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[Critical care nurses' decision-making regarding verification of blindly inserted gastric tubes: A cross-sectional questionnaire study]. / Entscheidungsfindung von Intensivpflegefachpersonen zur Verifikation blind applizierter Magensonden.
Grebe, Markus; Roos, Marcelina; Höckelmann, Carolin; Sadat, Beyza; Eder, Caroline; Dichter, Martin Nikolaus; Köpke, Sascha.
Afiliação
  • Grebe M; Institut für Pflegewissenschaft (IfP), Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Deutschland.
  • Roos M; Intensivstation 2, Uniklinikum Gießen und Marburg, Standort Marburg, Deutschland.
  • Höckelmann C; Institut für Pflegewissenschaft (IfP), Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Deutschland.
  • Sadat B; Institut für Pflegewissenschaft (IfP), Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Deutschland.
  • Eder C; Institut für Pflegewissenschaft (IfP), Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Deutschland.
  • Dichter MN; Institut für Pflegewissenschaft (IfP), Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Deutschland.
  • Köpke S; Institut für Pflegewissenschaft (IfP), Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Deutschland.
Pflege ; 2024 Feb 06.
Article em De | MEDLINE | ID: mdl-38319307
ABSTRACT
Critical care nurses' decision-making regarding verification of blindly inserted gastric tubes A cross-sectional questionnaire study Abstract

Background:

The placement and verification of the correct position of blindly applied gastric tubes is regularly performed by nurses in clinical practice. International guidelines recommend a radiological verification as a "first-line" method or if pH measurement is not possible. For Germany, neither evidence-based recommendations nor current data are available. Question Which methods are used by nurses in German intensive care units for verification of the correct position of blindly applied gastric tubes and how do they assess the reliability of different methods?

Methods:

Multicenter questionnaire survey. Intensive care units in a non-probability, citeria-based sampling of hospitals in and around Cologne, Germany were included. One nurse was included per participating ward. Analyses were mostly descriptive.

Results:

In 22 hospitals, 38 wards agreed to participate and 32 (84%) responded to the survey. Auscultation of the upper abdomen with simultaneous air insufflation and aspiration of gastric secretions are frequently used methods for determining the position of gastric tubes. Participants consider auscultation, aspiration of gastric secretions, and radiological control as reliable methods.

Conclusions:

The findings are in contrast to international recommendations and support the need for evidence-based best practice recommendations and training. Likewise, there is a need for research on feasible bedside methods.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Guideline / Prevalence_studies / Prognostic_studies / Qualitative_research Idioma: De Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Guideline / Prevalence_studies / Prognostic_studies / Qualitative_research Idioma: De Ano de publicação: 2024 Tipo de documento: Article