Weaning children from temporary tube feeding: Staff survey of knowledge and practices.
Identifieur interne : 000101 ( Main/Exploration ); précédent : 000100; suivant : 000102Weaning children from temporary tube feeding: Staff survey of knowledge and practices.
Auteurs : Maryanne Syrmis [Australie] ; Nadine Frederiksen [Australie] ; Claire Reilly [Australie]Source :
- Journal of paediatrics and child health [ 1440-1754 ] ; 2020.
Abstract
AIM
To explore the understanding of and practices of health-care workers in weaning children from feeding tubes.
METHODS
An electronic survey of doctors, nurses, and allied health professionals at Children's Health Queensland obtained demographic information and awareness of various areas of tube feeding management particularly tube weaning.
RESULTS
The 155 health-care providers formed three well-matched groups in terms of number and years of experience. Only 18 had formal training in tube weaning. Participants had high levels of knowledge regarding reasons for commencing and possible complications associated with tube feeding. However, health-care providers generally were found to have limited to no knowledge of tube weaning practices. Nearly half of participants (46%) did not know the best time to plan for a tube wean and only 16 indicated that they or their work units documented tube exit plans, regardless of type of feeding tube, in children's medical charts. Time frames were rarely included as part of tube exit plans. Participants ranked medical stability and presence of a safe swallow most highly as important indicators for successful tube weaning. Multidisciplinary management was also identified as valuable. Tube weaning was predominately managed by children's primary health unit/service and largely involved a medical officer and dietician.
CONCLUSIONS
Poor awareness of tube weaning practices such as tube exit strategies may be impacting on the quality of care received by children who are tube fed. Future research should be directed towards developing and evaluating guidelines accompanied by educational resources to further advance tube weaning practices.
DOI: 10.1111/jpc.14927
PubMed: 32468718
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Weaning children from temporary tube feeding: Staff survey of knowledge and practices.</title><author><name sortKey="Syrmis, Maryanne" sort="Syrmis, Maryanne" uniqKey="Syrmis M" first="Maryanne" last="Syrmis">Maryanne Syrmis</name><affiliation wicri:level="1"><nlm:affiliation>Speech Pathology Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Speech Pathology Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Frederiksen, Nadine" sort="Frederiksen, Nadine" uniqKey="Frederiksen N" first="Nadine" last="Frederiksen">Nadine Frederiksen</name><affiliation wicri:level="1"><nlm:affiliation>Occupational Therapy and Music Therapy Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Occupational Therapy and Music Therapy Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Reilly, Claire" sort="Reilly, Claire" uniqKey="Reilly C" first="Claire" last="Reilly">Claire Reilly</name><affiliation wicri:level="1"><nlm:affiliation>Dietetics and Food Services Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Dietetics and Food Services Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32468718</idno><idno type="pmid">32468718</idno><idno type="doi">10.1111/jpc.14927</idno><idno type="wicri:Area/Main/Corpus">000255</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000255</idno><idno type="wicri:Area/Main/Curation">000255</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000255</idno><idno type="wicri:Area/Main/Exploration">000255</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Weaning children from temporary tube feeding: Staff survey of knowledge and practices.</title><author><name sortKey="Syrmis, Maryanne" sort="Syrmis, Maryanne" uniqKey="Syrmis M" first="Maryanne" last="Syrmis">Maryanne Syrmis</name><affiliation wicri:level="1"><nlm:affiliation>Speech Pathology Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Speech Pathology Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Frederiksen, Nadine" sort="Frederiksen, Nadine" uniqKey="Frederiksen N" first="Nadine" last="Frederiksen">Nadine Frederiksen</name><affiliation wicri:level="1"><nlm:affiliation>Occupational Therapy and Music Therapy Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Occupational Therapy and Music Therapy Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Reilly, Claire" sort="Reilly, Claire" uniqKey="Reilly