{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:41:39Z","timestamp":1760920899316,"version":"build-2065373602"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,1,12]],"date-time":"2012-01-12T00:00:00Z","timestamp":1326326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,1,12]],"date-time":"2012-01-12T00:00:00Z","timestamp":1326326400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:p><jats:italic>Background:<\/jats:italic> Bedside protocols improve success rates of postpyloric nasoenteric tube (NET) placement by nutrition teams and experienced individuals. However, many hospitals require novice practitioners to perform these procedures and often choose fluoroscopy, endoscopy, or newer alternative devices to achieve success. Little is known about the ability to train inexperienced practitioners or the effectiveness of the methods used to implement these protocols. Web\u2010based learning is a potential tool to improve knowledge and procedural skills. The authors created a self\u2010directed Web\u2010based teaching module (WBTM) to educate and standardize placement of postpyloric NETs. <jats:italic>Methods:<\/jats:italic> Forty\u2010three first\u2010, second\u2010, or third\u2010year residents or medical or physician assistant students took pretests for knowledge and confidence surveys, viewed the WBTM, placed NET at the bedside, then took a posttest and confidence survey while awaiting confirmation of tube position by abdominal radiograph. Success was acknowledged if the tip of the NET was beyond the pylorus. A retrospective chart review was used to determine a historical success rate, which was used as a control. <jats:italic>Results:<\/jats:italic> Knowledge and confidence significantly improved. Overall success rate of postpyloric NET placement for all participants on first attempt was 74.4% vs 46.7% in the control (<jats:italic>P<\/jats:italic> = .005). Improvement occurred in all subgroups, including those with no prior experience, who were successful 70.4% of the time (<jats:italic>P<\/jats:italic> = .009). <jats:italic>Conclusions:<\/jats:italic> This WBTM is simple to implement, inexpensive, and resource efficient. The improvement in postpyloric NET placement, especially among novice practitioners, demonstrates the benefit and applicability of this method of standardized education.<\/jats:p>","DOI":"10.1177\/0148607111416246","type":"journal-article","created":{"date-parts":[[2012,1,13]],"date-time":"2012-01-13T02:07:19Z","timestamp":1326420439000},"page":"323-329","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Web\u2010Based Teaching Module Improves Success Rates of Postpyloric Positioning of Nasoenteric Feeding Tubes"],"prefix":"10.1002","volume":"36","author":[{"given":"Jessica M.","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Forrest","family":"Fernandez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilene","family":"Staff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John W.","family":"Mah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,12]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_8_2_1","DOI":"10.1097\/00003246-199210000-00004"},{"doi-asserted-by":"publisher","key":"e_1_2_8_3_1","DOI":"10.1016\/S1052-5157(18)30247-2"},{"doi-asserted-by":"publisher","key":"e_1_2_8_4_1","DOI":"10.1177\/0115426505020003348"},{"doi-asserted-by":"publisher","key":"e_1_2_8_5_1","DOI":"10.1097\/CCM.0b013e31819ffcda"},{"doi-asserted-by":"publisher","key":"e_1_2_8_6_1","DOI":"10.1097\/00003246-200006000-00007"},{"doi-asserted-by":"publisher","key":"e_1_2_8_7_1","DOI":"10.1097\/CCM.0b013e3181a40116"},{"doi-asserted-by":"publisher","key":"e_1_2_8_8_1","DOI":"10.1016\/S0261-5614(03)00086-4"},{"doi-asserted-by":"publisher","key":"e_1_2_8_9_1","DOI":"10.1097\/00003246-200204000-00013"},{"doi-asserted-by":"publisher","key":"e_1_2_8_10_1","DOI":"10.1097\/00003246-200108000-00001"},{"key":"e_1_2_8_11_1","first-page":"813","volume-title":"AANC Procedure Manual for Critical Care","author":"Boggs