Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://web.esenfc.pt/?url=Pz9mZMdI |
Resumo: | Objectives: To implement evidence-based practice related to care and flushing of nasogastric tubes inserted for feeding, in a general medicine ward. Introduction: Nasogastric tube feeding is a widely used nutritional support form. Although performed by qualified professionals, it is not a harm-free intervention. Progression to the trachea during initial insertion, aspiration of gastric contents, improper position for patient feeding, and/or a blocked tube are examples of problems that can occur. Methods: The project used JBI's methodological approach of the Clinical Evidence System and Getting Research into Practice audit and feedback tool. A baseline audit focused on nursing procedures related to the maintenance of nasogastric tube feeding, based on 14 criteria informed by the JBI evidence summaries, was performed for a month. Education sessions and other engagement strategies and resources were used to increase nasogastric tube maintenance. This best-practice implementation was conducted in Portugal, between January 2020 and April 2021, in a 33-bed general medicine ward with a staff of 30 registered nurses. Results: Different samples, for each audited procedure, were obtained from a universe of 25 nurses and 14 episodes of patients with nasogastric tube in baseline and 10 in follow-up audit. At baseline, compliance with the criteria ranged from 0 to 88%. Ten of the 14 criteria were below 50%. The follow-up audit showed significant improvement in all compliance criteria (ranging from 44.4 to 100%). Criteria 1 and 2, which were aimed at preventing adverse consequences related to wrong placement or displacement of the nasogastric tube, showed a high postimplementation compliance level (89.3 and 90%). Conclusion: With an integrated plan incorporating interventions, strategies, and resources, tailored for this context, we improved nurses' knowledge of nasogastric tube maintenance and achieved significantly increased compliance with nasogastric tube care best-practice. We suggest maintaining current strategies, and reinforcing clinical supervision and regular assessment. |
id |
RCAP_16582b084e2efc01fcdd5ed0e625d937 |
---|---|
oai_identifier_str |
oai:repositorio.esenfc.pt:13802 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation projectevidence implementationevidence-based practicenasogastric tube feedingnasogastric tube flushingnursingObjectives: To implement evidence-based practice related to care and flushing of nasogastric tubes inserted for feeding, in a general medicine ward. Introduction: Nasogastric tube feeding is a widely used nutritional support form. Although performed by qualified professionals, it is not a harm-free intervention. Progression to the trachea during initial insertion, aspiration of gastric contents, improper position for patient feeding, and/or a blocked tube are examples of problems that can occur. Methods: The project used JBI's methodological approach of the Clinical Evidence System and Getting Research into Practice audit and feedback tool. A baseline audit focused on nursing procedures related to the maintenance of nasogastric tube feeding, based on 14 criteria informed by the JBI evidence summaries, was performed for a month. Education sessions and other engagement strategies and resources were used to increase nasogastric tube maintenance. This best-practice implementation was conducted in Portugal, between January 2020 and April 2021, in a 33-bed general medicine ward with a staff of 30 registered nurses. Results: Different samples, for each audited procedure, were obtained from a universe of 25 nurses and 14 episodes of patients with nasogastric tube in baseline and 10 in follow-up audit. At baseline, compliance with the criteria ranged from 0 to 88%. Ten of the 14 criteria were below 50%. The follow-up audit showed significant improvement in all compliance criteria (ranging from 44.4 to 100%). Criteria 1 and 2, which were aimed at preventing adverse consequences related to wrong placement or displacement of the nasogastric tube, showed a high postimplementation compliance level (89.3 and 90%). Conclusion: With an integrated plan incorporating interventions, strategies, and resources, tailored for this context, we improved nurses' knowledge of nasogastric tube maintenance and achieved significantly increased compliance with nasogastric tube care best-practice. We suggest maintaining current strategies, and reinforcing clinical supervision and regular assessment.2022-08-11info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://web.esenfc.pt/?url=Pz9mZMdIenghttp://web.esenfc.pt/?url=Pz9mZMdIurn:isbn:1744-1609info:doi:10.1097/xeb.0000000000000328Fernandes, António Manuel Martins Lopesinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-06-28T00:00:00Zoai:repositorio.esenfc.pt:13802Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:13:27.242149Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project |
title |
Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project |
spellingShingle |
Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project Fernandes, António Manuel Martins Lopes evidence implementation evidence-based practice nasogastric tube feeding nasogastric tube flushing nursing |
title_short |
Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project |
title_full |
Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project |
title_fullStr |
Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project |
title_full_unstemmed |
Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project |
title_sort |
Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project |
author |
Fernandes, António Manuel Martins Lopes |
author_facet |
Fernandes, António Manuel Martins Lopes |
author_role |
author |
dc.contributor.author.fl_str_mv |
Fernandes, António Manuel Martins Lopes |
dc.subject.por.fl_str_mv |
evidence implementation evidence-based practice nasogastric tube feeding nasogastric tube flushing nursing |
topic |
evidence implementation evidence-based practice nasogastric tube feeding nasogastric tube flushing nursing |
description |
Objectives: To implement evidence-based practice related to care and flushing of nasogastric tubes inserted for feeding, in a general medicine ward. Introduction: Nasogastric tube feeding is a widely used nutritional support form. Although performed by qualified professionals, it is not a harm-free intervention. Progression to the trachea during initial insertion, aspiration of gastric contents, improper position for patient feeding, and/or a blocked tube are examples of problems that can occur. Methods: The project used JBI's methodological approach of the Clinical Evidence System and Getting Research into Practice audit and feedback tool. A baseline audit focused on nursing procedures related to the maintenance of nasogastric tube feeding, based on 14 criteria informed by the JBI evidence summaries, was performed for a month. Education sessions and other engagement strategies and resources were used to increase nasogastric tube maintenance. This best-practice implementation was conducted in Portugal, between January 2020 and April 2021, in a 33-bed general medicine ward with a staff of 30 registered nurses. Results: Different samples, for each audited procedure, were obtained from a universe of 25 nurses and 14 episodes of patients with nasogastric tube in baseline and 10 in follow-up audit. At baseline, compliance with the criteria ranged from 0 to 88%. Ten of the 14 criteria were below 50%. The follow-up audit showed significant improvement in all compliance criteria (ranging from 44.4 to 100%). Criteria 1 and 2, which were aimed at preventing adverse consequences related to wrong placement or displacement of the nasogastric tube, showed a high postimplementation compliance level (89.3 and 90%). Conclusion: With an integrated plan incorporating interventions, strategies, and resources, tailored for this context, we improved nurses' knowledge of nasogastric tube maintenance and achieved significantly increased compliance with nasogastric tube care best-practice. We suggest maintaining current strategies, and reinforcing clinical supervision and regular assessment. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-11 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://web.esenfc.pt/?url=Pz9mZMdI |
url |
http://web.esenfc.pt/?url=Pz9mZMdI |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://web.esenfc.pt/?url=Pz9mZMdI urn:isbn:1744-1609 info:doi:10.1097/xeb.0000000000000328 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799137237723512832 |