|Continuing Nursing Education
In Pediatric and Neonatal
This article reports an evidence-based practice project using the Iowa Model of Evidence-Based Practice to
Promote Quality Care for a common nursing procedure, nasogastric tube placement verification in children.
Little research exists regarding the care of nasogastric tubes in children, and traditional verification methods
prevail. Auscultation of air insufflation over the abdomen is still used to check placement in many settings,
despite research dating back to the 1980s questioning this approach. X-ray remains the only certain way to
verify placement, but getting an X-ray before each feeding would be costly and impractical. Additional bedside
methods are needed. Project results demonstrate a decrease (93.3% to 46.2%) in the use of auscultation and
improved use of other, more reliable methods to determine nasogastric tube placement. Changing practice can
be challenging. However, with persistence and re-infusion, this project provides an important example of how
the evidence-based practice process leads to excellence and improves patient care.