RESEARCH ARTICLE


Critical Care Nurses’ Perceptions of Enteral Nutrition: A Descriptive Cross-Sectional Study



Khaled Mohammed Al-Sayaghi1, 2, *, Talal Ali Hussein Saad Alqalah3, Sameer Abdulmalik Alkubati3, 4, Gamil Ghaleb Alrubaiee5, 6, Sultan Abdulwadoud Alshoabi7, Masouda Hassan Atrous8, 9, Farida Khalil Ibrahim Mohamed9, Kamal Dahan Alsultan7, Awadia Greeballah Suliman7, Moawia Bushra Gameraddin7, Hammad Ali Fadlalmola10, Sadeq Abdo Mohammed Alwesabi11, Mohammed Alsabri12, 13
1 Department of Medical Surgical Nursing, College of Nursing, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia
2 Nursing Division, Faculty of Medicine and Health Sciences, Sana’a University, Sana’a, Yemen
3 Department of Medical Surgical Nursing, College of Nursing, University of Ha'il, Ha'il City, Saudi Arabia
4 Department of Nursing, Faculty of Medicine and Health Sciences, Hodeida University, Hodeida, Yemen
5 Department of Community Health Nursing, College of Nursing, University of Ha'il, Ha'il City, Saudi Arabia
6 Department of Community Health, Faculty of Medical Sciences, Al-Razi University, Sana’a, Yemen
7 Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia
8 Department of Nursing, College of Applied Medical Sciences, Jouf University, Al Jouf, Saudi Arabia
9 Department of Critical Care and Emergency Nursing, Faculty of Nursing, University of Alexandria, Alexandria, Egypt
10 Department of Community Health Nursing, College of Nursing, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia
11 Department of Medical Surgical Nursing, College of Nursing, Najran University, Najran, Saudi Arabia
12 Department of Pediatrics, One Brooklyn Health, Brookdale University Hospital Medical Center, Brooklyn, NY, USA
13 Department of Emergency, Al Thawra Modern General Hospital (TMGH), Sana’a City, Yemen


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Creative Commons License
© 2022 Al-Sayaghi

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Medical Surgical Nursing Department, College of Nursing, Taibah University, P.O. Box: 344, Code: 42353, Al-Madinah Al-Munawarah, Saudi Arabia; Tel: 00966500224651; E-mail: kalsayaghi@yahoo.com


Abstract

Background and Objective:

Nutritional support is an essential component of critical care with a significant effect on the outcomes of critically ill patients. Critical care nurses are in a central position to achieve nutritional goals and preserve the nutritional status of patients at best. This study aimed to investigate the critical care nurses’ perceptions of the responsibility, knowledge, and documentation system support regarding enteral nutrition.

Methods:

Data were collected from 292 critical care nurses in different healthcare sectors in Sana’a, the capital of Yemen, using a quantitative, descriptive, cross-sectional design. A self-administered questionnaire containing 50 items was used for data collection. The data were collected between March and June 2021. The Statistical Package for the Social Sciences (SPSS) version 16 was used for the data analysis.

Results:

The study found that most critical care units did not have guidelines, protocols, or a nutritional support team, and the physicians prescribed enteral nutrition. The critical care nurses perceived they had a low responsibility, insufficient knowledge, and moderate documentation support regarding enteral nutrition. The nurses in private hospitals had the highest responsibility, the nurses who received in-service education about enteral nutrition reported the highest level of knowledge, and the nurses in the Neuro critical care units had the best support from a documentation system. Scientific workshops and conferences were the main sources of knowledge regarding enteral nutrition. The nurses’ educational needs included the ability to evaluate the outcomes, goal setting, and nutritional assessment.

Conclusions:

The critical care nurses perceived a low responsibility, low level of knowledge, and moderate support from a documentation system regarding enteral nutrition. There is an urgent need to create or adopt enteral nutrition evidence-based guidelines and protocols and establish a multidisciplinary nutritional support team with clear roles and responsibilities. In-service education and training related to enteral nutrition are paramount.

Keywords: Enteral nutrition, Critical care, Critical care nurses, Perceptions, Healthcare sectors, Critically ill patients.