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Review Article
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- Nurse-led glycemic control protocols in intensive care units: a scoping review
- Eugene Han, Eunhye Park, Eui Geum Oh
- Acute Crit Care. 2026;41(1):58-67. Published online December 19, 2025
- DOI: https://doi.org/10.4266/acc.003225
- 4,862 View
- 136 Download
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Abstract
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Supplementary Material - Nurse-led glycemic management in critical care settings has been demonstrated to reduce the incidence of dysglycemia, including hyperglycemia and hypoglycemia, while stabilizing glycemic variability, contributing to enhanced patient outcomes. This scoping review aimed to identify nurse-led glycemic management protocols in intensive care units, analyze their components (e.g., target glucose range, monitoring frequency, and implementation methods), and evaluate their effectiveness. Seven databases, including PubMed and CINAHL, were searched for studies published between January 2015 and April 2025. Studies were selected using predefined inclusion criteria, and two independent reviewers evaluated methodological quality using the JBI critical appraisal tool. Ultimately, seven quasi-experimental studies were included. Most protocols employed continuous intravenous insulin infusions (n=5), whereas others focused on hypoglycemia management (n=2). The target glucose levels ranged from 100–180 mg/dl, and the monitoring intervals varied from 15 minutes to 4 hours depending on the protocol type. All protocols excluded patients on oral diets and those receiving intermittent enteral nutrition. Four studies used printed guidelines with manual adjustments, whereas three employed computerized decision-support systems. The studies indicated that nurse-led glycemic control management was associated with reductions in both glycemic variability and in the incidence of hyper- and hypoglycemia. These findings highlight the need for evidence-based updates to nurse-led glycemic control protocols in critical care for safe and effective management through a multidisciplinary approach.
Original Article
- Healthcare Professional's Knowledge, Perception and Performance on Early Enteral Nutrition for Critically Ill Patients
- Sun Hee Yun, Sun Jung Kim, Eui Geum Oh
- Korean J Crit Care Med. 2012;27(1):36-44.
- DOI: https://doi.org/10.4266/kjccm.2012.27.1.36
- 5,043 View
- 80 Download
- 6 Crossref
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Abstract
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- BACKGROUND
Proper nutritional supplement is one of the fundamental management domains for critical ill patients. While it shows positive effect on processing and prognosis of critical ill patients, early enteral nutrition is overlooked. This study explored healthcare professional's level of knowledge perception and performance on early enteral nutrition for critically ill patients. Data was collected from a convenient sample of 319 registered doctors, nurses and nutritionists in ICU at seven university hospitals.
METHODS
A cross-sectional survey design was used. The participants were assessed by questionnaires, specifically designed for the study and verified for the content validity by professional reviewers related with critical ill patients.
RESULTS
While the level of the perception of early enteral nutrition is high, the level of knowledge and performance are relatively low. The nurses showed a statistically significant difference on the level of knowledge, by their educational backgrounds and clinical experiences. Regarding the hospital support system, the doctors showed a significant difference on the level of perception and performance, while the nurses only showed that difference on the level of performance. It was shown that with higher the level of knowledge regarding the early enteral nutrition, the higher the level of performance. Further, the higher the level of perception, the higher the level of performance was observed. The hospital support system and the perception of the healthcare professionals are two most influential factors to affect the performance of the healthcare professionals related with the early enteral nutrition for the critically ill patients.
CONCLUSION
To perform the proper early enteral nutrition, the hospital support system and the level of the healthcare professionals' perception, are two most important factors. Therefore, the efforts to build the hospital support system along with the educational provisions are needed. -
Citations
Citations to this article as recorded by
- Effects of a video-based enteral nutrition education program using QR codes for intensive care unit nurses: a quasi-experimental study
Won Kee Seo, Hyunjung Kim
Journal of Korean Biological Nursing Science.2024; 26(1): 16. CrossRef - Critical Care Nurses’ Perceptions of Enteral Nutrition: A Descriptive Cross-Sectional Study
Khaled Mohammed Al-Sayaghi, Talal Ali Hussein Saad Alqalah, Sameer Abdulmalik Alkubati, Gamil Ghaleb Alrubaiee, Sultan Abdulwadoud Alshoabi, Masouda Hassan Atrous, Farida Khalil Ibrahim Mohamed, Kamal Dahan Alsultan, Awadia Greeballah Suliman, Moawia Bush
The Open Nursing Journal.2022;[Epub] CrossRef - Factors Influencing the Occurrence of Diarrhea in Patients Admitted to Intensive Care Units
Hanna Lee, Rhayun Song
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 221. CrossRef - Critical Care Nurses’ Perception, Knowledge, and Practices of Enteral Nutrition
Hyunjung Kim, Eunjin Soun
Journal of Korean Academy of Fundamentals of Nursing.2016; 23(4): 383. CrossRef - Nutritional Assessment of ICU Inpatients with Tube Feeding
Yu-Jin Kim, Jung-Sook Seo
Journal of the Korean Dietetic Association.2015; 21(1): 11. CrossRef - Nutritional Support, Gastric Residual Volume and Nutritional Status during Enteral Nutrition in Intensive Care Unit Patients
Minju Lee, Jiyeon Kang
Korean Journal of Adult Nursing.2014; 26(6): 621. CrossRef
- Effects of a video-based enteral nutrition education program using QR codes for intensive care unit nurses: a quasi-experimental study
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