Nurses' Competence in Gastric Ultrasound

NCT06320574 | Not Yet Recruiting

• 1 other identifier: 2023-16880
• Study Type: observational
• Target: 8
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of this observational cohort study is to investigate gastric ultrasound skills in surgical nurses. The main question it aims to answer is:

• how much training is required for surgical nurses to obtain competency in performing gastric ultrasound. Participants will follow a training involving
• theoretical background using e-learning, picture library and lecture
• practical skill development in an interactive hands-on workshop on live models directed by expert gastric ultrasonographer
• and formative assessments during training sessions scanning healthy volunteers by participants and examiners (expert gastric ultrasonographers).

Conditions

Gastric Content; Healthy Volunteers

Keywords

Gastric Ultrasound; Nurses; Training; Competency; point-of-care ultrasound

Outcome Measures

Primary Outcomes (1)

• Number of required training

  Main study endpoint was the number of scans nurses require to achieve sufficient competency in gastric ultrasound assessment. Competence was defined as 90% success rate in the 10 consecutive gastric ultrasound assessments.

  5 days of ultrasound assessment of 6 volunteers will be performed in 2 kind of prandial status (leading to 12 assessment per day)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Nurses employed at the gastro-intestinal and oncology department in the Radboudumc who underwent G-POCUS training The training goals are sufficient knowledge, skills, and attitude to achieve sufficient competence. The course will be divided into three components: 1) didactic teaching in an e-learning, study material, and picture library; 2) Interactive session consisting of a hands-on workshop by the expert sonographer and scanning of other trainees; 3) performing G-POCUS in healthy volunteers in a training environment with formal assessment.

You may qualify if:

• nurses with at least 1 year experience at the unit;
• nurses with a bachelor's degree in nursing;
• nurses with a particular interest in ultrasonography.
• nurses without previous experience in ultrasonography;
• no history of abnormal anatomy or surgery of the upper gastro-intestinal tract (previous oesophageal-, gastric-, or upper abdomen surgery, or hiatus hernia);
• no diabetes mellitus

You may not qualify if:

• subjects who do not provide written informed consent.

Sponsors & Collaborators

• Radboud University Medical Center: lead

Related Publications (6)

• Bouvet L, Mazoit JX, Chassard D, Allaouchiche B, Boselli E, Benhamou D. Clinical assessment of the ultrasonographic measurement of antral area for estimating preoperative gastric content and volume. Anesthesiology. 2011 May;114(5):1086-92. doi: 10.1097/ALN.0b013e31820dee48.

  PMID: 21364462 BACKGROUND

• Perlas A, Arzola C, Van de Putte P. Point-of-care gastric ultrasound and aspiration risk assessment: a narrative review. Can J Anaesth. 2018 Apr;65(4):437-448. doi: 10.1007/s12630-017-1031-9. Epub 2017 Dec 11.

  PMID: 29230709 BACKGROUND

• Perlas A, Van de Putte P, Van Houwe P, Chan VW. I-AIM framework for point-of-care gastric ultrasound. Br J Anaesth. 2016 Jan;116(1):7-11. doi: 10.1093/bja/aev113. Epub 2015 May 7. No abstract available.

  PMID: 25951832 BACKGROUND

• Lamm R, Collins M, Bloom J, Joel M, Iosif L, Park D, Reny J, Schultz S, Phillips B, Schwenk E, Costanzo C. Novice User Learning Curve for Handheld Gastric Point of Care Ultrasound Evaluations to Detect Delayed Return of Postoperative Peristalsis. Am Surg. 2023 Dec;89(12):6290-6292. doi: 10.1177/00031348231156770. Epub 2023 Feb 14. No abstract available.

  PMID: 36787243 BACKGROUND

• Arzola C, Carvalho JC, Cubillos J, Ye XY, Perlas A. Anesthesiologists' learning curves for bedside qualitative ultrasound assessment of gastric content: a cohort study. Can J Anaesth. 2013 Aug;60(8):771-9. doi: 10.1007/s12630-013-9974-y. Epub 2013 May 24.

  PMID: 23703533 BACKGROUND

• Brotfain E, Erblat A, Luft P, Elir A, Gruenbaum BF, Livshiz-Riven I, Koyfman A, Fridrich D, Koyfman L, Friger M, Grivnev A, Zlotnik A, Klein M. Nurse-performed ultrasound assessment of gastric residual volume and enteral nasogastric tube placement in the general intensive care unit. Intensive Crit Care Nurs. 2022 Apr;69:103183. doi: 10.1016/j.iccn.2021.103183. Epub 2021 Dec 16.

  PMID: 34924254 BACKGROUND

Study Officials

• Getty Huisman-de Waal, PhD

  Radboud University Medical Center

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Harm H.J. van Noort, RN, PhD

CONTACT

+3124-3613438; harm.vannoort@radboudumc.nl

Marijn Tacken, MD

CONTACT

+31631987843; marijn.tacken@radboudumc.nl

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 11, 2024
• First Posted: March 20, 2024
• Study Start: March 14, 2024
• Primary Completion: April 20, 2024
• Study Completion: August 1, 2024
• Last Updated: March 20, 2024

Record last verified: 2024-02