The effects of systematic educational interventions about nasogastric tube feeding on caregivers' knowledge and skills and the incidence of feeding complications

Chang, Shu‐Chen; Huang, Chin-Yi; Lin, Ching‐Hsiung; Tu, Shu-Ling; Chao, Mei-Shih; Chen, Meihua

doi:10.1111/jocn.12748

Cited by 27 publications

(34 citation statements)

References 16 publications

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“…A study measuring patient readiness found that the use of either faceto-face instruction or a written pamphlet, in addition to the usual preoperative clinic visit, was superior to a preoperative visit alone [19]. Also, improvement in sputum collection occurred with the use of a brochure [23], and the addition of a brochure to systematic nursing education for caregivers of patients with nasogastric tubes improved the ability of the caregivers to care for their patients [24]. It has been previously shown that EM in the form of pamphlets or brochures is only useful if the patient is motivated to learn and know more.…”

Section: Discussionmentioning

confidence: 99%

The Impact of an Educational Program on Patient Practices for Safe Use, Storage, and Disposal of Opioids at a Comprehensive Cancer Center

et al. 2017

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Background. Improper use, storage, and disposal of prescribed opioids can lead to diversion or accidental poisoning. Our previous study showed a large proportion of cancer patients have unsafe opioid practices. Our objective was to determine whether an improvement occurred in the patterns of use, storage, and disposal of opioids among cancer outpatients after the implementation of a patient educational program. Patients and Methods. Our palliative care (PC) clinic provides every patient with educational material (EM) on safe opioid use, storage, and disposal every time they receive an opioid prescription. We prospectively assessed 300 adult cancer outpatients receiving opioids in our PC clinic, who had received the EM, and compared them with 300 patients who had not received the EM. The previously used surveys pertaining to opioid use, storage, and disposal were administered, and

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Section: Discussionmentioning

confidence: 99%

The Impact of an Educational Program on Patient Practices for Safe Use, Storage, and Disposal of Opioids at a Comprehensive Cancer Center

et al. 2017

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“…The authors attribute their better results regarding other series of patients to the continuity of care by the same nutrition team [136]. In a quasi-experimental research in Taiwan with pretest/post-test evaluations in 233 patients with nasogastric tube feeding, systematic nursing intervention, including comprehensive educational pamphlets and video education in comparison to routine education, significantly improved the knowledge and skills of primary caregivers and decreased the incidence of 3-months complications [137]. In the absence of adequate gastrostomy aftercare, 6-months hospital readmission rates are as high as 23%.…”

Section: Recommendation 50mentioning

confidence: 99%

ESPEN guideline on home enteral nutrition

et al. 2020

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This guideline will inform physicians, nurses, dieticians, pharmacists, caregivers and other home enteral nutrition (HEN) providers about the indications and contraindications for HEN, and its implementation and monitoring. Home parenteral nutrition is not included but will be addressed in a separate ESPEN guideline. This guideline will also inform interested patients requiring HEN. The guideline is based on current evidence and expert opinion and consists of 61 recommendations that address the indications for HEN, relevant access devices and their use, the products recommended, the monitoring and criteria for termination of HEN, and the structural requirements needed to perform HEN. We searched for metaanalyses, systematic reviews and single clinical trials based on clinical questions according to the PICO format. The evidence was evaluated and used to develop clinical recommendations implementing the SIGN method. The guideline was commissioned and financially supported by ESPEN and the members of the guideline group were selected by ESPEN.

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“…Participants in this study described a variety of problems associated with the tube and the strategies that they employed to manage them. Other studies have reported a wide range of complications (Chang et al , Correa et al , Halliday et al , Lim et al , Rogers et al ) with blockage and infection being cited as common in adults (Boland et al, ). A recent survey of home carers in Singapore reported constipation, abdominal distension and vomiting as common complications (Lim et al, ).…”

Section: Discussionmentioning

confidence: 99%

People with enteral tubes and their carers' views of living with a tube and managing associated problems: A qualitative interview study

Green

Townsend

Jarrett

et al. 2019

Journal of Clinical Nursing

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Background Nutrition by enteral tube is a complex therapy requiring significant management to ensure safe, timely delivery of nutrients and avoidance of complications. In the home setting, people with enteral tubes and their carers are required to self‐manage the therapy, including the need to cope with problems that arise. Whilst previous studies have conveyed experiences of people with enteral tubes, few have described views on enteral tube problems. Aims and objectives Drawing on the findings of a previously reported study (Journal of Human Nutrition and Dietetics, 2019), this paper aims to describe in‐depth the experiences of people with enteral tubes and their carers of living with the tube day to day and managing problems that arise. Design A qualitative descriptive design using semi‐structured in‐depth interviews was employed. Methods A purposive sample of 19 people with enteral tubes and 15 carers of people with tubes participated. Interviews were recorded and transcribed. Using a thematic analysis approach, codes were defined and applied; themes developed and refined. Five themes with associated subthemes were generated, of which one, “living with the tube,” is reported in‐depth. The COREQ checklist was used. Results Participants described the tube affecting both physical and psychosocial being and revealed it had resulted in significant changes to their daily living, necessitating adaptation to a new way of life. Participants reported spending much time and effort to manage tube problems, at times without support from healthcare practitioners knowledgeable in tube management. Discomfort associated with the tube was commonly described. Conclusions Living with an enteral tube impacts significantly on daily life requiring adaptations to normal routine. People with tubes and their carers use a range of strategies to manage common complications. Relevance to clinical practice Knowledge and understanding of how people with enteral tubes live with their tube and manage issues as they arise will enable healthcare practitioners to provide better support.

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The effects of systematic educational interventions about nasogastric tube feeding on caregivers' knowledge and skills and the incidence of feeding complications

Cited by 27 publications

References 16 publications

The Impact of an Educational Program on Patient Practices for Safe Use, Storage, and Disposal of Opioids at a Comprehensive Cancer Center

The Impact of an Educational Program on Patient Practices for Safe Use, Storage, and Disposal of Opioids at a Comprehensive Cancer Center

ESPEN guideline on home enteral nutrition

People with enteral tubes and their carers' views of living with a tube and managing associated problems: A qualitative interview study

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