Risks of nasogastric intubation and the coping strategies for online appointment nurses:a qualitative study
10.3969/j.issn.1671-8283.2025.06.008
- VernacularTitle:网约护士胃管置入操作风险与应对策略的质性研究
- Author:
Yanan GAO
1
;
Yanli WANG
;
Ruifang LIU
;
Xiuli BAI
;
Yan WU
;
Chenxi LIU
;
Liying MA
;
Shan FU
;
Zhitong ZHANG
;
Xinhua QIAO
Author Information
1. 内蒙古医科大学护理学院,内蒙古 呼和浩特,010059
- Publication Type:Journal Article
- Keywords:
Internet+nursing services;
online appointment nurses;
nasogastric intubation;
intubation risk;
coping strategy;
qualitative research
- From:
Modern Clinical Nursing
2025;24(6):57-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the challenges faced by online appointment nurses during nasogastric intubation and to provide a reference for improvement of the quality and safety of the services provided by online appointment nursing.Methods A purposive sampling was employed to select 13 online appointment nurses from our hospital who had previously provided home nasogastric intubation services for patients.Semi-structured interviews were conducted with the online appointment nurses.The results acquired from the interviews were analysed using Colaizzi's method.Results Two themes were identified.Theme 1 covered the increased risks of nasogastric intubation due to the patients themselves and home environment,which included 4 sub-themes of difficulties in identification and response due to complex conditions of patient,high risk of a sudden asphyxia with poor resuscitation facility,psychological stress from unfamiliar home environment,and more challenges in risk identification due to limited conditions for performing home-based intubation procedures;Theme 2 covered the coping strategies of online-scheduled nurses,which included the improvement of knowledge and skills in emergency nursing to improve comfidence and judge ability of intubation,the strengthening of nurse-patient communication to build a trust and cooperation,the conduct of thorough assessment to ensure procedural safety,and the use of alternative tools and collaboration with family members.Conclusion Online appointment nurses face challenges and risks from both of the procedures and patients themselves during home based nasogastric intubation.Hospitals and relevant management should actively implement corresponding strategies,provide training and guidance for online appointment nurses,develop relevant regulations,and improve the management mechanisms of the internet platform to ensure the safety of home based nasogastric intubation for online appointment nurses and improve the quality of the"Internet Plus Nursing Services."
