兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Systematic review of clinicians' knowledge, attitudes, and beliefs about nutrition in intensive care

2021-10-7

Nutrition is a key component of care for critically ill patients; yet nutrition delivery is below international recommendations. In order to improve nutrition delivery to critically ill patients, an understanding of the barriers that prevent guideline adherence is required. It is known that clinicians' knowledge, attitudes, and beliefs of the role of nutrition may act as a potential barrier to nutrition delivery, but whether this remains true in critical care is unknown. The aim of this systematic scoping review was to summarize the literature exploring the knowledge, attitudes, and beliefs of clinicians around nutrition support in critically ill patients. A search of four online databases (MEDLINE via Ovid, Emcare via Ovid, PsycINFO, and CINAHL via EBSCOhost) was conducted on August 14, 2020, to identify literature that reported on clinicians' knowledge, attitudes, and beliefs of nutrition in adult intensive care patients. Data were extracted on study and participant characteristics, methodology, and key study outcomes related to nutrition. Eighteen articles met eligibility criteria and were included in the review. Key findings included the following: nutrition was seen as a priority that ranked below life-saving interventions; differences in perceived clinician responsibilities exist; common barriers to nutrition delivery included inadequate resourcing, lack of nutrition protocols, and gastrointestinal intolerance; and identified facilitators included nutrition education and the presence of a supportive multidisciplinary team. The implementation of nutrition protocols, enhanced clinical nutrition education, and further clarification of roles and responsibilities pertaining to nutrition may assist in improving nutrition delivery in critical care.

研究类型
系统评价
人群
混合人群
主题
["医疗服务人员","食品/营养卫生"]
作者
Gemma C E Lyons; Matthew J Summers; Andrea P Marshall; Lee-Anne S Chapple
国家
Australia
关键词
attitudes; clinical protocols; critically ill; guideline adherence; health knowledge; nutrition support; practice.
来源期刊
Nutr Clin Pract .
发布日期
2021-10-7
相关网址
https://www.healthsystemsevidence.org/articles/62fe6fc3ef088708d8e0b5b1-systematic-review-of-clinicians-knowledge-attitudes-and-beliefs-about-nutrition-in-intensive-care?source=saved_email
DOI
10.1002/ncp.10785
学科领域
SectorsSpecialty care