Knowledge Assessment Regarding Nasogastric (Ng) Tube Insertion Guidelines Among Nurses in District Headquarters Hospital Toba Tek Singh

Knowledge Assessment Regarding Nasogastric (Ng) Tube


  • Shamshad Akhter Department of Nursing, District Headquarters Hospital, Toba Tek Singh, Pakistan
  • Amjad Ali Department of Nursing, Shalamar Nursing College, Lahore, Pakistan
  • Khursheed Rehman Super College of Nursing, Bahawalpur, Pakistan



Nasogastric (NG) Tube, Guideline, Knowledge of Nurses


Inserting a nasogastric tube in most countries, is the responsibility of the nursing profession. To ensure patient safety and avoid complications, nurses must first understand what they know and do when inserting nasogastric tubes into sick patients. As a result, the nurse must have the necessary knowledge and abilities for tube insertion and verification. Objective: To assess the knowledge regarding Nasogastric (NG) Tube insertion guidelines among nurses. Methods: Descriptive cross-sectional research design was utilized in the current study. A total of 105 nurses were selected for this study. Modified form of questionnaire were utilized to collect data. Data was analyzed by using (SPSS) version-22. Frequency distribution tables and graphs were used to describe the results of study. Results: The result finding shows that knowledge for all nurses in this study as regards Nasogastric (NG) Tube was unsatisfactory 65.7% while only 34.3 % with a satisfactory knowledge. The educational level is directory co-related with the knowledge level. Those who have a degree level education score more than diploma level with a p equal to 0.01. Conclusions: Knowledge level of nurses regarding NG tube insertion guidelines was found unsatisfactory. It is the most important thing for nurses to know the nasogastric tube guidelines because then they can provide effective care to the patients, and by following the nasogastric tube guidelines nurses can improve their everyday practice.


Taylor SJ, Allan K, McWilliam H, Toher D. Nasogastric tube depth: the ‘NEX’guideline is incorrect. British Journal of Nursing. 2014 Jun; 23(12): 641-4. doi: 10.12968/bjon.2014.23.12.641.

Judd M. Confirming nasogastric tube placement in adults. Nursing 2022. 2020 Apr; 50(4): 43-6. doi: 10.1097/01.NURSE.0000654032.78679.f1.

Powers J, Brown B, Lyman B, Escuro AA, Linford L, Gorsuch K, et al. Development of a competency model for placement and verification of nasogastric and nasoenteric feeding tubes for adult hospitalized patients. Nutrition in Clinical Practice. 2021 Jun; 36(3): 517-33. doi: 10.1002/ncp.10671.

Alhassan RK, Tsikata R, Tizaawaw RN, Tannor PA, Quaw PP, Awortwi CA, et al. Adherence to standard nursing protocols on nasogastric tube feeding in a secondary referral hospital in Ghana: comparing self-ratings by professional and auxiliary nurses. BMC Health Services Research. 2019 Dec; 19(1): 1-9. doi: 10.1186/s12913-019-3931-6.

Zeb A, Karim H, Idrees M, Bibi S, Rehman S, Ali S. Pamphlet as a Teaching Tool for Improving Nurse’s Knowledge Regarding Nasogastric Tube Feeding. Journal of Farkhanda Institute of Nursing and Public Health (JFINPH). 2022 Jun; 2(1): 21-5. doi: 10.37762/jfinph.30.

Xu LC, Huang XJ, Lin BX, Zheng JY, Zhu HH. Clinical nurses’ nasogastric feeding practices in adults: a multicenter cross-sectional survey in China. Journal of International Medical Research. 2020 Apr; 48(4): 0300060520920051. doi: 10.1177/0300060520920051.

Sari D, Kadifeli D, Akbiyik A, Taşkiran N. Intensive care unit nurses' knowledge of medication administration via enteral tubes. Nursing in Critical Care. 2018 May; 23(3): 141-6. doi: 10.1111/nicc.12335.

Hdaib NA, Albsoul-Younes A, Wazaify M. Oral medications administration through enteral feeding tube: Clinical pharmacist-led educational intervention to improve knowledge of Intensive care units’ nurses at Jordan University Hospital. Saudi Pharmaceutical Journal. 2021 Feb; 29(2): 134-42. doi: 10.1016/j.jsps.2020.12.015.

