Nasogastric tube care and flushing in a Portuguese general
medicine ward: a best practice implementation project

J 2022

Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project

FERNANDES, Antonio M; Pedro HENRIQUES; Ana R LOURENCO; Fernando MATEUS; Joana SANTOS et al.

Základní údaje

Originální název

Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project

Autoři

FERNANDES, Antonio M; Pedro HENRIQUES; Ana R LOURENCO; Fernando MATEUS; Joana SANTOS; Daniela MARQUES; Joao L A APOSTOLO; Daniela F B CARDOSO; Miloslav KLUGAR a Jitka KLUGAROVÁ

Vydání

JBI EVIDENCE IMPLEMENTATION, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2022, 2691-3321

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.300

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/22:00126987

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

evidence implementation; evidence-based practice; nasogastric tube feeding; nasogastric tube flushing; nursing

Štítky

14119612, 14119613, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 14. 3. 2023 11:31, Mgr. Tereza Miškechová

Anotace

V originále

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.

Návaznosti

LTC20031, projekt VaV

Název: Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic, INTER-COST

2019-1-CZ01-KA202-061350, interní kód MU

Název: Strategic Partnership in Innovation and Development of Evidence-Based Healthcare (Akronym: SPIDER)

Investor: Evropská unie, Strategic Partnership in Innovation and Development of Evidence-Based Healthcare, Strategická partnerství v oblasti vzdělávání, odborné přípravy a mládeže

Přiložené soubory

Nasogastric_tube_care_and_flushing_in_a_Portuguese_general_medicine_ward_a_best_practice_implementation_project.pdf

Požádat o autorskou verzi souboru

Citovat

FERNANDES, Antonio M; Pedro HENRIQUES; Ana R LOURENCO; Fernando MATEUS; Joana SANTOS; Daniela MARQUES; Joao L A APOSTOLO; Daniela F B CARDOSO; Miloslav KLUGAR a Jitka KLUGAROVÁ. Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project. JBI EVIDENCE IMPLEMENTATION. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2022, roč. 20, Supplement 1, s. "S76"-"S87", 12 s. ISSN 2691-3321. Dostupné z: https://doi.org/10.1097/XEB.0000000000000328.

@article{2226196,
   author = {Fernandes, Antonio M and Henriques, Pedro and Lourenco, Ana R and Mateus, Fernando and Santos, Joana and Marques, Daniela and Apostolo, Joao L A and Cardoso, Daniela F B and Klugar, Miloslav and Klugarová, Jitka},
   article_location = {PHILADELPHIA},
   article_number = {Supplement 1},
   doi = {https://doi.org/10.1097/XEB.0000000000000328},
   keywords = {evidence implementation; evidence-based practice; nasogastric tube feeding; nasogastric tube flushing; nursing},
   language = {eng},
   issn = {2691-3321},
   journal = {JBI EVIDENCE IMPLEMENTATION},
   title = {Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project},
   url = {https://journals.lww.com/ijebh/Abstract/2022/08001/Nasogastric_tube_care_and_flushing_in_a_Portuguese.10.aspx},
   volume = {20},
   year = {2022}
}

TY  - JOUR
ID  - 2226196
AU  - Fernandes, Antonio M - Henriques, Pedro - Lourenco, Ana R - Mateus, Fernando - Santos, Joana - Marques, Daniela - Apostolo, Joao L A - Cardoso, Daniela F B - Klugar, Miloslav - Klugarová, Jitka
PY  - 2022
TI  - Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project
JF  - JBI EVIDENCE IMPLEMENTATION
VL  - 20
IS  - Supplement 1
SP  - "S76"-"S87"
EP  - "S76"-"S87"
PB  - LIPPINCOTT WILLIAMS & WILKINS
SN  - 26913321
KW  - evidence implementation
KW  - evidence-based practice
KW  - nasogastric tube feeding
KW  - nasogastric tube flushing
KW  - nursing
UR  - https://journals.lww.com/ijebh/Abstract/2022/08001/Nasogastric_tube_care_and_flushing_in_a_Portuguese.10.aspx
N2  - 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.
ER  -

FERNANDES, Antonio M; Pedro HENRIQUES; Ana R LOURENCO; Fernando MATEUS; Joana SANTOS; Daniela MARQUES; Joao L A APOSTOLO; Daniela F B CARDOSO; Miloslav KLUGAR a Jitka KLUGAROVÁ. Nasogastric tube care and flushing in a Portuguese general medicine ward: a best practice implementation project. \textit{JBI EVIDENCE IMPLEMENTATION}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{} WILKINS, 2022, roč.~20, Supplement 1, s.~''S76''-''S87'', 12 s. ISSN~2691-3321. Dostupné z: https://doi.org/10.1097/XEB.0000000000000328.

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