Evidence-based Practice in the Management of Gastric Tube Placement in Children
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 18
SponsorChildren's Hospital of Fudan University
About this trial
This multi-center quality improvement project aims to enhance gastric tube placement practices for children by systematically reviewing the latest evidence. The project team will identify gaps between current practices and best evidence, analyze barriers to implementing evidence-based guidelines, and develop strategies to facilitate their integration into clinical settings. The focus will also be on improving the knowledge and skills of pediatric nurses through targeted education and support. Ultimately, this initiative seeks to ensure the safety and effectiveness of gastric tube placement in the pediatric population, leading to better patient outcomes and higher standards of care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Nurses who hold a valid and legal nursing license.
Nurses who have at least 1 year of clinical nursing experience in pediatric care.
Nurses who are on leave or not on duty.
Nurses working in departments such as the operating room or intravenous compounding center, where nasogastric tube placement is not routinely performed.
Trial design
Design model
Single group
Treatments tested in this trial
Evidence-based gastric placement
BehavioralEstablish an enteral nutrition management team and develop standardized procedures through a quality improvement project. Conduct a 3-month quality improvement initiative, during which regular training sessions will be provided to nurses on gastrointestinal tube placement and maintenance. These training sessions will include various formats such as lectures, group discussions, operational demonstrations, and scenario simulations, along with regular reviews of practical issues.
Treatment groups
2,750 Participants
are divided into 1 treatment groupGroup A: Evidence-based gastric tube placementExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Compliance rate of gastric tube placement protocols among pediatric nursing staff
The total number of gastric tube placement procedures performed by nursing staff during the study period will be the denominator, while the number of procedures that comply with best evidence practice will be the numerator.
Time frame
From baseline to the end of the 3 months implementationSecondary outcomes
1
Effects of evidence-based best practice interventions
First-attempt Success Rate of placement: The number of successful placements of the gastric tube at the correct position on the first attempt as the numerator, and the total number of placement attempts as the denominator. Adverse Event Rate: The number of adverse events occurring during placement as the numerator, and the total number of placement attempts as the denominator.
Time frame
From baseline to the end of the 3 months implementation2
Pediatric nursing staff's personal knowledge level of gastric tube placement
"Nurses' knowledge of gastric tube placement questionnaire", a self-designed questionnaire was used to compare the correct rate before and after the intervention to test the intervention effect.
Time frame
From baseline to the end of the 3 months implementationSponsors and contacts
Click on the lead sponsor to view all of their trials.
Children's Hospital of Fudan University
Lead sponsor
Guangzhou Women and Children's Medical Center
Collaborator
Children's Hospital of Chongqing Medical University
Collaborator
Gansu Provincial Maternity and Child-care Hospital/Gansu Provincial Central Hospital
Collaborator
Hunan Children's Hospital
Collaborator
The Children's Hospital of Zhejiang University School of Medicine
Collaborator
The First Hospital of Jilin University
Collaborator
Jinan Maternity and Child Health Care Hospital
Collaborator
Henan Provincial People's Hospital
Collaborator
Shengjing Hospital
Collaborator
Shenzhen Children's Hospital
Collaborator
Kunming Children's Hospital
Collaborator
Tongji Hospital
Collaborator
Anhui Provincial Children's Hospital
Collaborator
Children's Hospital of Nanjing Medical University
Collaborator
Children's Hospital of Soochow University
Collaborator
The First People's Hospital of Urumqi （Urumqi Children's Hospital)
Collaborator
Peking University First Hospital
Collaborator
Qingdao Women and Children's Hospital
Collaborator
Capital Center for Children's Health,Capital Medical University
Collaborator
Beijing Children's Hospital
Collaborator
West China Second University Hospital
Collaborator
Source ClinicalTrials.gov