C" first="Claire" last="Reilly">Claire Reilly</name><affiliation wicri:level="1"><nlm:affiliation>Dietetics and Food Services Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Dietetics and Food Services Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland</wicri:regionArea><wicri:noRegion>Queensland</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of paediatrics and child health</title><idno type="eISSN">1440-1754</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>To explore the understanding of and practices of health-care workers in weaning children from feeding tubes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>An electronic survey of doctors, nurses, and allied health professionals at Children's Health Queensland obtained demographic information and awareness of various areas of tube feeding management particularly tube weaning.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The 155 health-care providers formed three well-matched groups in terms of number and years of experience. Only 18 had formal training in tube weaning. Participants had high levels of knowledge regarding reasons for commencing and possible complications associated with tube feeding. However, health-care providers generally were found to have limited to no knowledge of tube weaning practices. Nearly half of participants (46%) did not know the best time to plan for a tube wean and only 16 indicated that they or their work units documented tube exit plans, regardless of type of feeding tube, in children's medical charts. Time frames were rarely included as part of tube exit plans. Participants ranked medical stability and presence of a safe swallow most highly as important indicators for successful tube weaning. Multidisciplinary management was also identified as valuable. Tube weaning was predominately managed by children's primary health unit/service and largely involved a medical officer and dietician.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Poor awareness of tube weaning practices such as tube exit strategies may be impacting on the quality of care received by children who are tube fed. Future research should be directed towards developing and evaluating guidelines accompanied by educational resources to further advance tube weaning practices.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">32468718</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1440-1754</ISSN><JournalIssue CitedMedium="Internet"><Volume>56</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Journal of paediatrics and child health</Title><ISOAbbreviation>J Paediatr Child Health</ISOAbbreviation></Journal><ArticleTitle>Weaning children from temporary tube feeding: Staff survey of knowledge and practices.</ArticleTitle><Pagination><MedlinePgn>1290-1298</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/jpc.14927</ELocationID><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">To explore the understanding of and practices of health-care workers in weaning children from feeding tubes.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">An electronic survey of doctors, nurses, and allied health professionals at Children's Health Queensland obtained demographic information and awareness of various areas of tube feeding management particularly tube weaning.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The 155 health-care providers formed three well-matched groups in terms of number and years of experience. Only 18 had formal training in tube weaning. Participants had high levels of knowledge regarding reasons for commencing and possible complications associated with tube feeding. However, health-care providers generally were found to have limited to no knowledge of tube weaning practices. Nearly half of participants (46%) did not know the best time to plan for a tube wean and only 16 indicated that they or their work units documented tube exit plans, regardless of type of feeding tube, in children's medical charts. Time frames were rarely included as part of tube exit plans. Participants ranked medical stability and presence of a safe swallow most highly as important indicators for successful tube weaning. Multidisciplinary management was also identified as valuable. Tube weaning was predominately managed by children's primary health unit/service and largely involved a medical officer and dietician.