Clinical Implementation of the Group Standard for Enteral Feeding Care in Critically Ill Children

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.

Conditions

• Clinical Implementation
• Standardized Tube Feeding Care
• Enteral Nutrition

Interventions

BEHAVIORAL

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.

OTHER

Routine Enteral Feeding Care

1. The physician issues a medical order. 2. The nurse completes enteral feeding based on the standard routine care process.

Sponsors & Collaborators

• The First Hospital of Jilin University

  collaborator OTHER

• Shenzhen Children's Hospital

  collaborator OTHER_GOV

• Anhui Provincial Children's Hospital

  collaborator OTHER

• Children's Hospital of Fudan University

  lead OTHER

Principal Investigators

• Ying Gu · Children's Hospital of Fudan University

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

CROSSOVER

Eligibility

Min Age

28 Days

Max Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-03-31

Primary Completion

2027-01-31

Completion

2027-06-30

Countries

• China

Study Locations