Alhassan Robert Kaba, Tsikata Richard, Tizaawaw Richard Naatu, Tannor Prince Asante, Quaw Perpetual Praba, Awortwi Cecilia Aba Ata, Ayanore Martin Amogre, Afaya Agani, Salia Solomon Mohammed, Milipaak Japiong, Mwini-Nyaledzigbor Prudence Portia
Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho. PMB 31, Volta Region, Ho, Ghana.
Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
BMC Health Serv Res. 2019 Feb 13;19(1):119. doi: 10.1186/s12913-019-3931-6.
Data on nurses' adherence to standard protocol on nasogastric (NG) tube feeding remain scanty in Ghana even though patients in critical medical conditions are routinely managed using this procedure. This study explored self-rated adherence to standard protocols on NG tube feeding among professional and auxiliary nurses and the perceived barriers impeding compliance to these standard protocols.
This is a descriptive analytical cross-sectional study among professional (n = 89) and auxiliary (n = 24) nurses in a major referral hospital in one of the ten administrative regions in Ghana. Four-point Likert scale was used to ascertain the level of adherence to standard guidelines on nasogastric tube, ranging from 4 "Very large extent" to 1 "Very little extent". Wilcoxon Mann-Whitney test and univariate ordered logistic regression tests (proportional odds models) were performed to determine the odds of higher self-ratings among professional and auxiliary nurses.
Overall, the odds of higher self-ratings on adherence to standard nursing protocols on NG tube feeding was higher among auxiliary nurses than professional nurses (OR = 2.76, p = 0.031) after adjusting for age, gender, education and years of work experience. Key barriers to adherence to standard protocols on NG tube feeding were: limited opportunities for in-service trainings and insufficiency of NG tube feeding protocols on the wards.
There is the need for more routine in-service trainings for nursing staff to update their knowledge on NG tube feeding. Hospital management should also make current nursing protocols available to nurses to guide their practice alongside routine onsite supervision of nurses.
在加纳，尽管处于危急医疗状况的患者通常采用鼻胃管饲法进行治疗，但关于护士对鼻胃管饲法标准操作规程的依从性数据仍然匮乏。本研究探讨了专业护士和辅助护士对鼻胃管饲法标准操作规程的自评依从性，以及阻碍他们遵守这些标准操作规程的感知障碍。
这是一项描述性分析横断面研究，研究对象为加纳十个行政区之一的一家大型转诊医院的专业护士（n = 89）和辅助护士（n = 24）。采用四点李克特量表来确定对鼻胃管标准指南的依从程度，范围从4“非常大程度”到1“非常小程度”。进行了威尔科克森曼 - 惠特尼检验和单变量有序逻辑回归检验（比例优势模型），以确定专业护士和辅助护士中自评较高的几率。
总体而言，在调整年龄、性别、教育程度和工作年限后，辅助护士对鼻胃管饲法标准护理规程自评较高的几率高于专业护士（OR = 2.76，p = 0.031）。遵守鼻胃管饲法标准规程的主要障碍包括：在职培训机会有限以及病房内鼻胃管饲法规程不足。
需要为护理人员提供更多常规在职培训，以更新他们关于鼻胃管饲法的知识。医院管理层还应向护士提供现行护理规程，以指导他们的实践，并同时对护士进行常规现场监督。
