Mohammed Shimmaa Mansour Moustafa, Mohamed Gihan, Almushawah Raghad
Department of Nursing, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia.
SAGE Open Nurs. 2025 Jul 17;11:23779608251360285. doi: 10.1177/23779608251360285. eCollection 2025 Jan-Dec.
Nasogastric tube (NGT) feeding is the preferred method of delivering nutrients to children who cannot tolerate oral feeding and medication. However, there are various risks associated with NGT misplacement.
To evaluate the impact of a structured educational program on pediatric nurses' knowledge and practice in NGT placement.
This quasi-experimental study was conducted among 130 nurses in two hospitals in Saudi Arabia. Pretest and posttest data were collected using a questionnaire and an observational checklist. The educational program included theoretical and practical sessions on the recommended best practices for NGT placement and location verification in pediatric patients.
Prior to the intervention, more than half (53.1%) had unsatisfactory knowledge, and 59.5% exhibited incompetent practice regarding NGT placement. Significant improvements were observed following the educational program. Postintervention, 90% of the nurses demonstrated satisfactory knowledge, and 88.5% exhibited competent practice ( < 0.01). A strong positive correlation was found between knowledge and practice levels both before and after the intervention ( < 0.01).
The educational program on NGT placement significantly improved pediatric nurses' knowledge and promoted best practices, thereby increasing patient safety. It is recommended that structured training and simulation-based refreshers be incorporated into continuing nursing education to sustain safe and effective NGT practice.
鼻胃管（NGT）喂养是向无法耐受经口喂养和用药的儿童输送营养的首选方法。然而，鼻胃管误置存在多种风险。
评估一项结构化教育计划对儿科护士在鼻胃管放置方面的知识和实践的影响。
这项准实验研究在沙特阿拉伯两家医院的130名护士中进行。使用问卷和观察清单收集预测试和后测试数据。该教育计划包括关于儿科患者鼻胃管放置和位置验证的推荐最佳实践的理论和实践课程。
在干预之前，超过一半（53.1%）的护士知识水平不令人满意，59.5%的护士在鼻胃管放置方面表现不熟练。教育计划实施后观察到显著改善。干预后，90%的护士知识水平令人满意，88.5%的护士表现熟练（<0.01）。干预前后知识水平与实践水平之间均发现强正相关（<0.01）。
关于鼻胃管放置的教育计划显著提高了儿科护士的知识水平并推广了最佳实践，从而提高了患者安全性。建议将结构化培训和基于模拟的进修纳入继续护理教育，以维持安全有效的鼻胃管操作实践。
