Evidence map›Paper›PMID 30760260›Full record

ArticleBMC health services research2019

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

Robert Kaba Alhassan, Richard Tsikata, Richard Naatu Tizaawaw, Prince Asante Tannor, Perpetual Praba Quaw, Cecilia Aba Ata Awortwi, Martin Amogre Ayanore, Agani Afaya, Solomon Mohammed Salia, Japiong Milipaak and 1 more

Abstract readComparative Study
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Robert Kaba AlhassanDepartment of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho. PMB 31, Volta Region, Ho, Ghana. arkabason@gmail.com.ORCID http://orcid.org/0000-0003-4227-4854
Richard TsikataDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Richard Naatu TizaawawDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Prince Asante TannorDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Perpetual Praba QuawDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Cecilia Aba Ata AwortwiDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Martin Amogre AyanoreSchool of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Agani AfayaDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Solomon Mohammed SaliaDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Japiong MilipaakDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Prudence Portia Mwini-NyaledzigborDepartment of Midwifery, School of Nurising and Midwifery, University of Health and Allied Sciences, Ho, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData 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.

methodsThis 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.

resultsOverall, 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.

conclusionThere 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.

Indexed as

AdultCross-Sectional StudiesEnteral NutritionFemaleGhanaHumansIntubation, GastrointestinalMaleMiddle AgedNursing AssessmentNursing AssistantsNursing Staff, HospitalSecondary Care CentersSelf EfficacySurveys and QuestionnairesAdherenceAuxiliary nursesGhanaNasogastric (NG) tube feedingNursing practiceProfessional nursesSecondary referral hospitalStandard nursing protocols

Identifiers

PMID30760260
PMCPMC6375159

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.