Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Sandra L. Spoelstra PhD, RN, FGSA, FAAN

Second Advisor

Christina Quick DNP, APRN, CPNP-ACPC

Third Advisor

Caryn Steenland MSN, RN, CCRN, ACCNS-P


Objective: This quality improvement project was conducted to determine the efficacy of an enteral feeding protocol to improve nutrition supplementation in pediatric burn patients.

Methods: Non-ICU patients with >10% total burn surface area requiring enteral nutrition supplementation were fed within 12 hours of admission or with the first sedated dressing change, whichever took place first. Pre (n = 3) and post (n = 5) implementation of the enteral feeding protocol data were obtained. Data were collected via chart audit and survey.

Results: Patients and nurses had similar characteristics; and nurses had similar nutrition practices. Total intake of calories (93.8%) and protein (109.1%) increased. Nurse perception of the protocol use increased (a mean survey of 3.25, neutral, to 4.57, somewhat agree).

Conclusion: Implementation of a standardized enteral feeding protocol for pediatric burn patients improved feeding delivery and increased receipt of nutrition.