Brian W Johnston

University of Liverpool

United Kingdom

Research Interests

Explore related searches

Professors in United Kingdom

Contact this professor

Get a free first email built on one of their papers, ready for you to edit and send yourself.

Articles (11)

Background Despite increasing evidence of the potential inaccuracy and unwarranted practice of regular GRV measurement in critically in adults, this practice persists within the United Kingdom. Aim To explore adult intensive care nurses' decision‐making around the practice of GRV measurement to guide enteral feeding. Methods A cross‐sectional 16 item electronic survey in four adult intensive care units (ICUs) in England and Wales. Results Two hundred and seventy‐three responses were obtained across four ICUs with acceptable response rates for most [ Unit 1 74 /127 = 58.2%; Unit 2 87/129 = 67.4%; Unit 3 77/120 = 64.1%; Unit 4 35/168 = 20.8%]. Most (243/273 (89%) reported measuring GRV 4–6 hourly, with most (223/273 82%) reporting that the main reason was to assess feed tolerance or intolerance and 37/273 (13.5%) saying their unit protocol required it. In terms of factors affecting decision‐making, volume obtained was the most important factor, followed by the condition of the patient, with aspirate colour and appearance less important. When asked how they would feel about not measuring GRV routinely, the majority (78.2%) of nurses felt worried (140/273 = 51.2%) or very worried (74/273 = 27%). Conclusions Factors affecting the nurses' decision‐making around GRV were based largely on fear of risk (around vomiting and pulmonary aspiration) and compliance with unit protocols. Relevance to Clinical Practice Despite increasing evidence suggesting it is unnecessary, nurses' beliefs around the value of this practice persist and it continues to be embedded into unit protocols around feeding.

Year:

2024

Year:

2023

Year:

2023

Year:

2023

Year:

2023

Year:

2023

Year:

2023

Year:

2023

Year:

2023

Year:

2022

Year:

2022

Collaborators (72)

William Ricketts

Honorary Senior Lecturer

Queen Mary University of London

UNITED KINGDOM

Brian W Johnston

Research Interests

Explore related searches

Contact this professor

Articles (11)

Nurses' decision‐making around gastric residual volume measurement in <scp>UK</scp> adult intensive care: A four‐centre survey

GWAS and meta-analysis identifies 49 genetic variants underlying critical COVID-19.

Effect of Angiotensin-Converting Enzyme Inhibitor and Angiotensin Receptor Blocker Initiation on Organ Support-Free Days in Patients Hospitalized with COVID-19: A Randomized Clinical Trial

Biomarker-guided intervention to prevent acute kidney injury after major surgery (BigpAK-2 trial): study protocol for an international, prospective, randomised controlled multicentre trial.

Quality of recovery following childbirth: a prospective, multicentre cohort study

Higher dose corticosteroids in patients admitted to hospital with COVID-19 who are hypoxic but not requiring ventilatory support (RECOVERY): a randomised, controlled, open-label, platform trial.

Study protocol: A systematic review and meta-analysis regarding the influence of coagulopathy and immune activation on new onset atrial fibrillation in patients with sepsis

Who to escalate during a pandemic? A retrospective observational study about decision-making during the COVID-19 pandemic in the UK.

Development of Core Outcome Sets for trials on the management of Atrial fiBrillAtion in Critically Unwell patientS (COS-ABACUS): a protocol

Baricitinib in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial and updated meta-analysis.

In-Hospital Mortality of Sepsis Differs Depending on the Origin of Infection: An Investigation of Predisposing Factors.

Collaborators (72)

William Ricketts

Chee Kay Cheung

Glenn McConkey

Hugh Welch

Kenneth Hodson

Tonny Veenith

Vishal Dey

Celia Perales

James O'Carroll

Charles Christoph Roehr

Thomas Hills

Louise MacGillivray

MENDEZ ECHEVARRIA ANA

Pilar Rivera-Ortega

Ulrich Goebel

Nazia Chaudhuri

Petros Andrikopoulos

Eamon Raith

José Manuel Soria Fernández

Srinivas Murthy

Lyvonne N Tume

Julian Knight

Chris P Gale

Christopher Green

Lyrics Noba

EDUARDO TAMAYO

Lise Estcourt

Adilia Warris

Beatriz Duran Jimenez

Leon Peto

Felipe Pérez-García

Gabriella Lindergard

David Allsup

Silvia De Rosa

Clark Russell

Tamas Szakmany

Marc Moritz Berger

Geeshath Jayasekera

S. R. Moonesinghe

Maria Teresa Herranz

Ankur Gupta-Wright

Brendan Carvalho

Christian Bode

Maheshi N Ramasamy

Rafael Blancas Gómez-Casero

Salman Razvi

Shaman Jhanji

FJ Medrano

Simon Tso

Xin Hui Chan

Richard Haynes

Miriam Thake

Angie Fawkes

Harm-Jan de Grooth

Natalie Pattison

Edward Fysh

Sascha Ott

Anil Hormis

Rosario López-Rodríguez

Miguel Angel Lopez Ruz

Carlos Tellería-Orriols

Ingeborg Welters

Joanna Wong