I see, I learn, I do: Development and evaluation of a video-enhanced nasogastric tube feeding training programme for caregivers.
Megan Wai Sze Kwok, George Frederick Glass, Samantha Loke and 2 others
PMID 36419224WHAT IT FOUND
The video, booklet and bedside practice package did not clearly reduce time to competency or knowledge gain, but caregivers did more correct steps at their first attempt, median 7 of 8 versus 5.
Key findings
01Caregivers who received the video-enhanced package performed a median of 7.0 correct steps at their first hands-on practice, compared with 5.0 correct steps for caregivers who received standard education.
02Practice sessions to gain competency were not significantly different (p = .17); both groups had a median of 5.0 sessions, but the 75th percentile was 6.0 sessions in the video-enhanced group and 9.3 sessions in the standard group.
03Change in NGT knowledge was 1.0 points out of 7 in the video-enhanced group and 0.5 points out of 7 in the standard group, with p = .05 reported as not statistically significant.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Caregivers were not randomly assigned. Allocation depended on enrollment period, so changes in ward practice or staff over time could have influenced results. Thirty-five of 147 recruited caregivers were lost to follow-up. The study measured short-term training outcomes before discharge, not home feeding practice, complications or long-term knowledge. Both groups received booklet and bedside practice, so the effect of the video alone cannot be separated from the full package. Ward nurses delivered training and assessment, and the same nurse did not train and assess all participants. The paper lists three outcomes and does not name one as primary, so the order of importance is not fixed.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that the video alone caused the improvement, shortened hospital stay or reduced feeding complications. The package also included a booklet and bedside practice, time to competency was not significant, and the study measured outcomes only before discharge.