healthcare workers from various intensive care settings responded to the survey. The top-three perceived barriers for commencing enteral feeding were due to the patient being hemodynamically unstable (M = 3.6 and SD = 1.70), delays and difficulties in obtaining small bowel access in patients not tolerating other types of enteral nutrition (M = 3.4 and SD = 1.52), or severe fluid restriction, particularly in postoperative cardiac surgery (M = 3.3 and SD = 1.59). The top perceived overall barriers to enteral feeding were the dietician-related issues (M = 3.3, SD = 1.32), barriers related to enteral feeding delivery (M = 3.16 and SD = 1.13), and medical practice-related (M = 3 and SD = 1.10) issues. The lowest reported overall barriers were the resource-related obstacles (M = 2.7 and SD = 1.26). Conclusion: Being hemodynamically unstable and other dietician-related reasons were the top overall barriers in commencing enteral feeding.http://www.sciencedirect.com/science/article/pii/S2352646720301058feedingpediatric intensive carenutritionbarrierssurvey |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fahad Alsohime Ghadeer Assiry Munirah AlSalman Wejdan Alabdulkareem Hissah Almuzini Malak Alyahya Reema Allhidan Ayman Al-Eyadhy Mohamad-Hani Temsah Ahmed A. Al Sarkhy |
spellingShingle |
Fahad Alsohime Ghadeer Assiry Munirah AlSalman Wejdan Alabdulkareem Hissah Almuzini Malak Alyahya Reema Allhidan Ayman Al-Eyadhy Mohamad-Hani Temsah Ahmed A. Al Sarkhy Barriers to the delivery of enteral nutrition in pediatric intensive care units: A national survey International Journal of Pediatrics and Adolescent Medicine feeding pediatric intensive care nutrition barriers survey |
author_facet |
Fahad Alsohime Ghadeer Assiry Munirah AlSalman Wejdan Alabdulkareem Hissah Almuzini Malak Alyahya Reema Allhidan Ayman Al-Eyadhy Mohamad-Hani Temsah Ahmed A. Al Sarkhy |
author_sort |
Fahad Alsohime |
title |
Barriers to the delivery of enteral nutrition in pediatric intensive care units: A national survey |
title_short |
Barriers to the delivery of enteral nutrition in pediatric intensive care units: A national survey |
title_full |
Barriers to the delivery of enteral nutrition in pediatric intensive care units: A national survey |
title_fullStr |
Barriers to the delivery of enteral nutrition in pediatric intensive care units: A national survey |
title_full_unstemmed |
Barriers to the delivery of enteral nutrition in pediatric intensive care units: A national survey |
title_sort |
barriers to the delivery of enteral nutrition in pediatric intensive care units: a national survey |
publisher |
Elsevier |
series |
International Journal of Pediatrics and Adolescent Medicine |
issn |
2352-6467 |
publishDate |
2021-09-01 |
description |
Background and Aim: According to previously reported studies in the literature, a significant number of patients do not receive enteral nutrition in pediatric intensive care unit (PICU) because of avoidable barriers. Optimal nutrition is a fundamental goal in PICU. This study aims to identify the barriers of enteral nutrition in PICU. Setting and Design: A cross-sectional study of the results of a 25-item questionnaire-based survey distributed during the Annual International Critical Care Conference by the Saudi Critical Care Society. Methods and material: A 7-point Likert-type scale was used to rank the participants’ responses, and the relative importance index (RII) approach was used to analyze the relative contribution of each indicator to its main theme.The factor and parallel analysis methods were used to assess the factorial and unidimensionality of the enteral feeding barriers scale. Results: A total of 223 PICU healthcare workers from various intensive care settings responded to the survey. The top-three perceived barriers for commencing enteral feeding were due to the patient being hemodynamically unstable (M = 3.6 and SD = 1.70), delays and difficulties in obtaining small bowel access in patients not tolerating other types of enteral nutrition (M = 3.4 and SD = 1.52), or severe fluid restriction, particularly in postoperative cardiac surgery (M = 3.3 and SD = 1.59). The top perceived overall barriers to enteral feeding were the dietician-related issues (M = 3.3, SD = 1.32), barriers related to enteral feeding delivery (M = 3.16 and SD = 1.13), and medical practice-related (M = 3 and SD = 1.10) issues. The lowest reported overall barriers were the resource-related obstacles (M = 2.7 and SD = 1.26). Conclusion: Being hemodynamically unstable and other dietician-related reasons were the top overall barriers in commencing enteral feeding. |
topic |
feeding pediatric intensive care nutrition barriers survey |
url |
http://www.sciencedirect.com/science/article/pii/S2352646720301058 |
work_keys_str_mv |
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