{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:03:59Z","timestamp":1789715039562,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hyperglycaemia is highly prevalent, affecting approximately one\u2010third of critically ill patients receiving enteral nutrition (EN). Persistent hyperglycaemia is associated with an elevated risk of infection, increased mortality and prolonged length of stay, negatively impacting patient prognosis. Therefore, implementing an evidence\u2010based hyperglycaemia management strategy is crucial to improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to reduce the incidence of hyperglycaemia during EN in critically ill patients through evidence\u2010based practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A non\u2010concurrent control study was conducted using pre\u2010 and post\u2010implementation data. The baseline audit group comprised intensive care units patients receiving EN from January to June 2024, compared with a follow\u2010up audit group receiving an evidence\u2010based protocol from July to December 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Following evidence\u2010based practice implementation, the adherence rate for 12 of the 25 review indicators exceeded 60%, with 15 indicators demonstrating a significant improvement compared with pre\u2010intervention levels (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Furthermore, the incidence of hyperglycaemia significantly decreased from 51.73% to 35.34% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), whereas the target blood glucose achievement rate significantly increased from 25.76% to 37.96% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Concurrently, significant improvements were observed in both mean blood glucose levels (9.20 [7.50, 11.50] mmol\/L) and mean fasting blood glucose (8.20 [6.80, 10.35] mmol\/L) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Evidence\u2010based practice for hyperglycaemia management during EN in critically ill patients significantly improves medical staff compliance with blood glucose management protocols, leading to reduced hyperglycaemia incidence, improved target blood glucose achievement, optimized glycaemic control and shortened hospital stays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>The significant reduction in hyperglycaemia rates and increased provider adherence to the evidence\u2010based intervention suggest that evidence\u2010based hyperglycaemia management practices can be effectively translated to other clinical settings and provide a feasible set of strategies for implementing similar programmes in resource\u2010constrained settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70515","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T10:28:56Z","timestamp":1778754536000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Evidence\u2010Based Quality Improvement Programme for Glycaemic Management in Critically Ill Patients Receiving Enteral Nutrition"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1788-5639","authenticated-orcid":false,"given":"Wenjun","family":"Yan","sequence":"first","affiliation":[{"name":"First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8530-8399","authenticated-orcid":false,"given":"Zhixiang","family":"Zheng","sequence":"additional","affiliation":[{"name":"First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2280-693X","authenticated-orcid":false,"given":"Yanxia","family":"Han","sequence":"additional","affiliation":[{"name":"First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuwei","family":"Mao","sequence":"additional","affiliation":[{"name":"School of Nursing Suzhou Medical College of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangju","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing Suzhou Medical College of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronghua","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing Suzhou Medical College of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5292-9977","authenticated-orcid":false,"given":"Zhi","family":"Zhao","sequence":"additional","affiliation":[{"name":"First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"Nutrition Support in Critically Ill Patients: Enteral Nutrition","author":"Seres D.","year":"2023"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.08.037"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10960"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.0254\u20101769.2019.09.013"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533615591057"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.04.030"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17714"},{"issue":"3","key":"e_1_2_14_9_1","first-page":"174","article-title":"Non\u2010Diabetic Hyperglycemia and Some of Its Correlates in ICU Hospitalized Patients Receiving Enteral Nutrition","volume":"12","author":"Hasanloei M. 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