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Clinical Implementation of the Group Standard for Enteral Feeding Care in Critically Ill Children
Sponsor: Children's Hospital of Fudan University
Summary
This study aims to evaluate the feasibility and effectiveness of the " Standard for Enteral Feeding Care in Critically Ill Pediatric Patients " (T/CNAS 45-2024) in a multicenter setting. Tube feeding is a critical intervention for maintaining the nutritional status of critically ill children, particularly when oral intake of sufficient nutrition is not possible. While there are established guidelines for enteral nutrition in adults, the specific needs of critically ill children have not been sufficiently addressed. This study, based on the "Grol and Wensing Implementation of Change Model" in implementation science, will guide the clinical implementation of the " Standard for Enteral Feeding Care in Critically Ill Pediatric Patients " across multiple centers. The goal is to provide practical evidence for the nationwide application of this standard, enhance the quality of tube feeding care for critically ill children, and ultimately improve clinical outcomes for these patients.
Official title: Clinical Implementation of the Group Standard for Enteral Feeding Care in Critically Ill Children: A Multi-center, Stratified Cluster Randomized Controlled Trial
Key Details
Gender
All
Age Range
28 Days - 18 Years
Study Type
INTERVENTIONAL
Enrollment
500
Start Date
2026-03
Completion Date
2027-06
Last Updated
2026-03-02
Healthy Volunteers
No
Interventions
Evidence-based tube feeding care
1. Conduct FAME Evaluation: Develop a specific and feasible proposal； 2. Assess Current Performance: Conduct a baseline survey; 3. Identify Facilitators and Barriers: Recognize factors that promote or hinder progress. 4. Select and Develop Change Strategies: Choose and design a set of transformation strategies. 5. Develop and Implement Action Plan: Create and execute an implementation plan with activities, tasks, and timelines. 6. Integrate Improvements into Routine Practice: Embed the improvements into standard practices. 7. Evaluate and Revise the Plan: Continuously monitor the plan's performance based on indicators and revise as needed.
Routine Enteral Feeding Care
1. The physician issues a medical order. 2. The nurse completes enteral feeding based on the standard routine care process.
Locations (1)
Children's Hospital of Fudan University
Shanghai, Minhang, China