Ann Clin Nutr Metab.
2025 Apr;17(1):3-8. 10.15747/ACNM.25.0002.
A practical guide for enteral nutrition from the Korean Society for Parenteral and Enteral Nutrition: Part I. prescribing enteral nutrition orders
- Chang YR
1 - Kim BE2
- Lee IS3
- Cho YS4
- Han SS5
- Kim E6
- Kim H2
- Kim JH7
- Kim JW8
- Kim SS9
- Kong E10
- Min JK11
- Park CM12
- Park J13
- Ryu S14
- Seo KW15
- Song JM16
- Seok M17
- Seol EM18
- Yoon J19
- Seo JM20
- for KSPEN Enteral Nutrition Committee1
- Affiliations
-
- 1Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 2Department of Dietetics, Samsung Medical Center, Seoul, Korea
- 3Department of Nutrition, Kyung Hee University Medical Center, Seoul, Korea
- 4Department of Nutrition Care, Severance Hospital, Yonsei University Health System, Seoul, Korea
- 5Center for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang, Korea
- 6Department of Nutritional Support Team, Seoul National University Hospital, Seoul, Korea
- 7Department of Internal Medicine, Myongji Hospital, Goyang, Korea
- 8Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea
- 9Department of Pediatrics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
- 10Department of Family Medicine, Kosin University Gospel Hospital, Busan, Korea
- 11Graduate School of Nursing Science, Sungkyunkwan University, Seoul, Korea
- 12Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- 13Department of Clinical Nursing, University of Ulsan, Ulsan, Korea
- 14Department of Surgery, Keimyung University Dongsan Hospital, Daegu, Korea
- 15Department of Surgery, Kosin University College of Medicine, Busan, Korea
- 16Nutrition Support Team, Asan Medical Center, Seoul, Korea
- 17Department of Nursing, Keimyung University Dongsan Medical Center, Daegu, Korea
- 18Department of Nursing, Seoul National University Hospital, Seoul, Korea
- 19Department of Home Health Care, Samsung Medical Center, Seoul, Korea
- 20Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- KMID: 2566717
- DOI: http://doi.org/10.15747/ACNM.25.0002
Abstract
- Purpose
This study aimed to develop a comprehensive practical guide for enteral nutrition (EN) designed to enhance patient safety and reduce complications in Korea. Under the leadership of the Korean Society for Parenteral and Enteral Nutrition (KSPEN), the initiative sought to standardize EN procedures, improve decision-making, and promote effective multidisciplinary communication.
Methods
The KSPEN EN committee identified key questions related to EN practices and organized them into seven sections such as prescribing, delivery route selection, formula preparation, administration, and quality management. Twenty-one experts, selected based on their expertise, conducted a thorough literature review to formulate evidence-based recommendations. Drafts underwent peer review both within and across disciplines, with final revisions completed by the KSPEN Guideline Committee. The guide, which will be published in three installments, addresses critical elements of EN therapy and safety protocols.
Results
The practical guide recommends that EN orders include detailed elements and advocates the use of electronic medical records for communication. Standardized prescription forms and supplementary safety measures are outlined. Review frequency is adjusted according to patient condition—daily for critically ill or unstable patients and as dictated by institutional protocols for stable patients. Evidence indicates that adherence to these protocols reduces mortality, complications, and prescription errors.
Conclusion
The KSPEN practical guide offers a robust framework for the safe delivery of EN tailored to Korea’s healthcare context. It emphasizes standardized protocols and interdisciplinary collaboration to improve nutritional outcomes, patient safety, and operational efficiency. Rigorous implementation and monitoring of adherence are critical for its success.
