College of Nursing, University of Central Florida, Orlando, Florida, USA.
Orlando Health, Orlando, Florida, USA.
Int J Nurs Pract. 2022 Apr;28(2):e13026. doi: 10.1111/ijn.13026. Epub 2021 Oct 19.
This qualitative study explored de-implementation of feeding tube auscultation practice in adult patients by critical care nurses.
Despite years of evidence suggesting inaccuracy and harm, auscultation (air bolus method) continues to be used by the majority of critical care nurses to verify small-bore feeding tube placement in adults.
This descriptive qualitative study used thematic analysis with telephone interview data.
Fourteen critical care nurses from four stratified groups within the United States (by hospital type and auscultation practice) participated in telephone interviews.
Two major themes of individual influence and organizational leadership emerged from the data. Categories identified key components required for auscultation de-implementation.
Nurses feel obligated to follow hospital policies and expressed less accountability for their own practice. Organizational leadership involvement is recommended to facilitate de-implementation of this tradition-based, low-value practice and mitigate harm events.
本定性研究探讨了重症监护护士对成人患者实施停止听诊法验证经鼻饲管置管位置的实践。
尽管多年来已有证据表明听诊法（空气冲管法）不准确且会造成危害，但大多数重症监护护士仍在使用该方法来验证成人使用的小口径经鼻饲管的位置。
本描述性定性研究采用了主题分析法，并结合了电话访谈数据。
来自美国的 4 个分层组（按医院类型和听诊法实践分层）的 14 名重症监护护士参与了电话访谈。
数据中出现了个体影响和组织领导力两个主要主题。确定的类别包含了停止听诊法所需的关键组成部分。
护士感到有义务遵守医院政策，对自己的实践则较少承担责任。建议组织领导力参与，以促进这一基于传统、低价值实践的停止，并减轻危害事件。
