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Approaches Used by Nurses in the Care of Patients with Nasogastric Intubation (NG Tubes) at the Laquintinie Hospital Douala Cameroon

Received: 23 September 2016     Accepted: 1 October 2016     Published: 2 November 2016
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Abstract

The general objective of this work was to assess approaches used by the nurses at the Laquintinie Hospital Douala in the care of patients with NG Tubes and so identify the challenges nurses faced when caring for patients with NG tubes. It was a descriptive cross sectional study design carried out from April to June, the sample technique and study population involved 20 nurses working at the medical, paediatric intensive care unit and the surgical unit, the data was collected using an observation and interview guide. The result collected shows that only (53%) of the nurse were able to manage patient effectively. From the findings of this work it is concluded that only few of the nurses could actually carry out care on patient with NG tubes effectively and all (75%) of the nurses who had carried out nasogastric intubation on patients had challenges like patient refusal to coorperate as they were educated on the importance of the procedure. Based on the findings the following recommendations were made like, the nurses at the L.H.D should attend seminars on the different strategies used in the care of patients with NG tubes. The nurses should also go in for more research on internet, textbooks and journals.

Published in Journal of Family Medicine and Health Care (Volume 2, Issue 4)
DOI 10.11648/j.jfmhc.20160204.12
Page(s) 30-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Nasogastric, Intubation, Patience, Cameroon

References
[1] Sano, N., Yamamoto, M., Nagai, K., Yamada, K., & Ohkohchi, N. (2016). Nasogastric tube syndrome induced by an indwelling long intestinal tube. World Journal of Gastroenterology, 22(15), 4057–4061. http://doi.org/10.3748/wjg.v22.i15.4057
[2] Vinay, H. G., Raza, M., & Siddesh, G. (2015). Elective Bowel Surgery with or without Prophylactic Nasogastric Decompression: A Prospective, Randomized Trial. Journal of Surgical Technique and Case Report, 7 (2), 37–41. http://doi.org/10.4103/2006-8808.185654
[3] Tsai Y. F., Luo CF, illias A., Lincc, Hu Hp. Nasogastric tube insertion in anesthetized and intubated patients: A New and reliable method; BMC Gastroenterol, 2012: 12-99. Williams T.M, (2016). Nasogastric tube feeding: a safe option for patients? Br J Community Nurs. 2016 Jun-Jul; Suppl Nutrition: S28-31. doi: 10.12968/bjcn.2016.21.Sup7.S28.
[4] Fan L, Liu Q, Gui L, (2016). Efficacy of nonswallow nasogastric tube intubation: a randomised controlled trial. J Clin Nurs. 2016 May 24. doi: 10.1111/jocn.13398. [Epub ahead of print]
[5] Nejo T, Oya S, Tsukasa T, Yamaguchi N, Matsui T, (2016). Limitations of Routine Verification of Nasogastric Tube Insertion Using X-ray and Auscultation: Two Case Reports of Life-Threatening Complications. Nutr Clin Pract. 2016 May 13. pii: 0884533616648324. [Epub ahead of print].
[6] Saima S, Asai T, Okuda Y. The Use of a Tracheal Tube for Guiding Nasogastric Tube Insertion. Masui. 2016 Apr; 5(4):421-3.
[7] Manning CT, Buinewicz JD, Sewatsky TP, Zgonis E, Gutierrez K, O'Keefe MF, Freeman K. Does Routine Midazolam Administration Prior to Nasogastric Tube Insertion in the Emergency Department Decrease Patients' Pain? (A Pilot Study). Acad Emerg Med. 2016 Jul; 23 (7): 766-71. doi: 10.1111/acem.12961.
[8] Bureau of Medicine and Surgery. Department of the Nauy 2300 E Street NW Washington, D. C. 20372-5300, Operational Medicine Health Care in the Military Settings CAPT Michael John Hughey, MC, USNR, NAUMED P-5139 (2011).
[9] National Patient Safety Agency (2007). Advice to the NHS on reducing harm caused by the misplacement of nasogastric feeding tubes. Update February 2007, Nasogastric incidents: Summary update London: NPSA. http://tinyurl.com/nasogastric-feeding
[10] Dourgault, A. M., Ipe, L., Wealler, J., Swartz, S. & O’Dea: P. J. (2007). Knowledge of enteral feeding development of evidence-based guidelines and critical care nurses. 27 (4), 17-29. Retrieved from http://cca.aacnjournals.org/content/27/4/17.full.pdf
[11] Bercik P., Schlageter V. Marvo M. Rawlinson J. Kucera P., Amstrong D., Non Invasive Verification of NG tube placement using a magnet-tracking system JPEN J. Parenter Enteral Nutrition (2005, 29 (4: 305-10).
[12] Grol R., Wensing M. Eales M.: Improving Patient Care: The Implementation of Change in Clinical Practice. Heinemann Edinburgh: Elsevier Butterworth: 2005.
[13] Stock, A. et al., (2008), Confirming Nasogastric tube position in the emergency department. pH testing is reliable. Pediatric Emergency Care: 24: 12, 805-9
[14] Brook, C. and Waught, A. (2007/Foundation of Nursing Practice. Fundamentals of Holistic care 3rd Ed. London. J.B. Lippincott, Company p2. 48-130.
[15] Smeltszer, S. C., Bare, B. G. (2004). Brunner & Suddarth’s Textbook of Medical Surgical Nursing. Philadelphia Lippincott.
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  • APA Style

