Evidence-based Practice in the Management of Gastric Tube Placement in Children

NCT07038538 | Recruiting

• 1 other identifier: CHFudanU1110
• Study Type: interventional
• Target: 2,750
• Locations: 1 country
• Sites: 22

Brief Summary

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.

Conditions

Hospitalized Children; Nursing; Enteral Nutrition Therapy

Keywords

Quality Improvement; Before-and-After Comparison; Cognitive and behavior

Outcome Measures

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.

  From baseline to the end of the 3 months implementation

Secondary Outcomes (2)

• Effects of evidence-based best practice interventions

  From baseline to the end of the 3 months implementation

• Pediatric nursing staff's personal knowledge level of gastric tube placement

  From baseline to the end of the 3 months implementation

Study Arms (1)

Evidence-based gastric tube placement

EXPERIMENTAL

To implement gastric tube placement management scheme, then observe the continuous changes.

Behavioral: Evidence-based gastric placement

Interventions

Evidence-based gastric placement BEHAVIORAL

Establish 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.

Evidence-based gastric tube placement

Eligibility Criteria

• Age: Up to 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may not qualify if:

• 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.
• Nurses who are in training or on internships.
• Hospitalized children Aged 0-18 years.
• Scheduled for nasogastric tube placement.
• Parents or legal guardians have signed the informed consent form, agreeing to the child's participation in the study.
• Presence of severe complications or unstable medical conditions.
• Nasogastric tube is intended for gastrointestinal decompression, drainage, or venting.

Sponsors & Collaborators

• Children's Hospital of Fudan University: lead
• 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
• Children's Hospital, 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

Study Sites (22)

Children's Hospital of Fudan University

Shanghai, Minhang, 201102, China

RECRUITING

Beijing Children's Hospital, Capital Medical University

Beijing, China

RECRUITING

Capital Center for Children's Health,Capital Medical University

Beijing, China

RECRUITING

Peking University First Hospital

Beijing, China

RECRUITING

Children's Hospital of Chongqing Medical University

Chongqing, China

RECRUITING

Gansu Provincial Maternity and Child-care Hospital/Gansu Provincial Central Hospital

Gansu, China

RECRUITING

Guangzhou Women and Children's Medical Center

Guangdong, China

RECRUITING

Anhui Provincial Children's Hospital

Hefei, China

RECRUITING

Henan Provincial People's Hospital

Henan, China

RECRUITING

Hunan Children's Hospital

Hunan, China

RECRUITING

The First Hospital of Jilin University

Jilin, China

RECRUITING

Jinan Maternity and Child Health Care Hospital

Jinan, China

RECRUITING

Kunming Children's Hospital

Kunming, China

RECRUITING

Children's Hospital of Nanjing Medical University

Nanjing, China

RECRUITING

Qingdao Women and Children's Hospital

Qingdao, China

RECRUITING

Shengjing Hospital of China Medical University

Shenyang, China

RECRUITING

Shenzhen Children's Hospital

Shenzhen, China

RECRUITING

West China Second University Hospital, Sichuan University

Sichuan, China

RECRUITING

Children's Hospital of Soochow University

Suzhou, China

RECRUITING

The First People's Hospital of Urumqi （Urumqi Children's Hospital)

Ürümqi, China

RECRUITING

Tongji Hospital,Tongji Medical College of HUST

Wuhan, China

RECRUITING

Children's hospital,Zhejiang University School of Medicine

Zhejiang, China

RECRUITING

MeSH Terms

Conditions

Behavior

Central Study Contacts

Ying Gu, Doctor

CONTACT

+86 13816881726; guying0128@aliyun.com

Yuyan Huang

CONTACT

huangyuyan@fudan.edu.cn

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 11, 2024
• First Posted: June 26, 2025
• Study Start: June 26, 2025
• Primary Completion: December 30, 2025
• Study Completion: December 31, 2025
• Last Updated: September 10, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

CN (22)