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

NCT ID: NCT07038538

Last Updated: 2025-09-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

2750 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-26

Study Completion Date

2025-12-31

Brief Summary

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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.

Detailed Description

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Enteral nutrition is the preferred method of nutritional support for children with gastrointestinal function, encompassing both oral and tube feeding approaches. Tube feeding involves delivering liquid food, water, and medications directly into the gastrointestinal tract through a feeding tube, making it a primary method of enteral nutrition. Compared to parenteral nutrition, enteral nutrition is more aligned with the body's physiological needs, helping to maintain the intestinal mucosal barrier, protect organ function, and regulate immune responses while being easier to initiate, cost-effective, and associated with a lower risk of infection.

In 2009, the American Society for Parenteral and Enteral Nutrition (ASPEN) published guidelines for enteral nutrition practices, which were updated in 2017. ASPEN also launched the Verification of Enteral Tube Location Project (NOVEL) in 2019, providing clear protocols for the placement of nasogastric tubes in children. Additionally, the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition issued a position statement on nasoenteric feeding for children in 2019.

In China, pediatric clinical nutrition has developed more slowly, but pediatric tube feeding has received growing attention in recent years. The Chinese Society of Parenteral and Enteral Nutrition published clinical application guidelines for pediatric enteral and parenteral nutrition support in 2010, followed by neonatal nutrition support guidelines in 2013. However, there have been no recent updates or standardized procedures for pediatric tube feeding.

This study aims to synthesize the latest evidence on pediatric gastric tube placement and update healthcare professionals' knowledge in pediatric medical institutions, which also seeks to standardize tube placement techniques and apply best practices in clinical settings to enhance the safety and quality of care for children.

Conditions

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Hospitalized Children Nursing Enteral Nutrition Therapy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Evidence-based gastric tube placement

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

Group Type EXPERIMENTAL

Evidence-based gastric placement

Intervention Type 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.

Interventions

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Evidence-based gastric placement

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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Exclusion Criteria

Inclusion:

* Nurses who hold a valid and legal nursing license.
* Nurses who have at least 1 year of clinical nursing experience in pediatric care.

Exclusion:

* 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.


Inclusion:

* 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.

Exclusion:

* Presence of severe complications or unstable medical conditions.
* Nasogastric tube is intended for gastrointestinal decompression, drainage, or venting.
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guangzhou Women and Children's Medical Center

OTHER

Sponsor Role collaborator

Children's Hospital of Chongqing Medical University

OTHER

Sponsor Role collaborator

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

UNKNOWN

Sponsor Role collaborator

Hunan Children's Hospital

OTHER_GOV

Sponsor Role collaborator

Children's Hospital, Zhejiang University School of Medicine

UNKNOWN

Sponsor Role collaborator

The First Hospital of Jilin University

OTHER

Sponsor Role collaborator

Jinan Maternity and Child Health Care Hospital

UNKNOWN

Sponsor Role collaborator

Henan Provincial People's Hospital

OTHER

Sponsor Role collaborator

Shengjing Hospital

OTHER

Sponsor Role collaborator

Shenzhen Children's Hospital

OTHER_GOV

Sponsor Role collaborator

Kunming Children's Hospital

OTHER

Sponsor Role collaborator

Tongji Hospital

OTHER

Sponsor Role collaborator

Anhui Provincial Children's Hospital

OTHER

Sponsor Role collaborator

Children's Hospital of Nanjing Medical University

OTHER

Sponsor Role collaborator

Children's Hospital of Soochow University

OTHER

Sponsor Role collaborator

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

UNKNOWN

Sponsor Role collaborator

Peking University First Hospital

OTHER

Sponsor Role collaborator

Qingdao Women and Children's Hospital

UNKNOWN

Sponsor Role collaborator

Capital Center for Children's Health,Capital Medical University

UNKNOWN

Sponsor Role collaborator

Beijing Children's Hospital

OTHER

Sponsor Role collaborator

West China Second University Hospital

OTHER

Sponsor Role collaborator

Children's Hospital of Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Children's Hospital of Fudan University

Shanghai, Minhang, China

Site Status RECRUITING

Beijing Children's Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

Capital Center for Children's Health,Capital Medical University

Beijing, , China

Site Status RECRUITING

Peking University First Hospital

Beijing, , China

Site Status RECRUITING

Children's Hospital of Chongqing Medical University

Chongqing, , China

Site Status RECRUITING

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

Gansu, , China

Site Status RECRUITING

Guangzhou Women and Children's Medical Center

Guangdong, , China

Site Status RECRUITING

Anhui Provincial Children's Hospital

Hefei, , China

Site Status RECRUITING

Henan Provincial People's Hospital

Henan, , China

Site Status RECRUITING

Hunan Children's Hospital

Hunan, , China

Site Status RECRUITING

The First Hospital of Jilin University

Jilin, , China

Site Status RECRUITING

Jinan Maternity and Child Health Care Hospital

Jinan, , China

Site Status RECRUITING

Kunming Children's Hospital

Kunming, , China

Site Status RECRUITING

Children's Hospital of Nanjing Medical University

Nanjing, , China

Site Status RECRUITING

Qingdao Women and Children's Hospital

Qingdao, , China

Site Status RECRUITING

Shengjing Hospital of China Medical University

Shenyang, , China

Site Status RECRUITING

Shenzhen Children's Hospital

Shenzhen, , China

Site Status RECRUITING

West China Second University Hospital, Sichuan University

Sichuan, , China

Site Status RECRUITING

Children's Hospital of Soochow University

Suzhou, , China

Site Status RECRUITING

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

Ürümqi, , China

Site Status RECRUITING

Tongji Hospital,Tongji Medical College of HUST

Wuhan, , China

Site Status RECRUITING

Children's hospital,Zhejiang University School of Medicine

Zhejiang, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ying Gu, Doctor

Role: CONTACT

+86 13816881726

Yuyan Huang

Role: CONTACT

Facility Contacts

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Ying Gu, Doctor

Role: primary

+86 13816881726

Wei Chi

Role: primary

Lili Liu

Role: primary

Jingwen Meng

Role: primary

Cui Cui

Role: primary

Ping Liu

Role: primary

Yan Lin

Role: primary

Hongqin Wang

Role: primary

Caixiao Shi

Role: primary

Jianhui Xie

Role: primary

Baorong Zhang

Role: primary

Zhaofang Zhang

Role: primary

Yuting Zheng

Role: primary

Mingqi Peng

Role: primary

Lu Mei

Role: primary

Xinlin He

Role: primary

Zhitian Xiao

Role: primary

Xiufang Zhao

Role: primary

Wenying Yao

Role: primary

Peng Liu

Role: primary

Genzhen Yu

Role: primary

Yaping Ding

Role: primary

Other Identifiers

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CHFudanU1110

Identifier Type: -

Identifier Source: org_study_id

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