Evaluation of community nurse-led traumatic tube displacements.

Q3 Nursing

British Journal of Community Nursing Pub Date : 2024-04-02 DOI:10.12968/bjcn.2024.29.4.162

Sophie Stenson, R. Capener, Julie Barker, Helen Hynes, Edmund Barron, Catherine Shakespeare, Su Brampton-Mortley, Jill Skelton, Laurie Cowell, Gary P Hubbard

{"title":"Evaluation of community nurse-led traumatic tube displacements.","authors":"Sophie Stenson, R. Capener, Julie Barker, Helen Hynes, Edmund Barron, Catherine Shakespeare, Su Brampton-Mortley, Jill Skelton, Laurie Cowell, Gary P Hubbard","doi":"10.12968/bjcn.2024.29.4.162","DOIUrl":null,"url":null,"abstract":"Home enteral tube feeding (HEF) has many benefits and is largely safe practice. Some complications have historically required intervention in the acute setting, including traumatic displacement of feeding tubes (i.e. internal bumper/balloon removed intact), and evidence to support the safe replacement of these tubes in the community is lacking. To address this, a service enabling community homecare nurses (CHN) to replace traumatically displaced feeding tubes was designed and evaluated. Adult patients presenting with a traumatically displaced feeding tube over 29 months were included in the service evaluation. Baseline characteristics and outcomes at day 1, 7 and 6 months post-replacement were recorded. A total of 71 tube replacements were performed by CHNs in 60 patients. No clinical complications were recorded at any follow-up points. A simple cost analysis estimated savings of £235 754.40. These results suggest that nurse-led replacement of traumatically displaced feeding tubes in adults in the community is low-risk and offers potential cost savings.","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"127 ","pages":"162-170"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Community Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12968/bjcn.2024.29.4.162","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}

引用次数: 0

Abstract

Home enteral tube feeding (HEF) has many benefits and is largely safe practice. Some complications have historically required intervention in the acute setting, including traumatic displacement of feeding tubes (i.e. internal bumper/balloon removed intact), and evidence to support the safe replacement of these tubes in the community is lacking. To address this, a service enabling community homecare nurses (CHN) to replace traumatically displaced feeding tubes was designed and evaluated. Adult patients presenting with a traumatically displaced feeding tube over 29 months were included in the service evaluation. Baseline characteristics and outcomes at day 1, 7 and 6 months post-replacement were recorded. A total of 71 tube replacements were performed by CHNs in 60 patients. No clinical complications were recorded at any follow-up points. A simple cost analysis estimated savings of £235 754.40. These results suggest that nurse-led replacement of traumatically displaced feeding tubes in adults in the community is low-risk and offers potential cost savings.

查看原文本刊更多论文

对由社区护士主导的外伤性插管置换术进行评估。

家庭肠管喂养（HEF）有很多好处，而且基本上是安全的做法。一些并发症历来需要在急诊环境中进行干预，包括喂食管的外伤性移位（即内部缓冲器/气球被完整取出），而在社区中安全更换这些喂食管的证据尚缺。为了解决这一问题，我们设计并评估了一项服务，使社区家庭护理护士（CHN）能够更换因外伤而移位的输液管。服务评估对象包括 29 个月内出现喂食管外伤移位的成人患者。记录了基线特征和更换后第 1 天、第 7 天和第 6 个月的结果。卫生保健护士共为 60 名患者进行了 71 次食管置换手术。所有随访点均未记录临床并发症。简单的成本分析估计可节省 235 754.40 英镑。这些结果表明，在社区由护士主导为成人更换外伤移位的输液管风险较低，并有可能节约成本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

British Journal of Community Nursing Nursing-Community and Home Care

CiteScore

1.40

自引率

0.00%

发文量

179

期刊介绍： British Journal of Community Nursing (BJCN) is the UK"s leading peer-reviewed journal for district nurses, containing the most up-to-date clinical coverage and research on primary care nursing. The journal promotes excellence in clinical practice with an emphasis on the sharing of expertise and innovation in district nursing. Articles are written by nurses from across the community nursing spectrum, and peer-reviewed by leading authorities in primary care to make sure that the journal addresses all aspects of the profession in a way that is relevant, intelligent and accessible, and so useful in daily practice.