Evidence on nutritional therapy practice guidelines and implementation in adult critically ill patients: A systematic scoping review.
Background: The rapid increase in disease-related malnutrition makes it almost impossible for healthcare practitioners and policymakers to keep up with its negative consequences. Consequently, healthcare organisations and decision-makers have called for accelerated and double-duty actions to manage...
| Published in: | Curationis Vol. 42; no. 1; pp. 1 - 14 |
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| Main Authors: | , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
African Online Scientific Information System PTY LTD
2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141257814&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141257814 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03798577 IOI jtl: Curationis issn: 03798577 maglogo: N pubinfo: dt: 2019 vid: 42 iid: 1 pid: 56831 pub: African Online Scientific Information System PTY LTD place: , <Blank> artinfo: ui: 141257814 141257814 141257814 10.4102/curationis.v42i1.1973 141257814 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evidence on nutritional therapy practice guidelines and implementation in adult critically ill patients: A systematic scoping review. aug: au: Mooi, Nomaxabiso M. Ncama, Busisiwe P. affil: School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa sug: subj: Critically Ill Patients In Adulthood Malnutrition Diet Therapy Nutritional Support Practice Guidelines Guideline Adherence Human Adult Scoping Review PubMed CINAHL Database Medline Psycinfo Nutritional Status Length of Stay Health Care Costs Enteral Nutrition Professional Knowledge Consensus Health Personnel Education Systematic Review Adult: 19-44 years ab: Background: The rapid increase in disease-related malnutrition makes it almost impossible for healthcare practitioners and policymakers to keep up with its negative consequences. Consequently, healthcare organisations and decision-makers have called for accelerated and double-duty actions to manage the double burden of malnutrition. Guidelines standardise nutritional practices, improve nutritional status and reduce hospitalisation duration and save costs. Objectives: A systematic scoping review of the nutritional therapy practice guidelines and implementation in critically ill adults was undertaken to identify the breadth of literature on the topic, summarise findings and identify gaps. Methods: A comprehensive search strategy was designed and implemented to identify eligible studies from eight databases, websites of organisations, government departments and academic platforms. Reference lists of included studies were also searched for relevant studies. We assessed the quality of included studies, completed a descriptive numerical summary and analysed them. Results: In total, 1555 titles and 101 abstracts were screened, 65 underwent full text review and 19 were retained for data extraction. Studies scored average to high on quality assessment, and a summary of characteristics of included studies is presented. Nutritional therapy practice guidelines are considered a proactive strategy for enhanced, uniform and individualised nutritional practices and factors that influence implementation were identified. Conclusions: A gap exists between research recommendations and actual practice despite the growing interest in implementation of nutritional therapy guidelines in critical care. There is a need for more research to evaluate the practicality of available guidelines. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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