Barriers for clinical nurses to implement enteral nutrition: a Meta-synthesis of qualitative studies
10.3760/cma.j.cn115682-20240319-01446
- VernacularTitle:临床护理人员实施肠内营养障碍因素质性研究的Meta整合
- Author:
Tao XU
1
;
Liping CUI
;
Xiaofang FENG
;
Congcong JIN
Author Information
1. 山西医科大学护理学院，太原 030001
- Publication Type:Journal Article
- Keywords:
Nurses;
Enteral nutrition;
Barriers;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2025;31(1):15-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the barriers for clinical nurses to implement enteral nutrition.Methods:Qualitative studies on barriers for clinical nurses to implement enteral nutrition were electronically retrieved from PubMed, Cochrane Library, CINAHL, PsycINFO, Embase, Web of Science, China National Knowledge Infrastructure, WanFang Data, and China Biology Medicine disc. The search period was from establishing of the database to January 15, 2024. The included literature was subjected to quality evaluation, and the aggregative synthesis method was used for Meta-synthesis.Results:A total of 11 articles were included, 30 results were extracted, and ten categories were summarized to form four integrated results, including individual factors (poor patient compliance, complex and diverse clinical conditions of patients, insufficient cognitive and executive abilities of nurses), evidence related factors (weak applicability of evidence, excessive evidence and recommendations related to enteral nutrition), organizational factors (lack of multidisciplinary team collaboration, lack of supervision from management departments, lack of enteral nutrition training), and resource-related factors (insufficient human resources, inadequate medical or infrastructure resources) .Conclusions:There are multiple barriers for clinical nurses to implement enteral nutrition. Clinical nurses should improve the nutritional knowledge of patients and their families, strengthen the training of clinical nurses on enteral nutrition, integrate clinical situations, continuously improve evidence, strengthen multidisciplinary collaboration, unify standards and regulations, strengthen organizational management, allocate resources reasonably to improve the decisions and practices of enteral nutrition management.
