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Nursing intervention bundle for enteral nutrition in intensive care: a collective construction* * Extracted from the specialist course monograph, "Intervenções de enfermagem ao paciente em nutrição enteral na Unidade de Terapia Intensiva: proposta de um bundle", Multiprofessional Integrated Residency Program in Health, Federal University of Santa Catarina, 2014.

Bundle de intervenciones de enfermería en nutrición enteral en la terapia intensiva: una construcción colectiva

Objective

The collective construction of a nursing intervention bundle for patients in critical care in the hospital receiving enteral nutrition therapy, supported by evidence-based practice.

Method

A qualitative convergent-care study with 24 nursing professionals in an intensive care unit of a public hospital in Santa Catarina. Data collection was performed from May to August 2013, with semi-structured interviews and discussion groups.

Results

Four interventions emerged that constituted the bundle: bedside pH monitoring to confirm the position of the tube; stabilization of the tube; enteric position of the tube; and maintaining the head of the bed elevated at 30° to 45°.


Conclusion

The interventions chosen neither required additional professional workload nor extra charges to the institution, which are identified as improving the adoption of the bundle by nursing professionals at the ICU.

Enteral nutrition; Intensive care; Nursing care; Evidence-based nursing


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