Practical strategies to implement the ESPNIC nutrition clinical recommendations into PICU practice
2021
Background: The European Society of Pediatric and Neonatal Intensive Care (ESPNIC) published 32 clinical recommendations
around supporting nutrition in critically ill children following an extensive review of the literature
online in January 2020. The challenge now is to engage with paediatric intensive care unit teams to implement
these into their practice.
Objective: This practical implementation guide uses a recognised implementation model to guide pediatric intensive
care professionals to implement these evidence-based clinical recommendations into clinical practice.
Results and conclusions: We use the Pronovost implementation of evidence into practice model to provide a practical
framework with associated documents to facilitate PICU healthcare professional's implementation of these
clinical recommendations into PICU practice. The paper is structured around the four steps in this model: summarising
the evidence, identifying local barriers to implementation, measuring performance and ensuring all patients
receive the intervention and useful checklists for implementation and compliance monitoring are provided,
in addition to tables outlining key professional roles and responsibilities around nutrition in the paediatric intensive
care unit.
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