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Nasogastric tube placement verification in pediatric and neonatal patients

Michele Farrington1, Sheryl Lang, Laura Cullen

  • 1Department of Nursing Scienses and Acute Care, [corrected] University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Pediatric Nursing
|April 22, 2009
PubMed

Insights

This evidence-based practice project improved nasogastric tube verification in children by reducing unreliable auscultation methods. It highlights the Iowa Model

Area of Science:

  • Pediatric Nursing
  • Evidence-Based Practice
  • Quality Improvement

Background:

  • Limited research exists on nasogastric tube care in pediatric patients.
  • Traditional methods like abdominal auscultation for nasogastric tube verification persist despite outdated evidence.
  • X-ray is definitive but impractical for routine verification before each feeding.

Purpose of the Study:

  • To implement and evaluate an evidence-based practice change for nasogastric tube placement verification in children.
  • To reduce reliance on outdated auscultation methods for nasogastric tube verification.
  • To improve the reliability and safety of nasogastric tube placement in pediatric care.

Main Methods:

  • Utilized the Iowa Model of Evidence-Based Practice to guide the project.
  • Focused on changing nursing practice for nasogastric tube verification in a pediatric setting.
  • Introduced and promoted more reliable bedside verification methods.

Main Results:

  • Significantly decreased the use of auscultation for nasogastric tube verification from 93.3% to 46.2%.
  • Increased the adoption of more reliable methods for confirming nasogastric tube placement.
  • Demonstrated successful practice change through persistence and re-education.

Conclusions:

  • The Iowa Model is effective for improving nursing procedures like nasogastric tube verification.
  • Evidence-based practice implementation can overcome challenges in changing established clinical practices.
  • Improved nasogastric tube verification enhances patient care quality and safety in pediatric settings.

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