Implementation of an Evidence‐Based Protocol for Blood Glucose Management in Critically Ill Adult Patients: A Pilot Study.
Background: Critically ill patients are prone to stress hyperglycaemia, which can negatively impact clinical outcomes at high blood glucose levels. Evidence‐based blood glucose management practices to improve patient outcomes should be explored. Aim: This pilot study aimed to implement an evidence‐b...
| Publicado en: | Nursing in Critical Care Vol. 30; no. 4; pp. 1 - 15 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186997832&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186997832 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13621017 Q15 jtl: Nursing in Critical Care issn: 13621017 maglogo: Y pubinfo: dt: Jul2025 vid: 30 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 186997832 186997832 186997832 10.1111/nicc.70080 186997832 ppf: 1 ppct: 14 formats: tig: atl: Implementation of an Evidence‐Based Protocol for Blood Glucose Management in Critically Ill Adult Patients: A Pilot Study. aug: au: Huang, Miao Li, Dongxue Zhang, Chuanlai Yang, Ruiqi Bai, Xue Gan, Xiuni affil: Department of Nursing, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China sug: subj: Critically Ill Patients Psychosocial Factors Blood Glucose Analysis Protocols Implementation Science Critical Illness Nursing Glycemic Control Standards Hyperglycemia Intensive Care Units Treatment Outcomes Attitude to Health Human Funding Source Male Female Adult Middle Age Aged Pilot Studies Critical Care Nursing Psychosocial Factors Critical Care Questionnaires Clinical Competence Health Personnel Psychosocial Factors Workflow Descriptive Statistics Comparative Studies Quasi-Experimental Studies Confidence Intervals Data Analysis Software Chi Square Test Caregivers Psychosocial Factors Nurse Attitudes China Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Critically ill patients are prone to stress hyperglycaemia, which can negatively impact clinical outcomes at high blood glucose levels. Evidence‐based blood glucose management practices to improve patient outcomes should be explored. Aim: This pilot study aimed to implement an evidence‐based glycaemic management protocol for critically ill adults and assess its impact on ICU nurses' knowledge, attitudes, behaviours as well as healthcare professionals' adherence and patient outcomes. Study Design: This quasi‐experimental study included a controlled pre‐post pilot study that was conducted from April to June 2023 in a general ICU. An evidence‐based glycaemic management protocol was developed for critically ill adults using the Rosswurm and Larrabee model for evidence‐based practice change. The study cohort ultimately comprised 48 ICU nurses who completed both pre‐ and post‐implementation surveys and 61 patients (control group, 34; intervention group, 27). ICU nurses' knowledge, attitudes and behaviours; healthcare providers' compliance; and patients' clinical outcomes were measured to assess the effectiveness of the intervention. Results: After implementing the intervention, ICU nurses' knowledge, attitudes and behaviours toward glycaemic management significantly improved. Among the 38 indicators of healthcare providers' compliance, 12 showed a 0%–100% improvement rate post‐implementation and 8 showed a compliance rate increase of 5.9%–66.7%. Statistically significant improvements were found in the duration of hyperglycaemia (t = 2.841, p < 0.05, 95% CI [4.15, 24.46]), time to reach target glucose levels (t = −2.215, p < 0.05, 95% CI [−12.02, −0.61]) and rate of complications (χ2 = 4.325, p < 0.05) among patients. Conclusions: The evidence‐based glycaemic management protocol for critically ill adults is feasible and effective for clinical use. The Rosswurm and Larrabee model was useful for guiding the implementation of the protocol in mainland China. Relevance to Clinical Practice: This pilot study provides a reference for blood glucose management in critically ill patients. Through structured training and procedural refinements, it facilitated the optimization of clinical workflows for glycaemic control, promoting a paradigm shift from experience‐based to evidence‐driven nursing practices among ICU nurses. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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