Barriers and Facilitators to Implementing Point‐of‐Care Ultrasound to Confirm Gastric Tube Placement in Preterm Infants: A Qualitative Study.
Aim: To explore the barriers and facilitators influencing the use of point‐of‐care ultrasound (POCUS) for confirming the position of gastric tubes in preterm infants in the neonatal intensive care unit (NICU). Background: Many research studies indicated that POCUS is an effective and repeatable tech...
| Publicado en: | Journal of Nursing Management Vol. 2026; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
6/3/2026
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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=194295273&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194295273 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660429 81U jtl: Journal of Nursing Management issn: 09660429 maglogo: Y pubinfo: dt: 6/3/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 194295273 194295273 194295273 10.1155/jonm/3537619 194295273 ppf: 1 ppct: 10 formats: tig: atl: Barriers and Facilitators to Implementing Point‐of‐Care Ultrasound to Confirm Gastric Tube Placement in Preterm Infants: A Qualitative Study. aug: au: Wang, Yajing Zhou, Jiong Zhang, Jiahua Li, Yunwei Jing, Yalin Xie, Yuting Chen, Yao Zhou, Ying Jiang, Jingjing Feng, Shuju Fontenot, Justin affil: Neonatal Intensive Care Unit,, Peking Union Medical College Hospital,, Chinese Academy of Medical Sciences & Peking Union Medical College,, Beijing, China, cams.ac.cn sug: subj: Point-of-Care Testing Endosonography Intubation, Gastrointestinal In Infancy and Childhood Infant, Premature Intensive Care Units, Neonatal Human Funding Source Infant Qualitative Studies Descriptive Research Semi-Structured Interview Audiorecording Thematic Analysis Data Analysis Software Health Resource Allocation Clinical Competence Patient Safety Motivation Professional Development Work Environment Organizational Culture Leadership Support, Psychosocial Organizational Policies Cognition Disorders Cultural Diversity Ethics Collaboration Infant: 1-23 months ab: Aim: To explore the barriers and facilitators influencing the use of point‐of‐care ultrasound (POCUS) for confirming the position of gastric tubes in preterm infants in the neonatal intensive care unit (NICU). Background: Many research studies indicated that POCUS is an effective and repeatable technique for monitoring the tip position of gastric tubes; however, the application rate of this technique among nurses in the NICU for confirming the position of gastric tubes in preterm infants remains low. Methods: Using a qualitative descriptive research design, we conducted interviews with direct care nurses (n = 8), frontline doctors (n = 2), and nursing leaders (n = 2) at a tertiary‐level hospital to explore the barriers and facilitators influencing nurses' use of POCUS for confirming the position of gastric tubes in preterm infants. Results: The study identified two main themes: facilitators and barriers. The facilitators include the following six subthemes: adequate resource allocation and equipment; demonstrable safety and clinical efficacy; intrinsic motivation and professional development; supportive and innovative work environment; strong managerial and leadership support; and clear pathways for process optimization. The barriers also include six subthemes: deficiencies in competency development systems; complexity of neonatal clinical presentations; absence of institutional policies and standardized protocols; sociocultural and cognitive resistance; perceived legal and ethical risks; and unclear team collaboration dynamics. Conclusion: This study explored the main factors hindering and promoting the implementation of the POCUS for gastric tube position confirmation from the perspectives of direct care nurses, frontline doctors, and nursing leaders. Participants pointed out that there were issues with insufficient protection and support in areas such as training systems, institutional regulations, cognitive levels, and team collaboration. Therefore, it is necessary to formulate strategies and policies to address these obstacles. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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