Addressing a critical gap in pediatric intensive care: development of a structured nutrition training program for nursing staff

Clinical nutrition is a fundamental component of care in pediatric intensive care units (PICUs), with a direct impact on patient safety, clinical outcomes, and healthcare quality. Nurses and nursing assistants play a central role in the preparation, administration, and monitoring of enteral nutrition. However, structured educational programs specifically designed to train nursing staff in pediatric critical care settings remain scarce. This study aimed to develop a multidisciplinary, competency-based training program in pediatric enteral nutrition and to identify the training needs that informed its design. A pre-implementation study was conducted in a PICU using a structured, multi-phase approach. Phase 1 consisted of an online survey assessing knowledge gaps, self-perceived competence, and preferred learning modalities among nurses and nursing assistants. Phase 2 involved the development of a competency-based educational program by a multidisciplinary team, integrating theoretical modules, hands-on workshops, and case-based learning tailored to clinical practice. The program was designed according to adult learning principles and real-world clinical needs. Phases 3–5 include post-training knowledge assessment, participant satisfaction evaluation, and pilot implementation with iterative refinement. A total of 72 professionals participated (58.3% nurses, 41.7% nursing assistants). Most participants lacked prior training in enteral nutrition (73.6%) and pediatric nutrition (65.3%). Significant knowledge gaps were identified in formula selection (77.8%), management of special clinical conditions (65.3%), nutritional supplements (38.4%), medication–nutrition interactions (34.7%), and complication management (70.8%). Despite familiarity with routine technical procedures, 90.3% of participants reported the need for specific training. A blended learning approach combining online modules with face-to-face sessions and hands-on workshops was the preferred modality and was incorporated into the program design. Significant gaps in nutritional knowledge among PICU nursing staff were identified, which may directly impact patient safety. The development of a structured, multidisciplinary training program represents a practical strategy to address these deficiencies. This model has the potential to improve professional competence, standardize clinical practice, reduce variability in care, and enhance the safety and effectiveness of nutritional therapy in pediatric intensive care settings.