Development and implementation of a Sezer gastrostomy care bundle using the Knowledge to Action framework.
Background: This project aimed to develop an evidence‐based nursing care bundle after gastrostomy feeding tube insertion and implement it into clinical practice using the Knowledge to Action (KTA) framework. Methods: This mixed‐method design project was conducted in a university hospital between Dec...
| Publicado en: | Nutrition in Clinical Practice Vol. 40; no. 6; pp. 1483 - 1498 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189132291&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189132291 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08845336 IKQ jtl: Nutrition in Clinical Practice issn: 08845336 maglogo: N pubinfo: dt: Dec2025 vid: 40 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 189132291 183808017 189132291 189132291 10.1002/ncp.11241 189132291 ppf: 1483 ppct: 15 formats: tig: atl: Development and implementation of a Sezer gastrostomy care bundle using the Knowledge to Action framework. aug: au: Sezer Ceren, Rana Elcin Talas, Melek Serpil Akcay, Kezban Basar, Fatma Halil, Meltem affil: Department of Surgical Nursing, Faculty of Nursing, Hacettepe University, Ankara, Turkey sug: subj: Gastrostomy Tubes Nursing Conceptual Framework Implementation Science Nursing Practice, Evidence-Based Medical Practice Program Development Program Implementation Human Multimethod Studies Academic Medical Centers Semi-Structured Interview Content Analysis Peristomal Skin Care Enteral Nutrition Drug Administration Professional Compliance Descriptive Statistics Thematic Analysis Intensive Care Units Nursing Interventions Content Validity Teaching Materials ab: Background: This project aimed to develop an evidence‐based nursing care bundle after gastrostomy feeding tube insertion and implement it into clinical practice using the Knowledge to Action (KTA) framework. Methods: This mixed‐method design project was conducted in a university hospital between December 2021 and June 2022. The project was carried out in four phases: (1) development of an evidence‐based care bundle, (2) education for care bundle training, (3) implementation of the care bundle, (4) evaluation of the care bundle. Nurses' compliance with bundles was measured using All‐or‐None measurement. The analysis of the qualitative interview conducted was performed using the content analysis method of Graneheim and Lundman. Results: The developed Sezer gastrostomy care bundle consists of three parameters (peristomal area care, tube feeding, and medication administration through the feeding tube) and a total of 14 elements to be applied by nurses under these parameters. Compliance rates for peristomal area care, tube feeding, and medication administration through feeding tube parameters were 100%, 98.66%, and 98.66%, respectively. Two themes and six subthemes emerged: (1) reflection of using the Sezer gastrostomy care bundle on nursing care and (2) adoption of Sezer gastrostomy care bundle. Conclusion: The gastrostomy care bundle was developed in accordance with the Institute of Healthcare Improvement's recommendations. The KTA framework provided an appropriate structure to transform evidence into practice, meticulously address barriers, evaluate outcomes, and ensure sustainability. The project found that nurses complied with all its parameters. Studies evaluating the effect of the gastrostomy care bundle on patient outcomes are recommended. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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