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Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/1347

Appears in Collections:School of Nursing, Midwifery and Health Journal Articles
Peer Review Status: Refereed
Title: Implementing clinical guidelines for nutrition in a neurosurgical intensive care unit
Author(s): Hansson, Annette
Wengstrom, Yvonne
Contact Email: yvonne.wengstrom@stir.ac.uk
Keywords: clinical guidelines
nursing
nutrition
neurosurgical care
Issue Date: Dec-2005
Publisher: Blackwell Publishing Asia Pty Ltd
Citation: Hansson A & Wengstrom Y (2005) Implementing clinical guidelines for nutrition in a neurosurgical intensive care unit, Nursing and Health Sciences, 7 (4), pp. 266-272.
Abstract: Patients in neurosurgical intensive care have individual needs concerning nutrition because of their conditions. An important therapeutic goal is to prevent the development of malnutrition as it contributes to an increase in mortality and enhances the risk of complications in these patients. The health- care team has a mutual responsibility for this, although it is a complex task and a correct assessment of patients’ nutritional needs is vital. Multidisciplinary clinical guidelines focused on nutrition might help the health-care staff in decision-making and allowing individualized treatment for patients. The aim of this study was to evaluate the implementation and use of such a guideline. The results show that the guideline is used in varying degrees by the health-care team. Areas that focused on more practical aspects of nutritional support seemed to have a unified approach, whereas areas on nutritional assessment and routine nutrition orders demonstrated both a lack of knowledge and unclear role responsibilities. The results reveal how different professional groups in health care perceive the implementation of a clinical guideline. Some areas need further clarification, there needs to be continuing development of nutritional guidelines, and education of staff is needed in order to enhance the nutritional care of patient
Type: Journal Article
URI: http://hdl.handle.net/1893/1347
DOI Link: http://dx.doi.org/10.1111/j.1442-2018.2005.00246.x
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Karolinska University Hospital
Karolinska Institutet

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