Guidelines for evidence-based practice on nursing prescription enteral feeding in ICU: integrative literature review

Janaina Rosa Lourenço da Silva, Isabel Cristina Fonseca da Cruz

Abstract


Enteral feeding is the strategy most commonly used to prevent or treat malnutrition by insufficient oral intake and / or increased caloric-protein requirements. It has been used in patients with partial or total inability to maintain the oral route as a feeding route. Objective: identify the scientific production of nursing using the PICO strategy to determine the best evidence available for the care of the Adult / Elderly client of high complexity in relation to Enteral Feeding. Methodology: This is an integrative review (IR) of the scientific literature in the databases of the Virtual Health Library (VHL) and SCIELO, from 2011 to 2017, which includes the analysis of relevant research that supports the and clinical practice improvement, for which 10 articles were selected. Outcome: Enteral Nutrition should still be considered the first-choice nutritional therapy in critically ill patients, because it presents less risk of complications. Good supply management is important, and minimize interruptions, so it does not compromise patients' caloric support. Conclusion: The nurse can be a key part of the care when guaranteeing the effectiveness of the nursing interventions performed in the nutritional therapy. Based on the evidence presented, a clinical protocol was developed to better manage this practice.

Keywords


Enteral Nutrition; Nursing Care; Intensive Care Units

Full Text:

HTML

References


Bulechek, Gloria M; Butcher, Howard K et. al. NIC - Classificação das Intervenções de Enfermagem. [tradução de Denise Costa Rodrigues]. - 6. ed. - Rio de Janeiro: Elsevier, 2016.

Isidro Marília Freire, Lima Denise Sandrelly Cavalcanti de. Adequação calórico-proteica da terapia nutricional enteral em pacientes cirúrgicos. Rev. Assoc. Med. Bras. [Internet]. 2012 Oct [cited 2017 May 28] ; 58( 5 ): 580-586. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302012000500016&lng=en. http://dx.doi.org/10.1590/S0104-42302012000500016.

Pereira SRM, Coelho MJ, Mesquita AMF, Teixeira AO, Graciano SA. Causas da retirada não planejada da sonda de alimentação em terapia intensiva. Acta paul. enferm. [ Internet ]. 2013 Ago [cited 2017 May 28] 26(4): 338-344. Disponível em: http://www.scielo.br/scielo.php?pid=S0103-21002013000400007&script=sci_arttext

Sánchez Álvarez C, Zabarte Martínez de Aguirre M, Bordejé Laguna L. Recomendaciones para el soporte nutricional y metabólico especializado del paciente crítico. Actualización. Consenso SEMICYUC-SENPE: Cirugía del aparato digestivo. Med Intensiva. 2011;35(supl. 1):42-7. Available from: http://www.sciencedirect.com/science/article/pii/S0210569111700031

Stewart ML. Interruptions in enteral nutrition delivery in critically ill patients and recommendations for clinical practice. Critical Care Nurse [ Internet ]. 2014 Ago [cited 2017 May 28] 34(4): 14-20. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/25086090

Gordon S. Doig, Fiona Simpson, Elizabeth A. Sweetman, Simon R. Finfer, D. Jamie Cooper, Philippa T. Heighes, Andrew R. Davies, Michael O’Leary, Tom Solano, Sandra Peake, for the Early PN Investigators of the ANZICS Clinical Trials Group. Early Parenteral Nutrition in Critically Ill Patients With Short-term Relative Contraindications to Early Enteral NutritionA Randomized Controlled Trial. JAMA. 2013;309(20):2130–2138. doi:10.1001/jama.2013.5124

Cahill NE, Dhaliwal R, Day AG, Jiang X, Heyland DK. Enhanced Protein-Energy Provision via the Enteral Route Feeding Protocol in Critically Ill Patients: Results of a Cluster Randomized Trial. Critical Care Medicine: December 2013 - Volume 41 - Issue 12 - p 2743–2753. Available from: http://journals.lww.com/ccmjournal/Abstract/2013/12000/Enhanced_Protein_Energy_Provision_via_the_Enteral.9.aspx

Soguel L, Revelly JP, Schaller MD, Longchamp C, Berger MM. Energy deficit and length of hospital stay can be reduced by a two-step quality improvement of nutrition therapy: the intensive care unit dietitian can make the difference. Crit Care Med. 2012;40(2):412-9. Available from: http://journals.lww.com/ccmjournal/pages/articleviewer.aspx?year=2012&issue=02000&article=00007&type=abstract

Erin E. Mancl, Katie M. Muzevich. Tolerability and Safety of Enteral Nutrition in Critically Ill Patients Receiving Intravenous Vasopressor Therapy. Journal of Parenteral and Enteral Nutrition. Vol 37, Issue 5, pp. 641 – 651. First Published December 27, 2012. Acess: https://doi.org/10.1177/0148607112470460

Davies AR, Morrison SS, Bailey MJ, Bellomo R, Cooper DJ, Doig GS, et al. A multicenter, randomized controlled trial comparing early nasojejunal with nasogastric nutrition in critical illness. Crit Care Med. 2012;40(8):2342-8.

