Evidence map›Paper›PMID 40390027›Full record

SynthesisBMC nutrition2025

Factors that influence the provision of enteral feeding for critically ill children: a qualitative evidence synthesis.

Elisabeth Søiland, Claire Glenton, Susan Munabi-Babigumira, Lena Victoria Nordheim, Suzgika Lakudzala, Idriss Ibrahim Kallon, Celeste Naude, Amanda Brand, Simon Lewin, Nyanyiwe Masingi Mbeye

Abstract readSystematic Review
In one paragraph

Synthesis in BMC nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Elisabeth SøilandSection for Evidence-Based Practice, Department of Health and Functioning, Western Norway University of Applied Sciences, Bergen, Norway. elisabeth.soiland@hvl.no.
Claire GlentonSection for Evidence-Based Practice, Department of Health and Functioning, Western Norway University of Applied Sciences, Bergen, Norway.
Susan Munabi-BabigumiraSection for Evidence-Based Practice, Department of Health and Functioning, Western Norway University of Applied Sciences, Bergen, Norway.
Lena Victoria NordheimSection for Evidence-Based Practice, Department of Health and Functioning, Western Norway University of Applied Sciences, Bergen, Norway.
Suzgika LakudzalaEvidence Informed Decision-making Centre, Department of Community and Environmental Health, School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Idriss Ibrahim KallonCentre for Evidence-based Health Care, Department of Global Health, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa.
Celeste NaudeCentre for Evidence-based Health Care, Department of Global Health, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa.
Amanda BrandCentre for Evidence-based Health Care, Department of Global Health, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa.
Simon LewinDepartment of Health Sciences Ålesund, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Ålesund, Norway.
Nyanyiwe Masingi MbeyeEvidence Informed Decision-making Centre, Department of Community and Environmental Health, School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis review aims to explore factors associated with the provision of enteral nutrition in critically ill children in intensive care. Critically ill children are at risk of becoming malnourished, which can lead to poorer outcomes such as longer hospital stays, increased readmissions, and increased mortality. Optimal enteral feeding can help prevent and manage malnutrition.

methodsWe searched MEDLINE, CINAHL, Embase, and Scopus from inception to July 3, 2023. We included qualitative studies and mixed-methods studies. As we anticipated few studies in critical care settings, we included studies that focused on experiences and perceptions of any stakeholders involved in enteral feeding in children in any hospital setting to provide indirect evidence. Titles, abstracts and potentially eligible full-text records were independently assessed. We extracted descriptive data and used a thematic analysis approach to synthesise the study data. We used the GRADE-CERQual approach to assess our confidence in each finding.

resultsWe included 14 studies, with four from critical care settings. Where we had concerns that the context of the studies may be less relevant to the setting, intervention and population of interest, we indicated this inour GRADE-CERQual assessment. We had moderate, low or very low confidence in our findings, in part due to the indirectness of the evidence. Moderate confidence findings indicated that parents were concerned about discomfort and side effects, and that a lack of resources could be a barrier to providing optimal nutritional support. Low confidence findings suggested that healthcare workers lacked the knowledge and skills to provide adequate nutritional support, and that receiving support, information, and participating in decision-making around enteral feeding was important to some parents.

conclusionsOur review points to several factors that may influence the provision of enteral feeding for critically ill children. More qualitative research on healthcare workers' nutritional support practices, particularly in critical care settings, is needed to provide a better understanding of the barriers to optimal enteral feeding in critically ill children.

Indexed as

CaregiversChildrenCritical illnessEnteral feedingHealthcare personnelNutritionQualitative evidence synthesisQualitative researchSystematic review

Identifiers

PMID40390027
PMCPMC12087210

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.