Enhancing Nasogastric Tube Insertion Skill Performance by Using Updated Checklist Among Nursing Students

Overview

Journal SAGE Open Med

Publisher Sage Publications

Specialty General Medicine

Date 2024 Jun 3

PMID 38826824

Authors

Ebissa Bayana Kebede

Yonas Biratu Terfa

Abebaw Tiruneh

Enatfanta Sehumehone

Bekana Fekecha

Affiliations

Soon will be listed here.

Abstract

Background: Nasogastric tube (NGT) insertion is one of the most commonly performed procedures for critically ill patients through the nostril or mouth into the stomach, which is indicated for multiple reasons.

Objective: This study is, therefore, aimed to enhance the NGT insertion skill performance of third-year nursing students using the updated checklist, 2021.

Method: A facility-based pre-post intervention study was conducted among third-year nursing students of the School of Nursing, Jimma University. An updated checklist and intervention package were used among 26 randomly selected nursing students. The collected data was entered into EpiData version 3.1, EpiData Association, Denmark and exported to SPSS version 23, IBM Corp, Armonk, NewYork for analysis. Descriptive statistics were made for each item and Paired -test analysis was conducted to summarize the findings.

Result: The highest NGT skill insertion performance score from 40% before the intervention was 35; however, after the intervention, the score increased to 40.3. Their mean score in NGT skill performance was increased by 11 after the intervention of implementing the intervention package using the updated checklist from 26.5 ±5 0.3 the pre-intervention to 37.8 ±5 1.7 post-intervention. The finding indicated that the improvement was statistically significant at < 0.001.

Conclusion: Implementing an intervention package and employing an updated NGT insertion checklist improved the performance of third-year nursing students' NGT insertion skills by an average of 11 points compared to their pre-test scores. A large-scale control randomized trial study was recommended to control for the effects of confounding factors on the implementation of intervention packages.

References

Najafi M, Golzari S . SORT maneuver for nasogastric tube insertion. Anaesthesia. 2016; 71(3):351. DOI: 10.1111/anae.13391. View

Siddhartha B, Sharma N, Kamble S, Shankaranarayana P . Nasogastric Tube Insertion in Anesthetized Intubated Patients Undergoing Laparoscopic Hysterectomies: A Comparative Study of Three Techniques. Anesth Essays Res. 2017; 11(3):550-553. PMC: 5594764. DOI: 10.4103/aer.AER_41_17. View

Zhu L, Zhou Q . Therapeutic concerns when oral medications are administered nasogastrically. J Clin Pharm Ther. 2013; 38(4):272-6. DOI: 10.1111/jcpt.12041edit. View

Motta A, Rigobello M, Silveira R, Gimenes F . Nasogastric/nasoenteric tube-related adverse events: an integrative review. Rev Lat Am Enfermagem. 2021; 29:e3400. PMC: 7798396. DOI: 10.1590/1518-8345.3355.3400. View

Leguina-Ruzzi A . A commentary on the 2015 Canadian Clinical Practice Guidelines in glutamine supplementation to parenteral nutrition. Crit Care. 2016; 20:7. PMC: 4705613. DOI: 10.1186/s13054-015-1175-3. View

Metheny N, Krieger M, Healey F, Meert K . A review of guidelines to distinguish between gastric and pulmonary placement of nasogastric tubes. Heart Lung. 2019; 48(3):226-235. DOI: 10.1016/j.hrtlng.2019.01.003. View

Irving S, Lyman B, Northington L, Bartlett J, Kemper C . Nasogastric tube placement and verification in children: review of the current literature. Crit Care Nurse. 2014; 34(3):67-78. DOI: 10.4037/ccn2014606. View

Ellett M, Cohen M, Perkins S, Smith C, Lane K, Austin J . Predicting the insertion length for gastric tube placement in neonates. J Obstet Gynecol Neonatal Nurs. 2011; 40(4):412-21. PMC: 3140585. DOI: 10.1111/j.1552-6909.2011.01255.x. View

Ghatak T, Samanta S, Baronia A . A new technique to insert nasogastric tube in an unconscious intubated patient. N Am J Med Sci. 2013; 5(1):68-70. PMC: 3560144. DOI: 10.4103/1947-2714.106215. View

10.

Gimenes F, Pereira M, do Prado P, Carvalho R, Koepp J, de Freitas L . Nasogastric/Nasoenteric tube-related incidents in hospitalised patients: a study protocol of a multicentre prospective cohort study. BMJ Open. 2019; 9(7):e027967. PMC: 6661907. DOI: 10.1136/bmjopen-2018-027967. View

11.

Kleinert R, Wahba R, Chang D, Plum P, Holscher A, Stippel D . 3D immersive patient simulators and their impact on learning success: a thematic review. J Med Internet Res. 2015; 17(4):e91. PMC: 4407019. DOI: 10.2196/jmir.3492. View

12.

Bourgault A, Powers J, Aguirre L, Hines R, Sebastian A, Upvall M . National Survey of Feeding Tube Verification Practices: An Urgent Call for Auscultation Deimplementation. Dimens Crit Care Nurs. 2020; 39(6):329-338. DOI: 10.1097/DCC.0000000000000440. View

13.

Silk D, Quinn D . Dual-Purpose Gastric Decompression and Enteral Feeding Tubes Rationale and Design of Novel Nasogastric and Nasogastrojejunal Tubes. JPEN J Parenter Enteral Nutr. 2014; 39(5):531-43. DOI: 10.1177/0148607114551966. View

14.

Xu L, Huang X, Lin B, Zheng J, Zhu H . Clinical nurses' nasogastric feeding practices in adults: a multicenter cross-sectional survey in China. J Int Med Res. 2020; 48(4):300060520920051. PMC: 7218984. DOI: 10.1177/0300060520920051. View

15.

Orinovsky I, Raizman E . Improvement of Nutritional Intake in Intensive Care Unit Patients via a Nurse-Led Enteral Nutrition Feeding Protocol. Crit Care Nurse. 2018; 38(3):38-44. DOI: 10.4037/ccn2018433. View

16.

Boullata J, Carrera A, Harvey L, Escuro A, Hudson L, Mays A . ASPEN Safe Practices for Enteral Nutrition Therapy [Formula: see text]. JPEN J Parenter Enteral Nutr. 2016; 41(1):15-103. DOI: 10.1177/0148607116673053. View

17.

Bourgault A, Heath J, Hooper V, Sole M, NeSmith E . Methods used by critical care nurses to verify feeding tube placement in clinical practice. Crit Care Nurse. 2015; 35(1):e1-7. DOI: 10.4037/ccn2015984. View

18.

Irving S, Rempel G, Lyman B, Sevilla W, Northington L, Guenter P . Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Project. Nutr Clin Pract. 2018; 33(6):921-927. DOI: 10.1002/ncp.10189. View

19.

Santos S, Woith W, de Freitas M, Zeferino E . Methods to determine the internal length of nasogastric feeding tubes: An integrative review. Int J Nurs Stud. 2016; 61:95-103. DOI: 10.1016/j.ijnurstu.2016.06.004. View

20.

Wan B, Fu H, Yin J . Early jejunal feeding by bedside placement of a nasointestinal tube significantly improves nutritional status and reduces complications in critically ill patients versus enteral nutrition by a nasogastric tube. Asia Pac J Clin Nutr. 2015; 24(1):51-7. DOI: 10.6133/apjcn.2015.24.1.03. View