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Poor awareness of tube weaning practices such as tube exit strategies may be impacting on the quality of care received by children who are tube fed. Future research should be directed towards developing and evaluating guidelines accompanied by educational resources to further advance tube weaning practices.</AbstractText><CopyrightInformation>© 2020 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Syrmis</LastName><ForeName>Maryanne</ForeName><Initials>M</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-7036-6134</Identifier><AffiliationInfo><Affiliation>Speech Pathology Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frederiksen</LastName><ForeName>Nadine</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Occupational Therapy and Music Therapy Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reilly</LastName><ForeName>Claire</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Dietetics and Food Services Department, Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>10407</GrantID><Agency>Children's Hospital Foundation</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>Australia</Country><MedlineTA>J Paediatr Child Health</MedlineTA><NlmUniqueID>9005421</NlmUniqueID><ISSNLinking>1034-4810</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">health-care professional</Keyword><Keyword MajorTopicYN="N">knowledge</Keyword><Keyword MajorTopicYN="N">paediatrics</Keyword><Keyword MajorTopicYN="N">tube feeding</Keyword><Keyword MajorTopicYN="N">tube weaning</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>10</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>04</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>04</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32468718</ArticleId><ArticleId IdType="doi">10.1111/jpc.14927</ArticleId></ArticleIdList><ReferenceList><Title>References</Title><Reference><Citation>Forbes D, Grover Z. Tube feeding: Stopping more difficult than starting. J. Paediatr. Child Health 2015; 51: 245-7.</Citation></Reference><Reference><Citation>Wright CM. Failure to wean? Arch. Dis. Child. 2013; 98: 838-40.</Citation></Reference><Reference><Citation>Gardiner AY, Fuller DG, Vuillermin PJ. Tube-weaning infants and children: A survey of Australian and international practice. J. Paediatr. Child Health 2014; 50: 626-31.</Citation></Reference><Reference><Citation>Gardiner AY, Vuillermin PJ, Fuller DG. A descriptive comparison of approaches to paediatric tube weaning across five countries. Int. J. Speech Lang. Pathol. 2017; 19: 121-7.</Citation></Reference><Reference><Citation>Dunitz-Scheer M, Levine A, Roth Yet al. Prevention and treatment of tube dependency in infancy and early childhood. ICAN Infant Child Adolesc. Nutr. 2009; 1: 73-82.</Citation></Reference><Reference><Citation>Hannah E, John RM. Everything the nurse practitioner should know about pediatric feeding tubes. J. Am. Assoc. Nurse Pract. 2013; 25: 567-77.</Citation></Reference><Reference><Citation>Evans S, Holden C, MacDonald A. Home enteral feeding audit 1 year post-initiation. J. Hum. Nutr. Diet. 2006; 19: 27-9.</Citation></Reference><Reference><Citation>Krom H, van Zundert SM, MGM O, van der Sluijs Veer L, Benninga MA, Kindermann A. Prevalence and side effects of pediatric home tube feeding. Clin. Nutr. 2019; 38: 234-9.</Citation></Reference><Reference><Citation>Mason SJ, Harris G, Blissett J. Tube feeding in infancy: Implications for the development of normal eating and drinking skills. Dysphagia 2005; 20: 46-61.</Citation></Reference><Reference><Citation>Craig GM. Psychosocial aspects of feeding children with neurodisability. Eur. J. Clin. Nutr. 2013; 67: 17-20.</Citation></Reference><Reference><Citation>Pedrón-Giner C, Calderón C, Martinez-Costa C, Borraz Gracia S, Gómez-López L. Factors predicting distress among parents/caregivers of children with neurological disease and home enteral nutrition. Child Care Health Dev. 2013; 40: 389-97.</Citation></Reference><Reference><Citation>Wilken M. The impact of child tube feeding on maternal emotional state and identity: A qualitative meta-analysis. J. Pediatr. Nurs. 2012; 27: 248-55.</Citation></Reference><Reference><Citation>Dempster R, Burdo-Hartman W, Halpin E, Williams C. Estimated cost-effectiveness of intensive interdisciplinary behavioral treatment for increasing oral intake in children with feeding difficulties. J. Pediatr. Psychol. 2016; 41: 857-66.</Citation></Reference><Reference><Citation>Williams KE, Riegel K, Gibbons B, Field DG. Intensive behavioural treatment for severe feeding problems: A cost-effective alternative to tube feeding. J. Dev. Phys. Disabil. 