{"title":"Acquisition and retention of nursing competency for nasogastric feeding tube management: an integrative literature review.","authors":"Sharlene Haywood","doi":"10.1177/17449871241301340","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nasogastric feeding tube (NGT) management is generally undertaken by nurses. There is substantial data linking inadequate management with patient safety risks; however, evidence on nursing competence with this skill is scant.</p><p><strong>Objective: </strong>To evaluate the published and grey literature for adult nurses' acquisition and retention of competency for NGT management in the hospital setting.</p><p><strong>Design: </strong>Integrative review.</p><p><strong>Method: </strong>The following databases were searched: CINAHL Plus, MEDLINE and ERIC. In addition, the British Library, national and international healthcare and nutrition organisations were also searched. Titles and abstracts were reviewed for relevance.</p><p><strong>Results: </strong>Seventeen international studies were identified, the findings demonstrated nurses do not routinely review or update their skills regarding NGT management. Those that did utilised resources of poor evidence-based quality. Self-reporting tools identified poor adherence to organisational guidelines and unsafe practices. Education and training interventions had favourable results. However, follow-up assessments were at short post-intervention interval(s), and therefore were of doubtful reliability.</p><p><strong>Conclusion: </strong>The evidence for adult nurses to acquire and retain competency in NGT management in hospital settings is fragmented and not generalisable, calling for further research.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871241301340"},"PeriodicalIF":1.6000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089125/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Research in Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17449871241301340","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Nasogastric feeding tube (NGT) management is generally undertaken by nurses. There is substantial data linking inadequate management with patient safety risks; however, evidence on nursing competence with this skill is scant.
Objective: To evaluate the published and grey literature for adult nurses' acquisition and retention of competency for NGT management in the hospital setting.
Design: Integrative review.
Method: The following databases were searched: CINAHL Plus, MEDLINE and ERIC. In addition, the British Library, national and international healthcare and nutrition organisations were also searched. Titles and abstracts were reviewed for relevance.
Results: Seventeen international studies were identified, the findings demonstrated nurses do not routinely review or update their skills regarding NGT management. Those that did utilised resources of poor evidence-based quality. Self-reporting tools identified poor adherence to organisational guidelines and unsafe practices. Education and training interventions had favourable results. However, follow-up assessments were at short post-intervention interval(s), and therefore were of doubtful reliability.
Conclusion: The evidence for adult nurses to acquire and retain competency in NGT management in hospital settings is fragmented and not generalisable, calling for further research.
期刊介绍:
The Journal of Research in Nursing is a leading peer reviewed journal that blends good research with contemporary debates about policy and practice. The Journal of Research in Nursing contributes knowledge to nursing practice, research and local, national and international health and social care policy. Each issue contains a variety of papers and review commentaries within a specific theme. The editors are advised and supported by a board of key academics, practitioners and policy makers of international standing. The Journal of Research in Nursing will: • Ensure an evidence base to your practice and policy development • Inform your research work at an advanced level • Challenge you to critically reflect on the interface between practice, policy and research