Zhu LL and Zhou Q. Therapeutic concerns when oral medications are administered nasogastrically. Journal of Clinical Pharmacy and Therapeutics. 2013 Aug; 38(4): 272-6. doi: 10.1111/jcpt.12041edit.

Gimenes FR, Pareira RA, Horak AC, Oliveira CC, Reis AM, da Silva PC, et al. Medication incidents related to feeding tube: a cross-sectional study. African Journal of Pharmacy and Pharmacology. 2017 Jul; 11(27): 305-13. doi: 10.5897/AJPP2017.4799.

Parkash O, Gill RC, Qaiser I, Rabbani MS, Chawla T, Zafar H. Gastric volvulus in adults in a tertiary care hospital Karachi, Pakistan: A case series. JPMA. The Journal of the Pakistan Medical Association. 2021 Apr; 71(4): 1277.

Salah AA, Aljerjawy M, Salama A. Gap between theory and practice in the nursing education: the role of clinical setting. Emergency. 2018 Apr; 7(2): 1-6. doi: 10.19080/JOJNHC.2018.07.555707.

Hassan AM. Effect of Educational Program on Nurses' practice Regarding Care of Adult Patients with Endotracheal Tube. Port Said Scientific Journal of Nursing. 2018 Dec; 5(2): 142-69. doi: 10.21608/pssjn.2018.33320.

Mohammed AQ. Assessment of Nurses' Knowledge and Practices Regarding Nasogastric Tube at Neonatal Intensive Care Unit in Baghdad Hospitals. Indian Journal of Public Health Research & Development. 2019 Apr; 10(4): 585-91. doi: 10.5958/0976-5506.2019.00763.0.

Moustafa HLA, Mohamed HA, Mahmoud AM. Nurses’ Performance Regarding Nasogastric Tube Feeding Among Critically Ill Patients. IOSR Journal of Nursing and Health Science. 2018 Jan; 7(1): 30-6.

Ceruti S, Dell’Era S, Ruggiero F, Bona G, Glotta A, Biggiogero M, et al. Nasogastric tube in mechanical ventilated patients: ETCO2 and pH measuring to confirm correct placement. A pilot study. Plos One. 2022 Jun; 17(6): e0269024. doi: 10.1371/journal.pone.0269024.

Mula C, Ncama BP, Maluwa A. Nurses’ competency and challenges in enteral feeding in the Intensive Care Unit (ICU) and High Dependency Units (HDU) of a referral hospital, Malawi. Malawi Medical Journal. 2014 Nov; 26(3): 55-9.

Fan EM, Tan SB, Ang SY. Nasogastric tube placement confirmation: where we are and where we should be heading. Proceedings of Singapore Healthcare. 2017 Sep; 26(3): 189-95. doi: 10.1177/2010105817705141.

Chauhan D, Varma S, Dani M, Fertleman MB, Koizia LJ. Nasogastric tube feeding in older patients: a review of current practice and challenges faced. Current Gerontology and Geriatrics Research. 2021 Jan; 2021: 1-7. doi: 10.1155/2021/6650675.

Hirano H, Masaki H, Kamada T, Taniguchi Y, Masaki E. Biologically transparent illumination is a safe, fast, and simple technique for detecting the correct position of the nasogastric tube in surgical patients under general anesthesia. PLoS One. 2021 Apr; 16(4): e0250258. doi: 10.1371/journal.pone.0250258.

Babapour SK, Esmaeili R, Esteki T, Naderiravesh N, Pourhoseingholi MA, Marzangu SM. Nurses’ practice about performance of nasogastric tube feeding in intensive care unit. International Journal of Advanced Biotechnology and Research. 2016; 7(5): 1585-94.



DOI: 10.54393/pjhs.v4i03.627
Published: 2023-03-31

How to Cite

Akhter, S. ., Ali, A. ., & Rehman, K. . (2023). Knowledge Assessment Regarding Nasogastric (Ng) Tube Insertion Guidelines Among Nurses in District Headquarters Hospital Toba Tek Singh: Knowledge Assessment Regarding Nasogastric (Ng) Tube. Pakistan Journal of Health Sciences, 4(03), 94–97.



Original Article


Most read articles by the same author(s)