2007; 19: 227-35.</Citation></Reference><Reference><Citation>Nelson KE, Lacombe-Duncan A, Cohen Eet al. Family experiences with feeding tubes in neurologic impairment: A systematic review. Paediatrics 2019; 136: e140-51.</Citation></Reference><Reference><Citation>Braegger C, Decsi T, Dias JAet al. Practical approach to paediatric enteral nutrition: A comment by the ESPGHAN committee on nutrition. J. Pediatr. Gastroenterol. Nutr. 2010; 51: 110-22.</Citation></Reference><Reference><Citation>de Moor J, Didden R, Korzilius H. Behavioural treatment of severe food refusal in five toddlers with developmental disabilities. Child Care Health Dev. 2007; 33: 670-6.</Citation></Reference><Reference><Citation>Edwards S, Davis AM, Bruce Aet al. Caring for tube-fed children: A review of management, tube weaning, and emotional considerations. J. Parenter. Enteral Nutr. 2016; 40: 616-22.</Citation></Reference><Reference><Citation>Syrmis M, Frederiksen N, Reilly C. Characterisation of information hospitals provide parents on tube feeding, including tube weaning. J. Pediatr. Nurs. 2019; 44: e91-7.</Citation></Reference><Reference><Citation>Syrmis M, Reilly C, Frederiksen N. Health guidelines for tube feeding care in pediatric patients, including tube weaning. Int. J. Ther. Rehabil. 2019, (forthcoming).</Citation></Reference><Reference><Citation>Tilyard R, Reilly C, Gallegos D, Syrmis M, Frederiksen N. Temporary feeding tube dependency in pediatric patients: A retrospective analysis of risk factors and preventative practices. Clin. Nutr. ESPEN 2019, (forthcoming).</Citation></Reference><Reference><Citation>Brown J, Kim C, Lim Aet al. Successful gastrostomy tube weaning program using an intensive multidisciplinary team approach. J. Pediatr. Gastroenetrol. Nutr. 2014; 58: 743-9.</Citation></Reference><Reference><Citation>Davis AM, Dean K, Mousa H et al. A randomized controlled trial of an outpatient protocol for transitioning children from tube to oral feeding: No need for amitriptyline. J. Pediatr. 2016; 172: 136-41.</Citation></Reference><Reference><Citation>Davis AM, Bruce AS, Mangiaracina C, Schulz T, Hyman P. Moving from tube to oral feeding in medically fragile nonverbal toddlers. J. Pediatr. Gastroenterol. Nutr. 2009; 49: 233-6.</Citation></Reference><Reference><Citation>McKirdy LS, Sheppard JJ, Osborne ML, Payne P. Transition from tube to oral feeding in the school setting. Lang. Speech Hear. Serv. Sch. 2008; 39: 249.</Citation></Reference><Reference><Citation>Wilken M, Cremer V, Berry J, Bartmann P. Rapid home-based weaning of small children with feeding tube dependency: Positive effects on feeding behaviour without deceleration of growth. Arch. Dis. Child. 2013; 98: 856-61.</Citation></Reference><Reference><Citation>Morphet J, Clarke AB, Bloomer MJ. Intensive care nurses' knowledge of enteral nutrition: A descriptive questionnaire. Intensive Crit. Care Nurs. 2016; 37: 68-74.</Citation></Reference><Reference><Citation>Tume L, Carter B, Latten L. A UK and Irish survey of enteral nutrition practices in paediatric intensive care units. Br. J. Nutr. 2013; 109: 1304-22.</Citation></Reference><Reference><Citation>Alhassan RK, Tsikata R, Tizaawaw RN et al. Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: Comparing self-ratings by professional and auxiliary nurses. BMC Health Serv. Res. 2019; 19: 119.</Citation></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Syrmis, Maryanne" sort="Syrmis, Maryanne" uniqKey="Syrmis M" first="Maryanne" last="Syrmis">Maryanne Syrmis</name></noRegion><name sortKey="Frederiksen, Nadine" sort="Frederiksen, Nadine" uniqKey="Frederiksen N" first="Nadine" last="Frederiksen">Nadine Frederiksen</name><name sortKey="Reilly, Claire" sort="Reilly, Claire" uniqKey="Reilly C" first="Claire" last="Reilly">Claire Reilly</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SanteMusiqueV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000101 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000101 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= SanteMusiqueV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:32468718
|texte= Weaning children from temporary tube feeding: Staff survey of knowledge and practices.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32468718" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SanteMusiqueV1
| This area was generated with Dilib version V0.6.38. |  |