| Summary: | Master of Science in Medicine, Child Health, Neurodevelopment === Purpose: The purpose of this study was to identify the current decision-making processes that
are in place when inserting gastrostomy tubes in children within a public hospital setting.
Design: The study adopted a quantitative approach where a descriptive design was employed
based on information obtained from questionnaires.
Participants: Professionals were selected from three public hospitals who are involved in the
decision-making process when considering the insertion of gastrostomy tubes in children.
Implications: This study determined if there was a common decision-making process
between professionals when inserting gastrostomy tubes in children as well as ascertained
whether the implementation of guidelines would be beneficial to assist with the process.
Results: The study showed that there is a multidisciplinary team involved in the decision
making process. Professionals reported that the main reason for the insertion of a gastrostomy
tube was because of neurological disorders. Some assessments are being conducted prior to
the insertion. The study showed that there is a confusion around the assessments used to
investigate gastroesophageal reflux. Counselling the families surrounding the gastrostomy
tube was contacted mostly by the speech-language therapists and dieticians, to ensure they
know how to feed and troubleshoot any problems arising from the gastrostomy tube.
Complications such as tube dislodgement, leaking tubes and infections of the stoma are
reportedly common within the hospitals studied.
Conclusion: A checklist was compiled to assist professionals with the decision-making for
the insertion of gastrostomy tubes as well as the follow up plan surrounding the care.
Key Words: Gastrostomy tubes, decision-making, professionals in a public hospital setting === XL2019
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