Methods used by critical care nurses to verify feeding tube placement in clinical practice

Annette Bourgault, Janie Heath, Vallire Hooper, Mary Lou Sole, Elizabeth G. NeSmith

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

BACKGROUND: The American Association of Critical-Care Nurses practice alert on verification of feeding tube placement makes evidence-based practice recommendations to guide nursing management of adult patients with blindly inserted feeding tubes. Many bedside verification methods do not allow detection of improper positioning of a feeding tube within the gastrointestinal tract, thereby increasing aspiration risk. OBJECTIVES: To determine how the expected practices from the American Association of Critical-Care Nurses practice alert were implemented by critical care nurses. METHODS: This study was part of a larger national, online survey that was completed by 370 critical care nurses. Descriptive statistics were used to analyze the data. RESULTS: Seventy-eight percent of nurses used a variety of methods to verify initial placement of feeding tubes, although 14% were unaware that tube position should be confirmed every 4 hours. Despite the inaccuracy of auscultation methods, only 12% of nurses avoided this practice all of the time. CONCLUSIONS: Implementation of expected clinical practices from this guideline varied. Nurses are encouraged to implement expected practices from this evidence-based, peer reviewed practice alert to minimize risk for patient harm.

Original languageEnglish (US)
Pages (from-to)e1-e7
JournalCritical Care Nurse
Volume35
Issue number1
DOIs
StatePublished - Jan 1 2015

Fingerprint

Enteral Nutrition
Critical Care
Nurses
Evidence-Based Practice
Patient Harm
Auscultation
Practice Guidelines
Gastrointestinal Tract
Nursing

ASJC Scopus subject areas

  • Critical Care

Cite this

Methods used by critical care nurses to verify feeding tube placement in clinical practice. / Bourgault, Annette; Heath, Janie; Hooper, Vallire; Sole, Mary Lou; NeSmith, Elizabeth G.

In: Critical Care Nurse, Vol. 35, No. 1, 01.01.2015, p. e1-e7.

Research output: Contribution to journalArticle

Bourgault, Annette ; Heath, Janie ; Hooper, Vallire ; Sole, Mary Lou ; NeSmith, Elizabeth G. / Methods used by critical care nurses to verify feeding tube placement in clinical practice. In: Critical Care Nurse. 2015 ; Vol. 35, No. 1. pp. e1-e7.
@article{a2b149e2badf45e0bcf562a09ad81d17,
title = "Methods used by critical care nurses to verify feeding tube placement in clinical practice",
abstract = "BACKGROUND: The American Association of Critical-Care Nurses practice alert on verification of feeding tube placement makes evidence-based practice recommendations to guide nursing management of adult patients with blindly inserted feeding tubes. Many bedside verification methods do not allow detection of improper positioning of a feeding tube within the gastrointestinal tract, thereby increasing aspiration risk. OBJECTIVES: To determine how the expected practices from the American Association of Critical-Care Nurses practice alert were implemented by critical care nurses. METHODS: This study was part of a larger national, online survey that was completed by 370 critical care nurses. Descriptive statistics were used to analyze the data. RESULTS: Seventy-eight percent of nurses used a variety of methods to verify initial placement of feeding tubes, although 14{\%} were unaware that tube position should be confirmed every 4 hours. Despite the inaccuracy of auscultation methods, only 12{\%} of nurses avoided this practice all of the time. CONCLUSIONS: Implementation of expected clinical practices from this guideline varied. Nurses are encouraged to implement expected practices from this evidence-based, peer reviewed practice alert to minimize risk for patient harm.",
author = "Annette Bourgault and Janie Heath and Vallire Hooper and Sole, {Mary Lou} and NeSmith, {Elizabeth G.}",
year = "2015",
month = "1",
day = "1",
doi = "10.4037/ccn2015984",
language = "English (US)",
volume = "35",
pages = "e1--e7",
journal = "Critical Care Nurse",
issn = "0279-5442",
publisher = "American Association of Critical Care Nurses",
number = "1",

}

TY - JOUR

T1 - Methods used by critical care nurses to verify feeding tube placement in clinical practice

AU - Bourgault, Annette

AU - Heath, Janie

AU - Hooper, Vallire

AU - Sole, Mary Lou

AU - NeSmith, Elizabeth G.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - BACKGROUND: The American Association of Critical-Care Nurses practice alert on verification of feeding tube placement makes evidence-based practice recommendations to guide nursing management of adult patients with blindly inserted feeding tubes. Many bedside verification methods do not allow detection of improper positioning of a feeding tube within the gastrointestinal tract, thereby increasing aspiration risk. OBJECTIVES: To determine how the expected practices from the American Association of Critical-Care Nurses practice alert were implemented by critical care nurses. METHODS: This study was part of a larger national, online survey that was completed by 370 critical care nurses. Descriptive statistics were used to analyze the data. RESULTS: Seventy-eight percent of nurses used a variety of methods to verify initial placement of feeding tubes, although 14% were unaware that tube position should be confirmed every 4 hours. Despite the inaccuracy of auscultation methods, only 12% of nurses avoided this practice all of the time. CONCLUSIONS: Implementation of expected clinical practices from this guideline varied. Nurses are encouraged to implement expected practices from this evidence-based, peer reviewed practice alert to minimize risk for patient harm.

AB - BACKGROUND: The American Association of Critical-Care Nurses practice alert on verification of feeding tube placement makes evidence-based practice recommendations to guide nursing management of adult patients with blindly inserted feeding tubes. Many bedside verification methods do not allow detection of improper positioning of a feeding tube within the gastrointestinal tract, thereby increasing aspiration risk. OBJECTIVES: To determine how the expected practices from the American Association of Critical-Care Nurses practice alert were implemented by critical care nurses. METHODS: This study was part of a larger national, online survey that was completed by 370 critical care nurses. Descriptive statistics were used to analyze the data. RESULTS: Seventy-eight percent of nurses used a variety of methods to verify initial placement of feeding tubes, although 14% were unaware that tube position should be confirmed every 4 hours. Despite the inaccuracy of auscultation methods, only 12% of nurses avoided this practice all of the time. CONCLUSIONS: Implementation of expected clinical practices from this guideline varied. Nurses are encouraged to implement expected practices from this evidence-based, peer reviewed practice alert to minimize risk for patient harm.

UR - http://www.scopus.com/inward/record.url?scp=84930323596&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84930323596&partnerID=8YFLogxK

U2 - 10.4037/ccn2015984

DO - 10.4037/ccn2015984

M3 - Article

VL - 35

SP - e1-e7

JO - Critical Care Nurse

JF - Critical Care Nurse

SN - 0279-5442

IS - 1

ER -