Nasoenteric feeding discharge planning for cancer patients in a Brazilian teaching hospital: a best practice implementation project

JBI Database of Systematic Reviews and Implementation Reports
Vanessa de Brito PovedaVilanice Alves de Araújo Püschel

Abstract

The objective of this project was to improve local practice in nasoenteric feeding discharge planning for cancer patients in a cancer teaching hospital in São Paulo, Brazil. Nasoenteric tubes are commonly used for enteral nutrition in patients with cancer for over seven days during their recovery and this may be continued at home, with clear benefits. Baseline audit results indicated poor compliance (between 0% and 22%) with the current evidence, although good compliance (100%) was observed for three audit criteria. Implementation of the strategies, including changes to achieve higher participation of caregivers, resulted in an improvement of the audited criteria (100% compliance was maintained for three criteria, compliance increased from 22% to 67% for a further three criteria, with 0% compliance for one criterion). Despite the short time frame of this study, an increase in compliance with best practices proposed by the Joanna Briggs Institute was observed. Implementing a multidisciplinary meeting before patient discharge remains a challenge.

References

Nov 13, 2003·Gut·M StroudUNKNOWN British Society of Gastroenterology
Jan 21, 2014·International Journal of Nursing Studies·A BrugnolliUNKNOWN Naso-gastric Tube Group
Jul 9, 2016·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Cecilia GavazziRosalba Miceli
Sep 18, 2016·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Jann ArendsJean-Charles Preiser
Jul 29, 2017·European Heart Journal Supplements : Journal of the European Society of Cardiology·Mauro MennuniGuerrino Zuin
Sep 2, 2017·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·C L DonohoeJ V Reynolds

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Citations

Jun 3, 2021·Revista da Escola de Enfermagem da U S P·Vilanice Alves de Araújo PüschelFábio da Costa Carbogim

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