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Knowledge and Tube Feeding Practices for Older Adult Patients among Japanese Registered Nurses

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Author(s): Mihoko Ogita | Hiroko Utsunomiya | Kazuko Nin | Hidenori Arai

Journal: International Journal of Clinical Medicine
ISSN 2158-284X

Volume: 04;
Issue: 04;
Start page: 208;
Date: 2013;
Original page

Keywords: Tube Feeding | Percutaneous Endoscopic Gastrostomy | Older Adults | Knowledge | Practice | Nursing | Multidisciplinary Team

ABSTRACT
The aim of this study was to examine nurses’ thinking regarding the indications for tube feeding in older adults with eating difficulties and to determine whether the team approach can improve their knowledge and tube feeding practices. We sent self-administered questionnaires to 436 nurses and collected them from November to December 2010 (response rate, 70.0%). The results indicated that approximately 30% of the Japanese nurses thought that older patients with dementia should be on tube feeding and more than half of the nurses answered that tube feeding is indicated for aspiration-prone, frail, older adults. Moreover, our findings showed that nurses who organize multidisciplinary teams performed more interventions for dysphagia before introducing tube feeding than the reference group as analyzed by multivariate adjustment (odds ratio, 2.1-6.6). In conclusion, a multidisciplinary team approach is expected to make better decisions on the treatment and care of older patients with difficulty eating, including the need for tube feeding
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