RESEARCH FEATURESNasal Tube Securement Randomized Controlled Trial in Pediatric Hospitalized PatientsMcNeely, Heidi L. PhD, RN, PCNS-BC1; Quackenbush, Debra MS, RN, CPN, CRRN1; Bothwell, Samantha BS2; Banks, Ashley DNP, RN, CPN3; Brinton, John T. PhD4 Author Information 1Children’s Hospital Colorado, Aurora, CO, USA. 2Department of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. 3Team Select Home Care, Aurora, CO, USA. 4Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA. Correspondence: Debra Quackenbush, MS, RN, CPN, CRRN, Children’s Hospital Colorado, 13123 E. 16th Ave., Box 500, Aurora, CO 80045. E-mail: [email protected] Cite this article as: McNeely, H. L., Quackenbush, D., Bothwell, S., Banks, A., & Brinton, J. T. (2023). Nasal tube securement: Randomized controlled trial in pediatric hospitalized patients. Rehabilitation Nursing, 48(1), 5–13. doi: 10.1097/RNJ.0000000000000392 Rehabilitation Nursing 48(1):p 5-13, 1/2 2023. | DOI: 10.1097/RNJ.0000000000000392 Buy CME Test Metrics Abstract Purpose The aim of this study was to compare accidental dislodgement rates of nasal gastric tubes secured with standard methods or a nasal tube securement device in pediatric patients. Design A randomized controlled trial was conducted. Methods Participants (n = 43) were randomized into standard securement or nasal tube securement device using block randomization to control for age and diagnosis. Surveys were collected from staff and caregivers on device ease of use and satisfaction. Results There were a similar number of tube dislodgements for patients in the nasal tube securement device group (n = 6) and the standard practice group (n = 7). The median hospital length of stay was higher for the standard practice group (13 days vs. 9 days). Conclusion Use of the nasal tube securement device did not significantly decrease the rate of tube dislodgements compared with standard practice. Clinical Relevance to Rehabilitation Nursing The study provides information for pediatric rehabilitation nurses in choosing securement options for nasal gastric tubes. Copyright © 2022 Association of Rehabilitation Nurses.