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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....
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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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. |
format | Online Article Text |
id | pubmed-7218984 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
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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