Clinical nurses' nasogastric feeding practices in adults: a multicenter cross-sectional survey in China
| Autor: | Xiaojin Huang, Hai-hua Zhu, Li-chun Xu, Jun-yi Zheng, Bi-xia Lin |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Adult Male Medicine (General) medicine.medical_specialty China Prospective Clinical Research Report Cross-sectional study medicine.medical_treatment nurse evidence-based practice Biochemistry Nurse's Role 03 medical and health sciences R5-920 0302 clinical medicine Enteral Nutrition Surveys and Questionnaires Medicine Intubation Humans Nasogastric tube feeding survey 030212 general & internal medicine Intubation Gastrointestinal 030109 nutrition & dietetics business.industry Biochemistry (medical) Disease Management Validated questionnaire Cell Biology General Medicine Nasogastric feeding Parenteral nutrition Cross-Sectional Studies feeding intolerance Emergency medicine Female business Feeding Intolerance Clinical nursing |
| Zdroj: | The Journal of International Medical Research Journal of International Medical Research, Vol 48 (2020) |
| ISSN: | 1473-2300 |
| Popis: | Objective We aimed to investigate practices of nasogastric tube (NGT) intubation and feeding for adults by clinical nurses in China. Methods A self-designed and validated questionnaire comprising 30 questions was distributed to 560 clinical nurses in three comprehensive hospitals of Xiamen, China. The questionnaire covered participants’ demographic characteristics, NGT placement, administration of enteral nutrition (EN), and monitoring or management of feeding intolerance. Results A total 464 (82.9%) questionnaires were completed; 36.2% of nurses used nose–ear–xiphoid and 79.5% forehead–xiphoid measurement to define the internal length of the NGT. Many participants still used traditional methods to confirm NGT placement (auscultation of injected air 50.2%, bubble test 34.7% and observing feeding tube aspirate 34.3%). Bolus feeding was the most commonly used technique to administer EN. A total 97.0% of all nurses used syringes to measure gastric residual volume (GRV), and 62.7% measured GRV every 4–8 hours. The most frequently used GRV threshold values were 200 mL (44.6%) and 150 mL (25.2%). Most nurses stopped feeding immediately when encountering high GRV (84.3%) or diarrhea (45.0%). The nasogastric feeding practices of many clinical nurses were not consistent with international guidelines. Conclusions Our study can provide an impetus for nursing administrators to revise their nasogastric feeding procedures, to promote compliance with evidence-based guidelines. |
| Databáze: | OpenAIRE |
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