Lyvonne N Tume1, Erwin Ista2, Sascha Verbruggen2, Corinne Jotterand Chaparro3, Clémence Moullet3, Lynne Latten4, Luise V Marino5, Frederic V Valla6. 1. School of Health & Society, University of Salford, Manchester, UK; Paediatric Intensive Care Unit, Alder Hey Children's Hospital, Liverpool, UK. 2. Department of Internal Medicine, Nursing Science, Erasmus MC University Medical Center, Rotterdam, the Netherlands; Intensive Care Unit, Department of Paediatrics and Paediatric Surgery, Erasmus Medical Centre, Sophia Children's Hospital, Rotterdam, the Netherlands. 3. Nutrition and Dietetics Department, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western, Switzerland. 4. Paediatric Intensive Care Unit, Alder Hey Children's Hospital, Liverpool, UK. 5. Department of Dietetics/ Speech & Language Therapy, NIHR Biomedical Research Centre Southampton, University Hospital Southampton NHS Foundation Trust, Faculty of Health and Well Being, Winchester University, Winchester, UK. Electronic address: luise.marino@uhs.nhs.uk. 6. Paediatric Intensive Care Unit, Hôpital Femme Mère Enfant, CarMEN INSERM UMR, 1060 Hospices Civils de Lyon, Lyon-Bron, France.
Abstract
BACKGROUND: The European Society of Pediatric and Neonatal Intensive Care (ESPNIC) published 32 clinical recommendations around supporting nutrition in critically ill children following an extensive review of the literature online in January 2020. The challenge now is to engage with paediatric intensive care unit teams to implement these into their practice. OBJECTIVE: This practical implementation guide uses a recognised implementation model to guide pediatric intensive care professionals to implement these evidence-based clinical recommendations into clinical practice. RESULTS AND CONCLUSIONS: We use the Pronovost implementation of evidence into practice model to provide a practical framework with associated documents to facilitate PICU healthcare professional's implementation of these clinical recommendations into PICU practice. The paper is structured around the four steps in this model: summarising the evidence, identifying local barriers to implementation, measuring performance and ensuring all patients receive the intervention and useful checklists for implementation and compliance monitoring are provided, in addition to tables outlining key professional roles and responsibilities around nutrition in the paediatric Intensive care Unit.
BACKGROUND: The European Society of Pediatric and Neonatal Intensive Care (ESPNIC) published 32 clinical recommendations around supporting nutrition in critically ill children following an extensive review of the literature online in January 2020. The challenge now is to engage with paediatric intensive care unit teams to implement these into their practice. OBJECTIVE: This practical implementation guide uses a recognised implementation model to guide pediatric intensive care professionals to implement these evidence-based clinical recommendations into clinical practice. RESULTS AND CONCLUSIONS: We use the Pronovost implementation of evidence into practice model to provide a practical framework with associated documents to facilitate PICU healthcare professional's implementation of these clinical recommendations into PICU practice. The paper is structured around the four steps in this model: summarising the evidence, identifying local barriers to implementation, measuring performance and ensuring all patients receive the intervention and useful checklists for implementation and compliance monitoring are provided, in addition to tables outlining key professional roles and responsibilities around nutrition in the paediatric Intensive care Unit.