Oesophageal bezoars are one of the many causes of nasogastric tube obstruction; however, they are extremely rare and, therefore, not often considered to be the cause of a blockage. A bezoar is a solid mass of indigestible material that accumulates in the digestive tract. After a blockage is identified, the nasogastric tube is usually removed and another one inserted. However, this can be dangerous and can easily cause tearing of the oesophageal mucosa, bleeding, and other serious complications. In this article, the authors present a case of nasogastric tube obstruction caused by oesophageal bezoars. After the nasogastric tube was replaced, the patient experienced two tears of the oesophageal mucosa. This article highlights the importance of the introduction of a procedure for nurses to follow in cases of nasogastric tube obstruction, bearing in mind the possibility of the presence of oesophageal bezoars. If necessary, a gastroscope should be used to ensure safe insertion of the nasogastric tube and prevent oesophageal mucosal tears.

Objective This study aimed to evaluate the self-directed learning ability of junior emergency department (ED) nurses and provide the rationale for whether it is necessary to strengthen the training of junior ED nurses. Methods Using the convenience sampling method, a self-directed learning ability questionnaire survey was conducted among 358 junior ED nurses in several tertiary hospitals in Guangdong Province. Results The total score of self-learning ability of junior ED nurses was 119.85±16.82 (scores >135, 85-135, and <85 indicate excellent, intermediate, and poor self-learning ability, respectively). The retrospective analysis showed that gender, whether having participated in academic education, and the degree of motivation for promotion were major factors that affected the self-learning ability of junior ED nurses (P<0.05). Conclusions The self-learning ability of junior ED nurses in Guangdong is at an intermediate level. Nursing managers should pay more attention to the junior ED nurses with poor self-learning ability. In particular, adopting various training methods and establishing appropriate promotion mechanisms and economic incentive measures may help improve their self-learning ability and enable them to meet job requirements.

Objective To analyze the status and cognition of nasointestinal tube in emergency department of 126 general hospitals in Guangdong province. Methods The self-designed general information questionnaire for knowledge, belief and behavior was used to investigate 602 emergency nurses of 126 general hospitals. Results 1. The cognitive score of emergency nurse on nasointestinal tube showed: The score of knowledge was (8.24 + 5.02), the qualified rate was 52.2%. the score of belief was (23.82 + 5.03), and the score of behavior was (29.77 + 18.71). Multiple linear regression results showed that，The emergency nurses' cognition of nasointestinal tube was influenced by Working age, professional ranks, level, educational background and hospital grade. （P＜0.01）2.Correlation analysis showed that the scores of attitude and behavior of nurses with different educational background, professional ranks and working age were significantly different. Conclusion Emergency nurse have a low cognition of nasointestinal tube in Guangdong Province. It is necessary to study the knowledge and technology of nasointestinal tube，make standardized operating guideline and procedure, to further improve the emergency nurses'essary to study the knowledge and technology of nasointestinal tube nificantly different.