Nasogastric tube tune-up: Surgical residents and med-surg nursing achieve proficiency in a standardized protocol after targeted education

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-07-26 DOI:10.1016/j.amjsurg.2025.116531

Vika Guloyan , Richard W. Walsh , Angela Atkinson , Ally Wong , Daniel Dent , Jason W. Kempenich

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Abstract

Most small bowel obstructions (SBO) are managed via a nasogastric tube (NGT). In our facility we noted non-uniformity in NGT management between physicians and nurses. We compared skills in connection and troubleshooting of NGTs between surgical residents and nurses. A total of 37 surgical residents and 36 nurses completed the study with near equal scoring on connection of NGTs out of four (2.7 vs 2.78, p = .82), but residents scored higher on troubleshooting out of five (3.47 vs 1.8, p < .001). Nurses with ten or more years of experience (n = 7) did significantly better on pre-intervention simulation compared to less experienced nurses (n = 22) (6.29/9 vs 3.9/9, p = .014). Both nursing and residents had significant improvement in connection and troubleshooting after viewing an educational video. Targeted education leads to consistency in performance between the groups and may in turn lead to improved collaboration.

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鼻胃管调整：外科住院医师和内科-外科护理人员经过有针对性的教育，熟练掌握标准化的方案

大多数小肠阻塞（SBO）通过鼻胃管（NGT）进行治疗。在我们的设施中，我们注意到医生和护士之间在NGT管理方面的不一致性。我们比较了外科住院医师和护士在NGTs连接和故障排除方面的技能。总共有37名外科住院医生和36名护士完成了这项研究，在4名患者中，他们在ngt连接方面的得分几乎相等（2.7比2.78,p = .82），但住院医生在5名患者中，在故障排除方面得分更高(3.47比1.8,p <；措施)。具有10年及以上经验的护士（n = 7）在干预前模拟方面明显优于经验不足的护士（n = 22）（6.29/9 vs 3.9/9, p = 0.014）。在观看了教育视频后，护理人员和住院医生在连接和故障排除方面都有了显著的改善。有针对性的教育导致小组之间表现的一致性，并可能反过来导致改进的协作。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.