RL","year":"1993"},{"key":"e_1_2_8_12_1","first-page":"297","volume-title":"AACN Clinical Reference for Critical Care Nursing","author":"Viall DC","year":"1993"},{"key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/S0029-6465(22)02685-8","article-title":"Enteral access devices","volume":"32","author":"Lord LM","year":"1997","journal-title":"Nurs Clin North Am"},{"key":"e_1_2_8_14_1","first-page":"54","article-title":"Feeding jejunostomy (versus gastrostomy) passes the test of time","volume":"53","author":"Burtch GD","year":"1987","journal-title":"Am Surg"},{"key":"e_1_2_8_15_1","first-page":"256","article-title":"Aspiration pneumonia in patients fed through nasoenteral tubes","volume":"15","author":"Metheny NA","year":"1986","journal-title":"Heart Lung"},{"doi-asserted-by":"publisher","key":"e_1_2_8_16_1","DOI":"10.1186\/cc2190"},{"doi-asserted-by":"publisher","key":"e_1_2_8_17_1","DOI":"10.1513\/pats.200406-820ST"},{"doi-asserted-by":"publisher","key":"e_1_2_8_18_1","DOI":"10.1097\/01.CCM.0000148222.09869.92"},{"doi-asserted-by":"publisher","key":"e_1_2_8_19_1","DOI":"10.1177\/0148607106030005440"},{"key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1542\/peds.98.2.242","article-title":"Rapid placement of transplyoric feeding tubes: a comparison of pH\u2010assisted and standard insertion techniques in children","volume":"98","author":"Krafte\u2010Jacobs B","year":"1996","journal-title":"Pediatrics"},{"doi-asserted-by":"publisher","key":"e_1_2_8_21_1","DOI":"10.1016\/S0899-9007(03)00163-1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_22_1","DOI":"10.1378\/chest.100.6.1643"},{"key":"e_1_2_8_23_1","first-page":"529","article-title":"Web\u2010based learning resources: new opportunities for competency development","volume":"146","author":"Moen A","year":"2009","journal-title":"Studs Health Technol Inform"},{"doi-asserted-by":"publisher","key":"e_1_2_8_24_1","DOI":"10.1111\/j.1553-2712.2008.00231.x"},{"doi-asserted-by":"publisher","key":"e_1_2_8_25_1","DOI":"10.1007\/s00134-002-1326-2"},{"doi-asserted-by":"publisher","key":"e_1_2_8_26_1","DOI":"10.1097\/00003246-200301000-00006"},{"doi-asserted-by":"publisher","key":"e_1_2_8_27_1","DOI":"10.1177\/0310057X0503300212"},{"doi-asserted-by":"publisher","key":"e_1_2_8_28_1","DOI":"10.1177\/0115426507022004412"},{"doi-asserted-by":"publisher","key":"e_1_2_8_29_1","DOI":"10.1097\/01.mco.0000214575.76848.b7"},{"doi-asserted-by":"publisher","key":"e_1_2_8_30_1","DOI":"10.1177\/0148607104028002119"},{"doi-asserted-by":"publisher","key":"e_1_2_8_31_1","DOI":"10.1007\/s00134-002-1544-7"},{"doi-asserted-by":"publisher","key":"e_1_2_8_32_1","DOI":"10.1111\/j.1365-277X.2006.00674.x"},{"doi-asserted-by":"publisher","key":"e_1_2_8_33_1","DOI":"10.3899\/jrheum.080761"},{"doi-asserted-by":"publisher","key":"e_1_2_8_34_1","DOI":"10.1097\/MLG.0b013e31814b290d"},{"unstructured":"New England Journal of Medicine: videos in clinical medicine available.http:\/\/www.nejm.org\/multimedia\/videosinclinicalmedicine. Accessed November 1 2010.","key":"e_1_2_8_35_1"},{"unstructured":"American College of Surgeons\/APDS Surgical Skills Curriculum for Residents.http:\/\/www.facs.org\/education\/surgicalskills.html. Accessed November 1 2010.","key":"e_1_2_8_36_1"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0148607111416246","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0148607111416246","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0148607111416246","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T13:32:22Z","timestamp":1760880742000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607111416246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,12]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["10.1177\/0148607111416246"],"URL":"https:\/\/doi.org\/10.1177\/0148607111416246","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"type":"print","value":"0148-6071"},{"type":"electronic","value":"1941-2444"}],"subject":[],"published":{"date-parts":[[2012,1,12]]}}}