Organização Mundial da Saúde. classificação

estatística internacional de doenças e problemas relacionados à saúde. São Paulo: EdUSP. 10º edição. 1200p. ISBN 10: 85-314-0193-3.

North American Nursing Association-NANDA.Diagnósticos de enfermagem da nanda: definições e classificação- 2015-2017. São Paulo: Artmed; 2015. p.163

Moorhead S, Johnson M, Maas LM, Swanson E. Classificação dos resultados de enfermagem (NOC). 5th ed. Elsevier; 2016. p. 442.

Benefield LE. Implementing evidence-based practice in home care. Home Healthc Nurse 2003 Dec; 21(12):804-11.

Polit DF, Beck CT. Using research in evidence-based nursing practice. In: Polit DF, Beck CT, editors. Essentials of nursing research. Methods, appraisal and utilization. Philadelphia (USA): Lippincott Williams & Wilkins; 2006. p.457-94.

Galvão CM, Sawada NO, Mendes IA. A busca das melhores evidências. Rev Esc Enferm USP. 2003 Dez; 37(4):43-50.

Oxford Centre for Evidence-Based Medicine (2011). The Oxford 2011 Levels of Evidence. Author/ Levels of Evidence Working Group. Retrieved from http://www.cebm.net/index.aspx?o=5653.

Gunnar Elke, Arthur R. H. van Zanten Margot Lemieux, Michele McCall, Khursheed N. Jeejeebhoy, Matthias Kott, Xuran Jiang, Andrew G. Day and Daren K. Heyland. Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials. Critical Care 2016 20:117. https://doi.org/10.1186/s13054-016-1298-1

Finoccchiaro D, Hook J. Enteral nutritional support of the critically ill older adult. Crit Care Nurs Q. 2015 Jul-Sep; 38(3):253-8. doi: 10.1097/CNQ.0000000000000068.

Kuslapuu M, et al. The reasons for insufficient enteral feeding in an intensive care unit: A prospective observational study. Intensive Crit Care Nurs (2015), http://dx.doi.org/10.1016/j.iccn.2015.03.001

Colaço, A.D. & Nascimento, E.R.P.. Nursing intervention bundle for enteral nutrition in intensive care: a collective construction. Rev Esc Enferm USP 2014; 48(5):841-7 www.ee.usp.br/reeusp/

Stewart, M. L.. Interruptions in Enteral Nutrition Delivery in Critically Ill Patients and Recommendations for Clinical Practice. Critical Care Nurse. Vol 34, No. 4, AUGUST 2014. Downloaded from http://ccn.aacnjournals.org/ by AACN on July 13, 2017.

Cervo Anamarta Sbeghen, Magnago Tânia Solange Bosi de Souza, Carollo Jéssica Baldissera, Chagas Bruna Pereira, Oliveira Adriano Silva de, Urbanetto Janete de Souza. Adverse events related to the use of enteral nutritional therapy. Rev. Gaúcha Enferm. [Internet]. 2014 June [cited 2017 Nov 23] ; 35( 2 ): 53-59. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472014000200053&lng=en. http://dx.doi.org/10.1590/1983-1447.2014.02.42396.

Reis Adriano Max Moreira, Carvalho Rhanna Emanuela Fontenele Lima de, Faria Leila Marcia Pereira de, Oliveira Regina Célia de, Zago Karine Santana de Azevedo, Cavelagna Milena Ferreira et al . Prevalência e significância clínica de interações fármaco-nutrição enteral em Unidades de Terapia Intensiva. Rev. bras. enferm. [Internet]. 2014 Feb [cited 2017 Nov 23] ; 67( 1 ): 85-90. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672014000100085&lng=en. http://dx.doi.org/10.5935/0034-7167.20140011.

Powers J, Fischer MH, Ziemba-Davis M, Brown J, Phillips DM. Elimination of radiographic confirmation for small-bowel feeding tubes in critical care. Am J Crit Care. 2013 Nov;22(6):521-7. doi: 10.4037/ajcc2013755.

Marshall AP, Cahill NE, Gramlich L, MacDonald G, Alberda C, Heyland DK. Optimizing nutrition in intensive care units: empowering critical care nurses to be effective agents of change. Am J Crit Care. 2012 May;21(3):186-94. doi: 10.4037/ajcc2012697.

Silva Stella Marys Rigatti, Assis Michelli Cristina Silva de, Silveira Carla Rosane de Moraes, Beghetto Mariur Gomes, Mello Elza Daniel de. Sistema aberto ou fechado de nutrição enteral para adultos críticos: há diferença?. Rev. Assoc. Med. Bras. [Internet]. 2012 Apr [cited 2017 Nov 23] ; 58( 2 ): 229-233. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302012000200020&lng=en. http://dx.doi.org/10.1590/S0104-42302012000200020.




URN: http://www.jsncare.uff.br/index.php/jsncareurn:nbn:de:1983-4152jsncare.v10i1.29666

Bookmark and Share


JSNCARE
Share |