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Table 7 Test retest (N = 17)

From: Development and psychometric properties of a questionnaire to assess barriers to feeding critically ill patients

Questionnaire items ICC (2,1) Kappa*
Overall Barriers 0.64 0.35
Guideline Recommendations and Implementation Strategies 0.31 0.06
1. Current scientific evidence supporting some nutrition interventions is inadequate to inform practice. 0.36 0.24
2. The language of the recommendations of the current guidelines for nutrition are not easy to understand. 0.37 0.38
3. I am not familiar with our current guidelines for nutrition in the ICU. 0.35 0.23
4. The current guidelines for nutrition are not readily accessible when I want to refer to them. 0.51 0.30
5. No feeding protocol in place to guide the initiation and progression of enteral nutrition. −0.13 −0.03
Current feeding protocol is outdated. 0.31 0.20
ICU Resources 0.57 0.60
6. Not enough nursing staff to deliver adequate nutrition. 0.70 0.60
7. Enteral formula not available on the unit. 0.34 0.27
8. No or not enough feeding pumps on the unit. 0.51 0.27
Dietitian Support 0.39 0.34
9. Waiting for the dietitian to assess the patient. 0.15 0.21
Not enough dietitian time dedicated to the ICU during regular weekday hours. 0.43 0.34
10. No or not enough dietitian coverage during evenings,weekends and holidays. 0.52 0.34
11. There is not enough time dedicated to education and training on how to optimally feed patients. 0.32 0.20
Delivery of Enteral Nutrition to the Patient 0.55 0.47
No feeding tube in place to start feeding. 0.51 0.51
12. Delay in physicians ordering the initiation of EN. 0.37 0.13
13. Waiting for physician/radiology to read x-ray and confirm tube placement. 0.22 0.30
14. Delays in initiating motility agents in patients not tolerating enteral nutrition (i.e., high gastric residual volumes). 0.43 0.16
15. Delays and difficulties in obtaining small bowel access in patients not tolerating enteral nutrition (i.e., high gastric residual volumes). 0.52 0.65
16. In resuscitated, hemodynamically stable patients, other aspects of patient care still take priority over nutrition. 0.59 0.52
17. Needles delays in relaying information regarding the initiation and progression of nutrition. 0.36 0.32
Critical Care Provider Attitudes and Behavior 0.62 0.35
18. Non-ICU physicians (i.e., surgeons, gastroenterologists) requesting patients not be fed enterally. 0.57 0.43
19. Nurses failing to progress feeds as per the feeding protocol. 0.09 0.19
20. Feeds being held due to diarrhea. 0.46 0.50
21. Fear of adverse events due to aggressively feeding patients. 0.53 0.33
22. Feeding being held too far in advance of procedures or operating room visits. 0.69 0.65
23. General belief among ICU team that provision of adequate nutrition does not impact on patient outcome. 0.60 0.87
  1. *Agreement between nurses who responded that an item was ‘somewhat important’ to ‘very important’ (5 – 7) vs ‘not at all important’ to ‘neither important or unimportant’ (1 – 4).
  2. Items ordered in table as per questionnaire distributed during pilot test.
  3. Bolded items = new or reworded items in the revised version of the questionnaire.