A Quasi-Experimental Study on the Impact of a Nasogastric Tube Placement Educational Program on Pediatric Nurses' Knowledge and Practices.

Abstract

Background: 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.

Objective: To evaluate the impact of a structured educational program on pediatric nurses' knowledge and practice in NGT placement.

Methods: 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.

Results: 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 (p < 0.01). A strong positive correlation was found between knowledge and practice levels both before and after the intervention (p < 0.01).

Conclusion: 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.