Clinical nurses' nasogastric feeding practices in adults: a multicenter cross-sectional survey in China.
J Int Med Res
; 48(4): 300060520920051, 2020 Apr.
Article
en En
| MEDLINE
| ID: mdl-32349566
ABSTRACT
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.Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Nutrición Enteral
/
Rol de la Enfermera
/
Intubación Gastrointestinal
Tipo de estudio:
Clinical_trials
/
Guideline
/
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Int Med Res
Año:
2020
Tipo del documento:
Article