I see, I learn, I do: Development and evaluation of a video-enhanced nasogastric tube feeding training programme for caregivers

Nurs Open. 2023 Apr;10(4):2357-2365. doi: 10.1002/nop2.1491. Epub 2022 Nov 23.

Abstract

Aim: We examined the effectiveness of a video-enhanced education package in improving caregiver outcomes (number of steps at first feeding attempt, time to achieve competency and knowledge) compared to the current institutional training approach.

Design: Quasi-experiment.

Methods: From August 2016-June 2017, we recruited 112 caregivers in a Singaporean tertiary hospital. We allocated 72 and 40 caregivers to video-enhanced and standard education, respectively. Median values are reported with interquartile ranges (IQR), and analysed using Mann-Whitney U test.

Results: Caregivers taught with our video-enhanced package performed a median of 7.0 (IQR = 3.5-7.5) out of eight steps correctly at their first attempt, a 40% increase. There was no change in the median number of training sessions but the 75th percentile dropped to 9.3 from 6.0, a 35% reduction. Post-training knowledge improved from a median of 0.5 (IQR = 0-2.0) to 1.0 (IQR = 0-3.0). The video-enhanced package can improve caregivers' knowledge and accelerate their skill competency.

Keywords: Singapore; caregiver training; dysphagia; education; nasogastric tube; older adults; tube feeding; video.

MeSH terms

  • Caregivers* / education
  • Educational Status
  • Enteral Nutrition*
  • Humans
  • Intubation, Gastrointestinal