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Clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in China

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....

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Autores principales: Xu, Li-chun, Huang, Xiao-jin, Lin, Bi-xia, Zheng, Jun-yi, Zhu, Hai-hua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218984/
https://www.ncbi.nlm.nih.gov/pubmed/32349566
http://dx.doi.org/10.1177/0300060520920051
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author Xu, Li-chun
Huang, Xiao-jin
Lin, Bi-xia
Zheng, Jun-yi
Zhu, Hai-hua
author_facet Xu, Li-chun
Huang, Xiao-jin
Lin, Bi-xia
Zheng, Jun-yi
Zhu, Hai-hua
author_sort Xu, Li-chun
collection PubMed
description 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.
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spelling pubmed-72189842020-05-18 Clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in China Xu, Li-chun Huang, Xiao-jin Lin, Bi-xia Zheng, Jun-yi Zhu, Hai-hua J Int Med Res Prospective Clinical Research Report 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. SAGE Publications 2020-04-29 /pmc/articles/PMC7218984/ /pubmed/32349566 http://dx.doi.org/10.1177/0300060520920051 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Prospective Clinical Research Report
Xu, Li-chun
Huang, Xiao-jin
Lin, Bi-xia
Zheng, Jun-yi
Zhu, Hai-hua
Clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in China
title Clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in China
title_full Clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in China
title_fullStr Clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in China
title_full_unstemmed Clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in China
title_short Clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in China
title_sort clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in china
topic Prospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218984/
https://www.ncbi.nlm.nih.gov/pubmed/32349566
http://dx.doi.org/10.1177/0300060520920051
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