Development and implementation of a Sezer gastrostomy care bundle using the Knowledge to Action framework

Area of Science:

• Nursing Science
• Evidence-Based Practice
• Healthcare Quality Improvement

Background:

• Gastrostomy feeding tubes are crucial for nutritional support.
• Standardized nursing care is essential for safe and effective gastrostomy tube management.
• The Knowledge to Action (KTA) framework facilitates evidence implementation in clinical settings.

Purpose of the Study:

• To develop an evidence-based nursing care bundle for post-gastrostomy tube insertion.
• To implement the care bundle into clinical practice using the KTA framework.
• To evaluate nurses' compliance with the developed care bundle.

Main Methods:

• Mixed-method design employed in a university hospital setting (December 2021 - June 2022).
• Four-phase project: bundle development, education, implementation, and evaluation.
• Nurse compliance measured via All-or-None, qualitative interviews analyzed using content analysis.

Main Results:

• The Sezer gastrostomy care bundle includes 14 elements across peristomal area care, tube feeding, and medication administration.
• High compliance rates achieved: 100% for peristomal care, 98.66% for tube feeding, and 98.66% for medication administration.
• Qualitative analysis revealed themes of 'reflection on nursing care' and 'adoption of the care bundle'.

Conclusions:

• The developed gastrostomy care bundle aligns with Institute of Healthcare Improvement standards.
• The KTA framework effectively supported evidence translation into practice, addressing barriers and ensuring sustainability.
• High nurse compliance indicates successful implementation; further studies on patient outcomes are recommended.