    Samuel Nambile Cumber, Ngo Minette Akama, Lydia A gbor-Mbeng Nkongho. (2016). Approaches Used by Nurses in the Care of Patients with Nasogastric Intubation (NG Tubes) at the Laquintinie Hospital Douala Cameroon. Journal of Family Medicine and Health Care, 2(4), 30-35. https://doi.org/10.11648/j.jfmhc.20160204.12

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    ACS Style

    Samuel Nambile Cumber; Ngo Minette Akama; Lydia A gbor-Mbeng Nkongho. Approaches Used by Nurses in the Care of Patients with Nasogastric Intubation (NG Tubes) at the Laquintinie Hospital Douala Cameroon. J. Fam. Med. Health Care 2016, 2(4), 30-35. doi: 10.11648/j.jfmhc.20160204.12

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    AMA Style

    Samuel Nambile Cumber, Ngo Minette Akama, Lydia A gbor-Mbeng Nkongho. Approaches Used by Nurses in the Care of Patients with Nasogastric Intubation (NG Tubes) at the Laquintinie Hospital Douala Cameroon. J Fam Med Health Care. 2016;2(4):30-35. doi: 10.11648/j.jfmhc.20160204.12

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  • @article{10.11648/j.jfmhc.20160204.12,
      author = {Samuel Nambile Cumber and Ngo Minette Akama and Lydia A gbor-Mbeng Nkongho},
      title = {Approaches Used by Nurses in the Care of Patients with Nasogastric Intubation (NG Tubes) at the Laquintinie Hospital Douala Cameroon},
      journal = {Journal of Family Medicine and Health Care},
      volume = {2},
      number = {4},
      pages = {30-35},
      doi = {10.11648/j.jfmhc.20160204.12},
      url = {https://doi.org/10.11648/j.jfmhc.20160204.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20160204.12},
      abstract = {The general objective of this work was to assess approaches used by the nurses at the Laquintinie Hospital Douala in the care of patients with NG Tubes and so identify the challenges nurses faced when caring for patients with NG tubes. It was a descriptive cross sectional study design carried out from April to June, the sample technique and study population involved 20 nurses working at the medical, paediatric intensive care unit and the surgical unit, the data was collected using an observation and interview guide. The result collected shows that only (53%) of the nurse were able to manage patient effectively. From the findings of this work it is concluded that only few of the nurses could actually carry out care on patient with NG tubes effectively and all (75%) of the nurses who had carried out nasogastric intubation on patients had challenges like patient refusal to coorperate as they were educated on the importance of the procedure. Based on the findings the following recommendations were made like, the nurses at the L.H.D should attend seminars on the different strategies used in the care of patients with NG tubes. The nurses should also go in for more research on internet, textbooks and journals.},
     year = {2016}
    }
    

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    T1  - Approaches Used by Nurses in the Care of Patients with Nasogastric Intubation (NG Tubes) at the Laquintinie Hospital Douala Cameroon
    AU  - Samuel Nambile Cumber
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    AB  - The general objective of this work was to assess approaches used by the nurses at the Laquintinie Hospital Douala in the care of patients with NG Tubes and so identify the challenges nurses faced when caring for patients with NG tubes. It was a descriptive cross sectional study design carried out from April to June, the sample technique and study population involved 20 nurses working at the medical, paediatric intensive care unit and the surgical unit, the data was collected using an observation and interview guide. The result collected shows that only (53%) of the nurse were able to manage patient effectively. From the findings of this work it is concluded that only few of the nurses could actually carry out care on patient with NG tubes effectively and all (75%) of the nurses who had carried out nasogastric intubation on patients had challenges like patient refusal to coorperate as they were educated on the importance of the procedure. Based on the findings the following recommendations were made like, the nurses at the L.H.D should attend seminars on the different strategies used in the care of patients with NG tubes. The nurses should also go in for more research on internet, textbooks and journals.
    VL  - 2
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Author Information
  • Discipline of Public Health Medicine, Department of Nursing & Public Health, College of Health Sciences, University of Kwazulu-Natal, Durban, South Africa

  • Under Privileged Children and Women Assistance (UPCAWA-SWEDEN), Branch Researcher, Buea, Cameroon

  • Under Privileged Children and Women Assistance (UPCAWA-SWEDEN), Branch Researcher, Buea, Cameroon

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