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An 8 page detailed article critique of a study conducted by Ellett, et al (2005) concerning the formulating a predictive model for determining esophageal distance in placing gastric tubes. Roughly 1 million enteral tubes are placed through either the nose or mouth in adults and children in the US on a yearly basis. A primary issue in regards to the safety and effectiveness of gastric feeling by tube is achieved through optimal tube placement on insertion (Ellett, et al, 2005). Nevertheless, research indicates that gastric tube place errors are common (Ellett, et al, 2005). Therefore, Ellett, et al (2005) designed a study that employed 24 variables in order to formulate a predictive rule for clinical practice that could be used in facilitating gastric tube insertion in adults by indicating the insertion distance. Bibliography lists 4 sources.
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8 pages (~225 words per page)
File: D0_khgag.rtf
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regards to the safety and effectiveness of gastric feeling by tube is achieved through optimal tube placement on insertion (Ellett, et al, 2005). Nevertheless, research indicates that gastric tube place
errors are common (Ellett, et al, 2005). Therefore, Ellett, et al (2005) designed a study that employed 24 variables in order to formulate a predictive rule for clinical practice that
could be used in facilitating gastric tube insertion in adults by indicating the insertion distance. Why this problem is important for nursing research Enteral feeling achieves a positive nitrogen balance
faster than total parenteral nutrition and facilitates healing in the gut (Ellett, et al, 2005). Furthermore it is less costly and maintains even clients who primarily on parenteral nutrition, as
small amount of food are useful in maintaining the structure and function of the small intestine (Ellett, et al, 2005). As this indicates, feeding orally by NG, OG, or NI
tubes is a crucial lifesaving procedure. The purpose of the critiqued study Previous studies revealed that both NG and UG tube placement errors are not uncommon, as prevalence rates
for such errors in adult patient populations from 1.3 percent to as high as 89.5 percent, depending on the researchers definition of error (Ellett, et al, 2005). Whatever the definition
for error, there is no doubt that incorrect gastric tube placement can result in serious complications (Ellett, et al, 2005). If, for example, a tube ends in an airway, feeding
can result in pulmonary aspiration and pulmonary complications that result in morbidity or even death. Consequently, the purpose of this study was to formulate a clinical prediction rule (that is,
a method) for predicting the distance for optimal gastric tube insertion in adults. Main research question The main research question for the study was whether or not a
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