Organised By
Organised By
1 Department of Dietetic and Food Service, Hospital Serdang
2 Department of Nursing, Hospital Serdang
3Department of Nutrition and Dietetic, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
INTRODUCTION: Enteral nutrition product (ENP) has been used to help in achieving calorie and nutrition requirement. The role of early enteral nutrition (within 24 to 48 hours) has been proved effective in improving patient’s clinical complications with decreased in malnutrition and mortality by 70% and 40% respectively. Apparently, each hospital has their own standard operation procedure (SOP) in delivering the ENP to patients. At times, there are some cases that being overlooked and delayed in receiving the ENP prescribed. This study aimed to identify the percentage of patients receiving ENP within 24hours after dietitian prescription and the associated factors involved.
METHODOLOGY: A cross sectional study with purposive sampling has been conducted in Ward 6C (Surgical Ward), 7C (Medical Ward) and 7E (Orthopedic Ward), Serdang Hospital. This study was conducted in two phases which is for verification phase (3 month) and post-remedial action phase from September to December 2016. A comparison analysis was performed to compare the number of ENP cases that received their ENP within 24 hours before and after remedial action. In this study, 24 hours of receiving the ENP is determine from the time dietitian prescibed the ENP for patients.
RESULTS: A total of 140 patients recruited in this study and about 59.3% patients receive ENP within 24 hours of dietitians’ prescription in the first phase and increase significantly to 85.4% after remedial action has been done. A few strategies has been developed which is establishment of dietetic chart for feeding monitoring, provides formatted dietetic board, review and updating SOP on work process and conducting continuing nursing education. The proportion of factors that contribute to the delay of delivery ENP are the product is not being served to patients (27.1%), not indented accordingly (9.3%), not been collected from dietetic department (2.1%), not being processed (1.4%) and wrongly indented by staff (0.7%).
CONCLUSION: Remedial action done in the wards proved effectively to improve the proportion of cases receiving ENP within 24 hours after being prescribed by dietitian. From the study, it is clear that to serve excellent services, cooperation from related multidiscipline staffs is crucial, so that they will be integrating proactively into the the whole process.