Implementation of Clinical Nutrition Practice Guidelines in Surgical ICUs (NCT07337798) | Clinical Trial Compass
Not Yet RecruitingNot Applicable
Implementation of Clinical Nutrition Practice Guidelines in Surgical ICUs
200 participantsStarted 2025-12-20
Plain-language summary
The goal of this interventional clinical trial is to evaluate whether the implementation of an evidence-based, context-adapted clinical nutrition practice guideline can improve clinical nutrition management in surgical intensive care units (ICUs) in China. The guideline is selected based on the best available evidence from existing surgical and critical care nutrition guidelines, adapted to the Chinese healthcare context, and implemented using an i-PARIHS-guided translation strategy. The trial involves ICU healthcare professionals working in surgical ICUs of tertiary general hospitals, while assessing nutrition-related clinical outcomes among surgical critically ill patients.
The main questions it aims to answer are:
Does guideline implementation improve ICU healthcare professionals' adherence to recommended clinical nutrition practice guidelines?
Does the implementation of the clinical nutrition practice guideline improve the proportion of surgical critically ill patients who achieve recommended energy and protein intake targets during ICU stay?
Researchers will compare outcomes before and after guideline implementation to determine whether the i-PARIHS-guided guideline translation improves nutrition management processes, healthcare professional performance, and patient-related clinical outcomes.
Participants will:
Complete baseline and post-implementation assessments related to clinical nutrition knowledge, attitudes, and practices.
Participate in guideline-based education, training, and implementation activities guided by the i-PARIHS framework.
Apply the adapted clinical nutrition practice guideline during routine clinical care in surgical ICUs.
Be evaluated through on-site audits, questionnaires, and clinical data collection during the implementation process.
Who can participate
Age range
18 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
For ICU healthcare professionals:
Employed at one of the participating study sites (tertiary general hospitals)
Holds a valid Registered Nurse license issued in the People's Republic of China
Currently working in frontline clinical nursing care in a surgical intensive care unit (ICU) during the study period
At least 1 year of clinical working experience
Able to understand the study objectives and procedures
Willing to participate and able to provide written informed consent
For surgical critically ill patients (outcome assessment population):
Aged 18 years or older
Admitted to a surgical ICU due to surgical-related conditions, including trauma, infection, malignancy, or postoperative complications
Expected length of stay in the surgical ICU of at least 48 hours
No restriction on sex
Patient or legally authorized representative able to provide written informed consent
Exclusion Criteria:
For ICU healthcare professionals:
Currently pregnant, breastfeeding, or planning pregnancy during the study period
Temporarily assigned, rotating, externally dispatched, on long-term training, or on leave during the study period, making continuous participation impossible
Participation in other interventional studies that may interfere with the implementation of this study
Determined by the research team to have cognitive, communication, or other conditions that would make participation inappropriate
For surgical critically ill patients:
Diagnosed with …
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Adherence of ICU Healthcare Professionals to Clinical Nutrition Practice Guidelines
Timeframe: At baseline (prior to implementation) and at 6 months after implementation.