ArticleBMC nursing2024
Cognitive influencing factors of ICU nurses on enteral nutrition interruption: a mixed methods study.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Exploratory Assessment of the Internal Structure of the Spanish Version of the Persenius Scale for Enteral Nutrition in Intensive Care Units: A Cross-Sectional Psychometric Study.Journal of clinical medicine · 2026Article
- A cross-sectional survey of knowledge, attitudes, and practices related to enteral nutrition interruptions among intensive care unit nurses.BMC nursing · 2026Article
- Prevalence and causes for enteral nutrition interruptions in inpatients: A mixed-methods study.International journal of nursing studies advances · 2026Article
- Artificial intelligence-guided nutritional therapy in the ICU.Current opinion in clinical nutrition and metabolic care · 2026Review
- Interruptions of enteral nutrition in intensive care units: mechanisms, clinical impacts, and precision nursing interventions-a scoping review.Frontiers in nutrition · 2026Review
- Knowledge, attitudes, and behaviors of ICU nurses for enteral nutrition-related diarrhea management: a cross-sectional study.BMC nursing · 2025Article
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6 authors.
Funding
Abstract
backgroundThe incidence of clinically avoidable enteral nutrition interruptions is high. ICU nurses, as the implementers and monitors of enteral nutrition, have a close relationship between their cognitive level of enteral nutrition interruption and the incidence of enteral nutrition interruption. The level of ICU nurses' cognition of enteral nutrition interruption and the key factors influencing the level of ICU nurses' cognition of enteral nutrition interruption are not known.
objectivesThis study aims to explore the cognitive level of ICU nurses on enteral nutrition interruption and delve into the key factors that affect their cognitive level from the perspective of management.
designA sequential explanatory mixed methods research design was used.
methodsWith the convenience sampling method, an online survey questionnaire was distributed to ICU nurses in Chongqing, and 336 valid questionnaires were collected. After the survey, ICU managers were invited to participate in qualitative interviews, in which 10 participants from five hospitals completed face-to-face individual semi-structured interviews and were analyzed with thematic analysis.
resultsThe survey found that ICU nurses had a good level of cognition towards enteral nutrition interruption but poor knowledge about the definition, causes, and consequences of enteral nutrition interruption, as well as negative attitudes toward active learning, assessment, and communication. And the longer work time in the ICU, joining the nutrition team, receiving systematic training, and acquiring relevant knowledge from academic journals more frequently were favorable to improving ICU nurses' knowledge level of enteral nutrition interruption. Personal interviews further identified the key factors affecting their cognitive level, including (1) lack of knowledge, (2) lack of proactive thinking, (3) lack of enteral nutrition management programs, and (4) lack of quality management tools for enteral nutrition interruption.
conclusionAlthough ICU nurses demonstrate a relatively high level of cognition, there is still room for improvement. ICU administrators must take specific measures to improve the knowledge of ICU nurses, especially in non-tertiary hospitals, in order to prevent nurse-induced enteral nutrition interruption in all ICUs and improve medical quality.
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