Evaluating knowledge, Attitudes, and Practices Regarding Interruption of Enteral Nutrition in ICU Medical staff:A descriptive cross-sectional survey

Abstract

Abstract Objectives: Investigate the status of knowledge, attitude, and practice(KAPs) on Interruption of enteral feeding among ICU medical staff, and explore influencing factors of KAPs score. Design: questionnaires including general information as well as knowledge, attitude, and practice(KAPs) on Interruption of enteral feeding were distributed in November 2021 to 575 ICU medical staff. t-test and logistic and linear regressions were used to assess Status of interruption of enteral feeding and relevant influencing factors. Setting: Hospitals in Hubei Province(n =14). Participants: A total of 575 ICU medical staff including: nurses(n =401); doctors(n =153); all staff responded and 554 were included in the analysis. Results: of the 554 participating ICU medical staff, the median score in knowledge, attitude and practice was 55(47, 60), 50(44, 50) ,73(67, 80),respectively. Having an advanced degree((bachelor's degree or above,p=0.007), the high grade hospital(Class III A, p =0.020), undertaking a more comprehensive training(Learned but not comprehensive,p=0.037;systematic learning, p <0.001), Main learning approaches(Books and Internet; p =0.029), the frequency in academic journals(often, p =0.005) was the contributing factor to score of total KAPs; undertaking a comprehensive the training(Systematic learning, p <0.001), High frequency in Academic journals(sometimes, p=0.008; often, p<0.001; always, p =0.032) was the contributing factor to score of knowledge dimension; Having an advanced degree(bachelor's degree or above, p =0.004) was the socre of attitude dimension; Having an Advanced degree(bachelor's degree or above, p =0.026) and undertaking a comprehensive the training(systematic learning, p =0.013) was the contributing factor to score of parctice dimension; There was a significant positive correlation between the total score and score of knowledge, attitude and practice (p <0.05). Conclusions: Based on the findings, the hospital management department should formulate targeted training programs to further improve the level of enteral nutrition interruption among ICU medical staff.