الفهرس 
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Abstract
SUMMARY
Critically ill patients need parenteral or enteral feeding due to the impossibility of feeding them orally. The nasogastric tube is the most used way for administering EF to critically ill patients because of its easier and physiological access. Early EF plays an important role in caring for these patients to ensure optimal recovery (The Spanish Centre for Evidence Based Nursing, 2012).
Aim of the study
This study aimed to assess nurses’ performance regarding nasogastric tube feeding among critically ill patient.
This aim would be achieved through the following:
1. Assess the nurses’ knowledge regarding nasogastric tube feeding among critically ill patients.
2. Assess the nurses’ practice regarding nasogastric tube feeding among critical ill patients.
3. Assess the nurses’ attitude regarding nasogastric tube feeding among critical ill patients.
Research question:
1. What are the nurses’ knowledge, practices and attitudes regarding nasogastric tube feeding among critically ill patients at critical care unit?
2. What are the relation between nurses’ knowledge, practices and attitudes regarding nasogastric tube feeding among critically ill patients at critical care unit?
Research design:
A descriptive design used in carrying out the study.
Methodology:
Setting:
The study was conducted at Cairo University Hospitals in two critical care units (critical care unit 3, and emergency department 5).
Subject:
This study included all available nurses in the above mentioned settings. Interview questionnaire is applied with forty nurses; 12 from emergency department 5, 28 from critical care units. The study included nurses from both genders, with different ages, educational levels and years of experience.
Tools of data collection:
Three tools were used in the current study as the following:
1. Self-administered questionnaire sheet: this tool was developed by researcher in Arabic language to suit the nurses’ level of understanding and divided into two parts as follows:
A) Demographic characteristics of nurses: include age, gender, level of education, years of experience and previous courses.
B) Nurses’ knowledge: this part was developed by the researcher after reviewing the recent and relevant literature. As regard definition, indications, contraindication, complications and preventive measures and technique before, during and after procedures.
II) Nurses practices observational checklists: consists of 40 steps to assess nurses’ practice related to care before, during and after nasogastric tube feeding.
III) Nurses attitude questionnaire sheet: consists of 28 statements to assess nurses’ attitude regarding nasogastric tube feeding.
Results:
Results of this study showed that:
• More than half of the nurses under study (52.5%) their age less than 25 years with a mean age of 26.60 ± 5.128. in relation to gender, less than two thirds of the nurses under study (62.5%) were females. Regarding years of experience in ICU, around two thirds of the nurses under study (65%) were having less than 5 years of experience with a mean of 5.77 ± 5.517. As regard academic qualifications, less than half of the nurses under study (47.5%) carrying technical nursing institute certificate. Concerning previous courses, most of the nurses under study (82.5%) has no previous training courses.
• Two third of the nurses under study (67.5%) had satisfactory level of general knowledge.
• More than half of the nurses under study (60%) had unsatisfactory level of practice.
• Less than half of the nurses under study (47.5%) had positive attitude regarding NGT feeding.
• A statistically significance relation was found between nurses’ level of knowledge, practice and attitude.
• A statistically significance relation was found between nurses level of knowledge and their age, gender, years of experience and level of education.
• A statistically significance relation was found between nurses level of practice and their age and years of experience.
• A statistically significance relation was found between nurses level of attitude and their years of experience.
Conclusion:
Based on findings of the current study, it can be concluded that:
Critical care nurses had satisfactory level of knowledge. However, they had unsatisfactory level of practice and positive attitude regarding nasogastric tube feeding among critically ill patient and there were statistically significance relation between level of knowledge, practice and attitude. There are significant correlation between nurses’ level of knowledge and their age, years of experience and level of education. There are significant correlation between nurses’ level of practice and their age and years of experience. There are significant correlation between nurses’ level of attitude and their years of experience.
Recommendations
The results of this study projected the following recommendations:
• Designing nurses’ educational program to improve their knowledge for nasogastric tube.
• Procedure book should be available in ICU as a reference for all nurses.
Recommendations for future:
• Setup a project that aims to improve nurses’ performance by implementing evidence based practice.
• Ongoing monitoring of staff nurses’ practice by head and charge nurses when caring for patients who receiving nasogastric tube feeding and provision of guidance to correct poor practices.