Exploring healthcare facilities' blenderized tube feeding policy trends: A survey of registered dietitian nutritionists

Background: Recent surveys suggest that registered dietitian nutritionists (RDNs) are increasingly supportive of blenderized tube feeding (BTF). However, its actual use in clinical practice continues to lag. This disconnect may be explained by a lack of comprehensive BTF policies. This study aimed to explore BTF policies in medical facilities in which RDNs are employed. Methods: An electronic survey was disseminated to RDNs through enteral nutrition formula and supply company email databases. The survey collected participant demographics, medical facility type, barriers and contraindications for BTF use, and components of a comprehensive policy. Potential relationships between demographics and self-assessed BTF skill level were also explored. Results: Of the 123 RDNs completing the survey, 87% supported BTF and 76.4% used it in clinical practice. Commercial BTF products (cBTFs) were allowed in 63.4% of facilities, but policy-related barriers hindered actual cBTF use. Home-prepared BTF policies were available in 54.5% of facilities, but only 7% of these policies were complete. Inpatient facilities were particularly lacking in any BTF policies compared with outpatient settings (χ² = 10.550, P = 0.005). Conclusion: RDNs are increasingly supportive of BTF for their patients who want it. To provide optimal patient-centered care, comprehensive BTF policies are needed for successful implementation in healthcare facilities.