Acquisition and retention of nursing competency for nasogastric feeding tube management: an integrative literature review.

Background: Nasogastric feeding tube (NGT) management is generally undertaken by nurses. There is substantial data linking inadequate management with patient safety risks; however, evidence on nursing competence with this skill is scant. Objective: To evaluate the published and grey literature for adult nurses' acquisition and retention of competency for NGT management in the hospital setting. Design: Integrative review. Method: The following databases were searched: CINAHL Plus, MEDLINE and ERIC. In addition, the British Library, national and international healthcare and nutrition organisations were also searched. Titles and abstracts were reviewed for relevance. Results: Seventeen international studies were identified, the findings demonstrated nurses do not routinely review or update their skills regarding NGT management. Those that did utilised resources of poor evidence-based quality. Self-reporting tools identified poor adherence to organisational guidelines and unsafe practices. Education and training interventions had favourable results. However, follow-up assessments were at short post-intervention interval(s), and therefore were of doubtful reliability. Conclusion: The evidence for adult nurses to acquire and retain competency in NGT management in hospital settings is fragmented and not generalisable, calling for further research.