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Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses
BACKGROUND: Data on nurses’ adherence to standard protocol on nasogastric (NG) tube feeding remain scanty in Ghana even though patients in critical medical conditions are routinely managed using this procedure. This study explored self-rated adherence to standard protocols on NG tube feeding among p...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375159/ https://www.ncbi.nlm.nih.gov/pubmed/30760260 http://dx.doi.org/10.1186/s12913-019-3931-6 |
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author | Alhassan, Robert Kaba Tsikata, Richard Tizaawaw, Richard Naatu Tannor, Prince Asante Quaw, Perpetual Praba Awortwi, Cecilia Aba Ata Ayanore, Martin Amogre Afaya, Agani Salia, Solomon Mohammed Milipaak, Japiong Mwini-Nyaledzigbor, Prudence Portia |
author_facet | Alhassan, Robert Kaba Tsikata, Richard Tizaawaw, Richard Naatu Tannor, Prince Asante Quaw, Perpetual Praba Awortwi, Cecilia Aba Ata Ayanore, Martin Amogre Afaya, Agani Salia, Solomon Mohammed Milipaak, Japiong Mwini-Nyaledzigbor, Prudence Portia |
author_sort | Alhassan, Robert Kaba |
collection | PubMed |
description | BACKGROUND: Data on nurses’ adherence to standard protocol on nasogastric (NG) tube feeding remain scanty in Ghana even though patients in critical medical conditions are routinely managed using this procedure. This study explored self-rated adherence to standard protocols on NG tube feeding among professional and auxiliary nurses and the perceived barriers impeding compliance to these standard protocols. METHODS: This is a descriptive analytical cross-sectional study among professional (n = 89) and auxiliary (n = 24) nurses in a major referral hospital in one of the ten administrative regions in Ghana. Four-point Likert scale was used to ascertain the level of adherence to standard guidelines on nasogastric tube, ranging from 4 “Very large extent” to 1 “Very little extent”. Wilcoxon Mann-Whitney test and univariate ordered logistic regression tests (proportional odds models) were performed to determine the odds of higher self-ratings among professional and auxiliary nurses. RESULTS: Overall, the odds of higher self-ratings on adherence to standard nursing protocols on NG tube feeding was higher among auxiliary nurses than professional nurses (OR = 2.76, p = 0.031) after adjusting for age, gender, education and years of work experience. Key barriers to adherence to standard protocols on NG tube feeding were: limited opportunities for in-service trainings and insufficiency of NG tube feeding protocols on the wards. CONCLUSION: There is the need for more routine in-service trainings for nursing staff to update their knowledge on NG tube feeding. Hospital management should also make current nursing protocols available to nurses to guide their practice alongside routine onsite supervision of nurses. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-3931-6) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6375159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63751592019-02-26 Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses Alhassan, Robert Kaba Tsikata, Richard Tizaawaw, Richard Naatu Tannor, Prince Asante Quaw, Perpetual Praba Awortwi, Cecilia Aba Ata Ayanore, Martin Amogre Afaya, Agani Salia, Solomon Mohammed Milipaak, Japiong Mwini-Nyaledzigbor, Prudence Portia BMC Health Serv Res Research Article BACKGROUND: Data on nurses’ adherence to standard protocol on nasogastric (NG) tube feeding remain scanty in Ghana even though patients in critical medical conditions are routinely managed using this procedure. This study explored self-rated adherence to standard protocols on NG tube feeding among professional and auxiliary nurses and the perceived barriers impeding compliance to these standard protocols. METHODS: This is a descriptive analytical cross-sectional study among professional (n = 89) and auxiliary (n = 24) nurses in a major referral hospital in one of the ten administrative regions in Ghana. Four-point Likert scale was used to ascertain the level of adherence to standard guidelines on nasogastric tube, ranging from 4 “Very large extent” to 1 “Very little extent”. Wilcoxon Mann-Whitney test and univariate ordered logistic regression tests (proportional odds models) were performed to determine the odds of higher self-ratings among professional and auxiliary nurses. RESULTS: Overall, the odds of higher self-ratings on adherence to standard nursing protocols on NG tube feeding was higher among auxiliary nurses than professional nurses (OR = 2.76, p = 0.031) after adjusting for age, gender, education and years of work experience. Key barriers to adherence to standard protocols on NG tube feeding were: limited opportunities for in-service trainings and insufficiency of NG tube feeding protocols on the wards. CONCLUSION: There is the need for more routine in-service trainings for nursing staff to update their knowledge on NG tube feeding. Hospital management should also make current nursing protocols available to nurses to guide their practice alongside routine onsite supervision of nurses. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-3931-6) contains supplementary material, which is available to authorized users. BioMed Central 2019-02-13 /pmc/articles/PMC6375159/ /pubmed/30760260 http://dx.doi.org/10.1186/s12913-019-3931-6 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Alhassan, Robert Kaba Tsikata, Richard Tizaawaw, Richard Naatu Tannor, Prince Asante Quaw, Perpetual Praba Awortwi, Cecilia Aba Ata Ayanore, Martin Amogre Afaya, Agani Salia, Solomon Mohammed Milipaak, Japiong Mwini-Nyaledzigbor, Prudence Portia Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses |
title | Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses |
title_full | Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses |
title_fullStr | Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses |
title_full_unstemmed | Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses |
title_short | Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses |
title_sort | adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in ghana: comparing self-ratings by professional and auxiliary nurses |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375159/ https://www.ncbi.nlm.nih.gov/pubmed/30760260 http://dx.doi.org/10.1186/s12913-019-3931-6 |
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