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Development, implementation, and evaluation of a state-wide gastrostomy training program: A proposed education model.

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Τίτλος: Development, implementation, and evaluation of a state-wide gastrostomy training program: A proposed education model.
Συγγραφείς: Carey S; Department of Nutrition and Dietetics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.; Institute of Academic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.; Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia., Bostock K; Department of Nutrition and Dietetics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Matthews S; Department of Nutrition and Dietetics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Still C; Department of Nutrition and Dietetics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Hardy R; Department of Nutrition and Dietetics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Cheng K; Institute of Academic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Volovets A; Department of Gastroenterology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Storey D; Institute of Academic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Πηγή: Nutrition & dietetics : the journal of the Dietitians Association of Australia [Nutr Diet] 2026 Jun; Vol. 83 (3), pp. 345-354. Date of Electronic Publication: 2026 Mar 18.
Τύπος έκδοσης: Journal Article; Research Support, Non-U.S. Gov't
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Dietitians Association of Australia Country of Publication: Australia NLM ID: 101143078 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1747-0080 (Electronic) Linking ISSN: 14466368 NLM ISO Abbreviation: Nutr Diet Subsets: MEDLINE
Imprint Name(s): Original Publication: Deakin, ACT : Dietitians Association of Australia, c2002-
Ιατρικοί όροι (MeSH): Gastrostomy*/education , Enteral Nutrition*/methods , Health Personnel*/education , Models, Educational* , Program Development*, Humans ; Program Evaluation ; Clinical Competence ; Curriculum
Περίληψη: Aim: Patients receiving home enteral tube feeding have a high risk of complications and readmission to hospital. Enteral nutrition training for health professionals is essential but often not included in basic training curricula. This paper aims to (i) outline the development of a state-wide gastrostomy training program and (ii) undertake a 7-year evaluation of the program.
Methods: A state-wide gastrostomy education and training program was developed and implemented using a spiral learning model, stakeholder engagement, review of the literature, and consumer involvement. Medico-legal consideration was given to credentialing, competencies, and extended scope of practice. Direct outcomes were evaluated using a RE-AIM framework.
Results: In the 7 years since starting the program 819 clinicians have completed all online modules including the evaluation, and 178 and 42 clinicians have participated in workshop 1 (gastrostomy care and management) and workshop 2 (gastrostomy removal and replacement), respectively. Additionally, 85 extended care paramedic trainees have participated in the program. Average pre-post measures of knowledge and confidence improved 11% and 23%, respectively, across all aspects of the program.
Conclusion: The development of a state-wide gastrostomy education and training program allowed health professionals to gain expertise in the specialty area of gastrostomy care to support consistent safe practice. Over the 7 years the program has been functional it has expanded to include regional and ambulance services. There have also been limitations and learnings along the way. The model used for this program may allow others insight into the developing future programs.
(© 2026 The Author(s). Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Australia.)
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Contributed Indexing: Keywords: advanced practice; credentialing; education; gastrostomy; home enteral nutrition; training
Entry Date(s): Date Created: 20260318 Date Completed: 20260602 Latest Revision: 20260610
Update Code: 20260611
DOI: 10.1111/1747-0080.70074
PMID: 41847723
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1747-0080
DOI:10.1111/1747-0080.70074