Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses

BMC Health Services Research

Prudence Portia Mwini-Nyaledzigbor¹  Richard Naatu Tizaawaw²  Japiong Milipaak²  Agani Afaya²  Richard Tsikata²  Cecilia Aba Ata Awortwi²  Solomon Mohammed Salia²  Prince Asante Tannor²  Perpetual Praba Quaw²  Robert Kaba Alhassan³  Martin Amogre Ayanore⁴ 

[1] Department of Midwifery, School of Nurising and Midwifery, University of Health and Allied Sciences;Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences;Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences;School of Public Health, University of Health and Allied Sciences;

关键词: Adherence;    Auxiliary nurses;    Nursing practice;    Ghana;    Nasogastric (NG) tube feeding;    Professional nurses;   

DOI  :  10.1186/s12913-019-3931-6

来源: DOAJ

【 摘 要 】

Abstract Background Data on nurses’ adherence to standard protocol on nasogastric (NG) tube feeding remain scanty in Ghana even though patients in critical medical conditions are routinely managed using this procedure. This study explored self-rated adherence to standard protocols on NG tube feeding among professional and auxiliary nurses and the perceived barriers impeding compliance to these standard protocols. Methods This is a descriptive analytical cross-sectional study among professional (n = 89) and auxiliary (n = 24) nurses in a major referral hospital in one of the ten administrative regions in Ghana. Four-point Likert scale was used to ascertain the level of adherence to standard guidelines on nasogastric tube, ranging from 4 “Very large extent” to 1 “Very little extent”. Wilcoxon Mann-Whitney test and univariate ordered logistic regression tests (proportional odds models) were performed to determine the odds of higher self-ratings among professional and auxiliary nurses. Results Overall, the odds of higher self-ratings on adherence to standard nursing protocols on NG tube feeding was higher among auxiliary nurses than professional nurses (OR = 2.76, p = 0.031) after adjusting for age, gender, education and years of work experience. Key barriers to adherence to standard protocols on NG tube feeding were: limited opportunities for in-service trainings and insufficiency of NG tube feeding protocols on the wards. Conclusion There is the need for more routine in-service trainings for nursing staff to update their knowledge on NG tube feeding. Hospital management should also make current nursing protocols available to nurses to guide their practice alongside routine onsite supervision of nurses.

【 授权许可】

Unknown