RT journal article
T1 Challenges, Perceptions, Training and Needs of Primary Care Nurses in the Management of Patients with Percutaneous Endoscopic Gastrostomy: A Cross-Sectional Study in Southern Spain
A1 Oñate Tenorio, María de los Santos
A1 Trujillo Garrido, Nuria
A1 Bernal Jiménez, María Ángeles
A1 Santi Cano, Josefa
A2 Enfermería y Fisioterapia
K1 gastrostomy
K1 primary care nursing
K1 home care services
K1 training requirements
AB Background/Objectives: The use of percutaneous endoscopic gastrostomy (PEG) offers numerous benefits but is also associated with complications that require specialised management. However, evidence regarding the management of these patients in primary care, both in Spain and internationally, remains limited. The aim of this study was to analyse primary care nurses’ perceptions of their level of knowledge and their needs related to the management of patients with PEG tubes. Methods: A descriptive cross-sectional study was conducted, using an online questionnaire addressed to primary care nurses in Andalusia, Spain. Demographic data, perceived level of knowledge, and perceptions regarding PEG management were collected. Statistical analysis included chi-square and Fisher’s exact tests, as well as a multivariable logistic regression model. Results: A total of 121 nurses participated, where 92.4% had cared for PEG patients and 68.9% had managed complications. Within the total group, older nurses and those with more years of professional experience demonstrated significantly greater knowledge in managing these complications (p < 0.05). However, only 38.5% had received specialised clinical training, and 98.3% expressed the need for continuing professional development. The lack of up-to-date protocols was a recurrent finding, with many nurses relying on referrals to specialist colleagues. Conclusions: Primary care nurses frequently manage PEG-related complications but lack systematic access to evidence-based guidelines and training. This gap underscores the need for structured educational programmes such as practical seminars, simulation-based online modules, regular clinical sessions led by specialist nurses, and clear visual protocols for identifying and managing common complications.
PB MDPI
SN 2227-9032
YR 2025
FD 2025-11-03
LK http://hdl.handle.net/10498/37802
UL http://hdl.handle.net/10498/37802
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 10-may-2026