An Evidence-Based Project to Establish Practice Standards for Verifying Placement of Weighted and Non-Weighted Gastric Tubes

2.50
Hdl Handle:
http://hdl.handle.net/10755/163501
Category:
Abstract
Type:
Presentation
Title:
An Evidence-Based Project to Establish Practice Standards for Verifying Placement of Weighted and Non-Weighted Gastric Tubes
Author(s):
Beyea, Suzanne; Mroz, Ingrid; Gastric Tube Committee Members
Author Details:
Suzanne Beyea, RN, PhD, FAAN, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA, email: scb@hitchcock.org; Ingrid Mroz, RN, MSN; Gastric Tube Committee Members
Abstract:
Purpose: Numerous adverse events including aspiration, pneumonia, and death have been associated with improperly positioned gastric tubes. This presentation addresses an integrative review of the research designed to determine an evidence-based, clinically relevant and reliable approach to providing care to weighted and non-weighted gastric tubes used for decompression or instillation of medications or nutritional supplements. Methods: Clinical nurse specialists representing a variety of specialties and practice settings conducted an extensive review of the extent research and related literature. They also developed an evidence-based protocol designed to clarify procedures for insertion, verification and monitoring of gastric tubes. Efforts focused on evaluating myths and rituals as well as translating research findings into practice. The guideline was simplified and presented in a flow sheet format to support staff nurses in their efforts to provided evidence-based practice. Results: In consultation with interdisciplinary team members, clinical experts agreed that for the most acutely ill patients, verification by x-ray serves as one of the most valid and reliable ways to determine tube placement upon insertion of either a weighted or non-weighted tube. Ongoing monitoring requires verification by pH testing and determination of the length of the tube, characteristics of any aspirated fluids, the patient's risks for displacement of the tube. All of these conditions may necessitate repeat x-ray evaluation. Conclusions and Implications: Other than x-ray, no accurate bedside procedure exists for determining gastric tube placement that can be consistently utilized in all clinical situations. Utilization of evidence-based guidelines can assist clinicians to make appropriate assessment decisions when caring for patients with weighted or non-weighted gastric tubes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
17th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
New York, New York, USA
Description:
�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New York
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleAn Evidence-Based Project to Establish Practice Standards for Verifying Placement of Weighted and Non-Weighted Gastric Tubesen_GB
dc.contributor.authorBeyea, Suzanneen_US
dc.contributor.authorMroz, Ingriden_US
dc.contributor.authorGastric Tube Committee Membersen_US
dc.author.detailsSuzanne Beyea, RN, PhD, FAAN, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA, email: scb@hitchcock.org; Ingrid Mroz, RN, MSN; Gastric Tube Committee Membersen_US
dc.identifier.urihttp://hdl.handle.net/10755/163501-
dc.description.abstractPurpose: Numerous adverse events including aspiration, pneumonia, and death have been associated with improperly positioned gastric tubes. This presentation addresses an integrative review of the research designed to determine an evidence-based, clinically relevant and reliable approach to providing care to weighted and non-weighted gastric tubes used for decompression or instillation of medications or nutritional supplements. Methods: Clinical nurse specialists representing a variety of specialties and practice settings conducted an extensive review of the extent research and related literature. They also developed an evidence-based protocol designed to clarify procedures for insertion, verification and monitoring of gastric tubes. Efforts focused on evaluating myths and rituals as well as translating research findings into practice. The guideline was simplified and presented in a flow sheet format to support staff nurses in their efforts to provided evidence-based practice. Results: In consultation with interdisciplinary team members, clinical experts agreed that for the most acutely ill patients, verification by x-ray serves as one of the most valid and reliable ways to determine tube placement upon insertion of either a weighted or non-weighted tube. Ongoing monitoring requires verification by pH testing and determination of the length of the tube, characteristics of any aspirated fluids, the patient's risks for displacement of the tube. All of these conditions may necessitate repeat x-ray evaluation. Conclusions and Implications: Other than x-ray, no accurate bedside procedure exists for determining gastric tube placement that can be consistently utilized in all clinical situations. Utilization of evidence-based guidelines can assist clinicians to make appropriate assessment decisions when caring for patients with weighted or non-weighted gastric tubes.en_GB
dc.date.available2011-10-27T11:08:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:08:40Z-
dc.conference.date2005en_US
dc.conference.name17th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationNew York, New York, USAen_US
dc.description�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New Yorken_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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