重症护理护士在临床实践中用于确认饲管位置的方法。
Methods used by critical care nurses to verify feeding tube placement in clinical practice.
作者信息
Bourgault Annette M, Heath Janie, Hooper Vallire, Sole Mary Lou, Nesmith Elizabeth G
机构信息
Annette M. Bourgault is an assistant professor and interim assistant dean for assessment and development at Georgia Regents University, College of Nursing, in Augusta.Janie Heath is dean of the College of Nursing at University of Kentucky in Lexington.Vallire Hooper is the manager of nursing research at Mission Hospital in Asheville, North Carolina.Mary Lou Sole is the Orlando Health Distinguished Professor at University of Central Florida, College of Nursing, in Orlando.Elizabeth G. NeSmith is an associate professor and chair of the Department of Physiological and Technological Nursing at Georgia Regents University, College of Nursing, in Augusta.
出版信息
Crit Care Nurse. 2015 Feb;35(1):e1-7. doi: 10.4037/ccn2015984.
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.
背景
美国重症护理护士协会关于喂养管放置验证的实践警示提出了基于证据的实践建议，以指导成年盲插喂养管患者的护理管理。许多床旁验证方法无法检测到喂养管在胃肠道内的不当位置，从而增加误吸风险。
目的
确定重症护理护士如何实施美国重症护理护士协会实践警示中的预期做法。
方法
本研究是一项更大规模的全国性在线调查的一部分，由370名重症护理护士完成。采用描述性统计分析数据。
结果
78%的护士使用多种方法验证喂养管的初始放置，尽管14%的护士不知道应每4小时确认一次管位置。尽管听诊方法不准确，但只有12%的护士始终避免使用这种方法。
结论
本指南预期临床实践的实施情况各不相同。鼓励护士实施基于证据、经同行评审的实践警示中的预期做法，以将患者伤害风险降至最低。
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