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  • Essay / Nutrition in the Intubated Patient - 1349

    When researching evidence-based practice, the Iowa Model uses a team or individual approach to help nurses on their journey to patient care quality. The Iowa Model begins by providing a process for selecting an appropriate clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is phrased as a question to improve a technique or procedure. Once the researcher determines that there is a sufficient number of investigations into the desired question, the information can be collected and presented for approval (Polit and Beck, 2012). The research could lead to progressive change in nursing practice.PICOIn the intensive care population, patients on respiratory support require nutritional supplementation. To support metabolic processes, healthcare providers address the initiation of feeding as part of the plan of care (Khalid, Doshi, & DiGiovine, 2010). For therapeutic nutritional support, providers compare the risks and benefits of enteral and parenteral nutrition. After intubation, a goal is to begin feeding within 24 to 48 hours, to achieve optimal patient outcomes and reduce the risk of ventilator-acquired pneumonia (Ridley, Dietet, & Davies , 2011). PICO Question Do intubated patients have a greater chance of infection based on initiation of parenteral or enteral nutritional support? Literature review The Cumulative Index to Nursing and Related Health Literature (CINAHL) was used to find peer-reviewed articles, using query terms such as: aspiration pneumonia, ventilator, and prevention . Additionally, the TWUniversal search engine was used to find peer-reviewed articles, with the keywords: aspiration, ventilator, and enteral pneumonia. In a Level III hierarchy, sy...... middle of article.... ..7/0884533612462899Khalid, I., Doshi, P., & DiGiovine, B. (2010). Early enteral nutrition and outcomes of critically ill patients treated with vasopressors and mechanical ventilation. American Journal of Critical Care, 19(3), 261-268. doi:10.4037/ajcc2010197Polit, DF & Beck, CT (2012). Nursing research: generating and evaluating evidence for nursing practice (9th ed.). Philadelphia: Lippincott. Ridley, EJ, Dietet, BN and Davies, AR (2011). Practical aspects of nutritional support in the intensive care unit: usefulness of gastric residual volume and prokinetic agents in enteral nutrition. Nutrition, 27(5), 509-512. doi:10.1016/j.nut.2010.10.010 Seron-Arbeloa, C., Zamora-Elson, M., Labarta-Monzon, L., & Mallor-Bonet, T. (2013). Enteral nutrition in intensive care. Journal of Research in Clinical Medicine, 5(1), 1-11. doi:10.4021/jocmr1210w