Jpen Parenter Enter
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Jpen Parenter Enter · Nov 2010
Understanding adherence to guidelines in the intensive care unit: development of a comprehensive framework.
Clinical practice guidelines (CPGs) have been hailed as a useful method of translating evidence into practice. Several CPGs have been published that provide recommendations for feeding patients in the intensive care unit (ICU). Despite a rigorous development process and active dissemination of these guidelines, their impact on nutrition practice has been modest. The purpose of this study was to develop a comprehensive framework for understanding adherence to nutrition CPGs in the critical care setting. ⋯ Adherence to nutrition CPGs is determined by a complex interaction of multiple factors that act as barriers or enablers. The comprehensive framework for adherence to CPGs in the ICU attempts to elucidate this process and provides a useful template for future research. Future quality improvement initiatives should assess local barriers to change and design interventions to overcome these barriers.
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Jpen Parenter Enter · Nov 2010
Compilation of recommendations from summit on increasing physician nutrition experts.
This report compiles the list of recommendations derived from the Summit on Increasing Physician Nutrition Experts. The recommendations represent expert opinion on topics related to increasing the number of physicians who choose nutrition as a career option and on topics related to strengthening multidisciplinary educational programs, research activity, and clinical practice in nutrition in the future. The recommendations should not be interpreted to represent consensus, approval, or endorsement by attendees or participating societies. ⋯ Many of these recommendations are already being acted upon by various groups within the participating societies. The listing of recommendations does not imply responsibility for implementation by Summit attendees. The role for any council arising from this Summit is yet to be defined but may certainly involve facilitating communication and collaboration of initiatives arising from many of the issues listed here.
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Jpen Parenter Enter · Sep 2010
Meta AnalysisThe impact of glutamine dipeptide-supplemented parenteral nutrition on outcomes of surgical patients: a meta-analysis of randomized clinical trials.
To evaluate the impact of glutamine dipeptide-supplemented parenteral nutrition (GLN-PN) on clinical outcomes in surgical patients. ⋯ GLN-PN was beneficial to postoperative patients by shortening the length of hospital stay and reducing the morbidity of postoperative infectious complications.