Health care professionals' perceptions and experience of initiating different modalities for home enteral feeding.
Clin Nutr ESPEN
; 30: 67-72, 2019 04.
Article
in En
| MEDLINE
| ID: mdl-30904231
ABSTRACT
BACKGROUND:
With an aging population, there is a concomitant increase in number of patients with dysphagia; and hence increase in prevalence of enteral feeding. Health care professionals play a critical role in informing decisions of patients and caregivers on their choice of modality for long-term home enteral feeding.AIMS:
To explore the perceptions of health care professionals on different modalities for enteral feeding and their experiences in initiating long-term enteral feeding among adult patients.METHODS:
A qualitative explorative descriptive study design with purposive sampling approach was adopted. A total of four speech therapists, fifteen nurses and seven doctors who were ever involved in initiating long term home enteral tube feeding were recruited over a data collection period of August to December 2017. One to one interviews were conducted and audio-recorded. An inductive content analysis approach, with open coding, creation of categories and abstraction of data was adopted.RESULTS:
Four main themes were generated (1) Naso-gastric Tube Feeding (NGT) is health care professionals' first choice of modality; (2) Percutaneous Endoscopic Gastrostomy Tube Feeding (PEG) is regarded as an alternative approach; (3) Perceived better outcomes with PEG; and (4) Identified barriers to promotion of PEG.CONCLUSION:
NGT remained as the modality of choice although health care professionals perceived that patients will have better outcomes with the use of PEG.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Quality of Life
/
Attitude of Health Personnel
/
Enteral Nutrition
/
Intubation, Gastrointestinal
Type of study:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Year:
2019
Type:
Article