Discuss similar instructions on how to insert an NG tube correctly.Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles.
Nursing
Part one
Write a 3-page paper that includes the following:
• A summary of your area of interest, an identification of the problem that you have selected, and an
explanation of the significance of this problem for nursing practice
• The 5 questions you have generated and a description of how you analyzed them for feasibility
• Your preliminary PICOT question and a description of each PICOT variable relevant to your question
• At least 10 possible keywords that could be used when conducting a literature search for your PICOT
question and a rationale for your selections
Part 2
Write a 3-page literature review that includes the following:
• A synthesis of what the studies reveal about the current state of knowledge on the question that you
developed
• Point out inconsistencies and contradictions in the literature and offer possible explanations for
inconsistencies.
• Preliminary conclusions on whether the evidence provides strong support for a change in practice or
whether further research is needed to adequately address your inquiry
• Your literature review summary table with all references formatted in correct APA style
Part 3
3 pages
• Restate your PICOT question and its significance to nursing practice.
• Summarize the findings from the articles you selected for your literature review. Describe at least
one nursing practice that is supported by the evidence in the articles. Justify your response with
specific references to at least 2 of the articles.
• Explain how the evidence-based practice that you identified contributes to better outcomes. In
addition, identify potential negative outcomes that could result from failing to use the evidence-based
practice.
• Outline the strategy for disseminating the evidence-based practice that you identified throughout your
practice setting. Explain how you would communicate the importance of the practice to your colleagues.
Describe how you would move from disseminating the information to implementing the evidence-based
practice within your organization. How would you address concerns and opposition to the change in
practice?
In addition, include a 1-page summary of your project
Correct Placement of a Nasogastric Tube and Verification
This a version of the paper I started
According to Polit & Beck, “Evidence based practice relies on meticulous integration of research
evidence on a topic. The emphasis on best evidence in EBP implies that evidence about a clinical problem
has gathered, evaluated, and synthesized so that conclusions can be drawn about the most effective
practices” (pg. 30 ). The literature and evidence I reviewed on the correct placement of a NG tube
discussed similar instructions on how to insert an NG tube correctly.
In majority of the literature reviewed highlights were placed on standard precautions, teaching and
patient’s cooperation during the procedure. Prior to the procedure the nurse should always review the
facility policy and procedure regarding inserting a NG tube. The benefits and risk should also be
discussed with the patient/family. According the article, Nasogastric Feeding Tube, “The primary risk of
inserting a NG tube if it’s not properly inserted, it can injure the tissue inside the sinuses, throat,
esophagus, or stomach. Tubes can also mistakenly be placed into the lungs: food and medicine may pass
into the lungs if this were to occur” (Medline, 2012). In order to prevent these complications from
occurring, prior to using the tube the placement should be confirmed by x-ray.
The literature provided different pros and cons through evidence when assessing the correct placement of
an NG Tube. Similarities in literature noted verification can vary depending on hospital protocol. For
example, some of the literature suggest assessing the abdomen and listening for air better known as the
auscultation method but this method alone should not be used for confirmation of NG Tube. Other methods
such as aspirating the gastric contents and testing the Ph to confirmed placement is not always a
reliable confirmation as well. More studies could be performed to best understand how to prevent pH
testing mistakes to adequately measure and test the contents. And lastly a method involves observing
bubbles when the end of the feeding tube is placed under water. This method is also unreliable. “the
appearance of bubbles is thought to indicate that the feeding tube is misplaced in the respiratory
tract. However, bubbling can also occur when feeding tubes are placed in the gastrointestinal tract.10
Also, the absence of bubbles does not rule out respiratory placement if the tube’s ports are occluded by
the respiratory mucosa” ( Lemyze, 2010). These following methods have traditionally been used to verify
feeding tube placement at the bedside.
Evidence based practice supports that the best method for confirmation is taking an x-ray to confirm
placement.
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