Abstract：
Current evidence suggests that early enteral nutrition is a best practice and leads to improved clinical outcomes. An evidence-based practice project was implemented in a busy neurointensive care unit in a midwestern tertiary care facility that was designed to improve care by implementing the early nutrition portion of Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine and the American Society for Enteral and Parenteral Nutrition. The Registered Nurses\' Association of Ontario\'s (RNAO) Toolkit: Implementation of Best Practice Guidelines (BPGs) was selected and followed to guide implementation and achieve optimal results. During a 90-day implementation period, this project resulted in a 100% improvement in early nutrition. Interventions included the use of a series of cards that reminded the team to order enteral nutrition and prepacked bundles of nasogastric tube supplies. The RNAO toolkit served as a structured and effective step-by-step methodology for the implementation of a BPG.
摘要：
目前的证据表明，早期肠内营养是一种最佳做法，可改善临床结局。在中西部三级护理机构繁忙的神经重症监护病房中实施了一项循证实践项目，旨在通过实施《成人危重病人营养支持治疗的提供和评估指南》的早期营养部分来改善护理：重症监护医学学会和美国肠内和肠外营养学会。选择并遵循安大略省注册护士协会（RNAO）工具包：最佳实践指南（BPG）的实施，以指导实施并达到最佳效果。在90天的实施期内，该项目使早期营养改善了100％。干预措施包括使用一系列卡片，提醒团队订购肠内营养和预先包装的鼻胃管用品束。RNAO工具包是实施BPG的结构化和有效的分步方法。
