Author(s):
Deepthy Stephen, Devika S., Diya Sudheer, Dona Anna Jaison, Eza John, Felba Sunny, Femi Kuriakose, Gayathri Gopinath, Gisni Joy, Huda Rahman, Usharani E N, Rahmath K
Email(s):
ushasenthiljj@gmail.com
DOI:
10.52711/2454-2660.2026.00029 
Address:
Deepthy Stephen1, Devika S.1, Diya Sudheer1, Dona Anna Jaison1, Eza John1, Felba Sunny1, Femi Kuriakose1, Gayathri Gopinath1, Gisni Joy1, Huda Rahman1, Usharani E N2, Rahmath K3
1Third Year BSc Nursing, Govt. College of Nursing, Kerala University of Health Sciences, Thrissur, Kerala.
2Assistant professor, Govt. College of Nursing, Kerala University of Health Sciences, Thrissur, Kerala, India.
3Assistant professor, Govt. College of Nursing, Kerala University of Health Sciences, Thrissur, Kerala, India.
*Corresponding Author
Published In:
Volume - 14,
Issue - 2,
Year - 2026
ABSTRACT:
Background: Nasogastric tube (NGT) feeding in the home setting is critically dependent on caregiver competency. While the role of caregivers in ensuring patient safety is widely acknowledged, there is a scarcity of research evaluating their specific knowledge and practical skills. Deficiencies in these areas can increase the risk of complications, compromise patient safety, and lead to potentially avoidable hospital readmissions.
Objective: This study aimed to assess the level of knowledge and practice regarding nasogastric tube feeding among caregivers of hospitalised patients and to determine the association between the variables and their socio-demographic characteristics. Methods: A descriptive cross-sectional study was conducted at a tertiary care centre. Using a convenient sampling technique, 50 caregivers of hospitalized patients on NGT feeding for >1 week were recruited. Data were collected using a structured socio-demographic proforma, a validated knowledge questionnaire, and an observational checklist to assess practice. Data analysis was performed using descriptive statistics and Chi-square tests. Results: The majority of caregivers were female (78%) and 46% had attained a higher secondary education. Assessment of knowledge revealed that only 24% of caregivers had good knowledge, while 60% had average knowledge, and 16% had poor knowledge. In contrast, practice levels were higher, with 64% demonstrating good practice, 20% average practice, and 16% poor practice. Statistical analysis found no significant association between overall knowledge scores and practice levels. However, a higher level of education was associated with better knowledge. Conclusion: The study identifies a notable gap between theoretical knowledge and practical competency among caregivers managing NGT feeding. Despite average knowledge, a majority performed well in practice. To enhance patient safety and prevent complications, targeted educational interventions should be developed, with a specific focus on providing practical, hands-on training, particularly for less-educated and older caregivers. Empowering this group is an essential step toward improving overall competency in home-based NGT care.
Cite this article:
Deepthy Stephen, Devika S., Diya Sudheer, Dona Anna Jaison, Eza John, Felba Sunny, Femi Kuriakose, Gayathri Gopinath, Gisni Joy, Huda Rahman, Usharani E N, Rahmath K. Knowledge and Practices of Nasogastric Tube Feeding among Caregivers of Hospitalized Patients: A Cross-Sectional Study. International Journal of Nursing Education and Research. 2026;14(2):147-2. doi: 10.52711/2454-2660.2026.00029
Cite(Electronic):
Deepthy Stephen, Devika S., Diya Sudheer, Dona Anna Jaison, Eza John, Felba Sunny, Femi Kuriakose, Gayathri Gopinath, Gisni Joy, Huda Rahman, Usharani E N, Rahmath K. Knowledge and Practices of Nasogastric Tube Feeding among Caregivers of Hospitalized Patients: A Cross-Sectional Study. International Journal of Nursing Education and Research. 2026;14(2):147-2. doi: 10.52711/2454-2660.2026.00029 Available on: https://ijneronline.com/AbstractView.aspx?PID=2026-14-2-12
REFERENCES:
1. Boullata JI, Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy. JPEN J Parenter Enteral Nutr. 2017 Jan; 41(1):15-103.
2. Blumenstein I, Shastri YM, Stein J. Gastroenteric tube feeding: techniques, problems and solutions. World J Gastroenterol. 2014 Jul 14; 20(26): 8505-24.
3. NHS Improvement. Patient Safety Alert: Resources to support safer care for the deteriorating patient. London: NHS Improvement; 2016 Jul [cited 2024 May 24].
4. Wong A, Wischmeyer PE, Prado CM. Nutrition support in the transition from hospital to home. Curr Opin Clin Nutr Metab Care. 2022 Jul 1; 25(4): 245-250.
5. Seres DS, Valcarcel M, Guillaume A. Advantages of enteral nutrition over parenteral nutrition. Therap Adv Gastroenterol. 2013 Mar; 6(2): 157-67.
6. De Souza AP, da Silva LD. Knowledge and practices of family caregivers regarding enteral nutrition at home: an integrative review. Rev Gaucha Enferm. 2020; 41: e20190386.
7. McClave SA, DiBaise JK, Mullin GE, Martindale RG. ACG Clinical Guideline: Nutrition Therapy in the Adult Hospitalized Patient. Am J Gastroenterol. 2016 Mar; 111(3): 315-34.
8. Metheny NA, Davis-Jackson J. Effectiveness of an aspiration risk-reduction protocol. Nurs Res. 2020 Jan/Feb; 69(1): 9-17.
9. Kaur R, Kaur M, Kaur R. A study to assess the knowledge and practice of caregivers of patients receiving nasogastric tube feeding in a tertiary care hospital of North India. Nurs Midwifery Res J. 2021 Apr; 17(2): 67-75
10. Lim ML, Yong BY, Liam CK, et al. Caring for patients on home enteral nutrition: Reported complications by home carers and perspectives of community nurses. J Clin Nurs. 2018; 27(13–14): 2825–35. doi:10.1111/jocn.14347
11. Mary ALI. Effectiveness of nursing intervention on knowledge and practice of feeding among caregivers of cerebral palsy children. Asian J Nurs Educ Res. 2011; 1(4): 109–12
12. Amirtha Lourdu Mary. I.. Effectiveness of Nursing Intervention on Knowledge and Practice of Feeding Among Caregivers of Cerebral Palsy Children. Asian J. Nur. Edu. and Research. 2011; 1(4): 109-112.
13. Navneet Kaur, Manjeet Kaur, Rashmi Choudhary. An Exploratory Study to Assess the Knowledge regarding Post Dialysis Home Care among Caregivers of Hemodialysis Patients Attending Selected Hospital of Mohali. Asian J. Nur. Edu. and Research. 2015; 5(1): 45-49.
14. S.S. Sharmila Jansi Rani. Effectiveness of Teaching Module on Practice of Caregivers’ and the Satisfaction of the Elderly in Selected Old Age Homes. Int. J. Adv. Nur. Management. 2014; 2(2): 61-66
15. S.S. Sharmila Jansi Rani. Effectiveness of Teaching Module on Practice of Caregivers’ and the Satisfaction of the Elderly in Selected Old Age Homes. Int. J. Adv. Nur. Management. 2014; 2(2): 61-66
16. Wang X, Cheng Z. Cross-sectional studies: strengths, weaknesses, and recommendations. Chest. 2020; 158(1 Suppl): S65–71.