This study aimed to assess the level of clinical competence of nurses in managing percutaneous endoscopic gastrostomy (PEG) within the AUSL of Piacenza.

The objectives were to explore differences between hospital and community nurses regarding theoretical knowledge, perceived competence, and training needs, in order to identify gaps and promote the development of standardized clinical protocols.

A prospective descriptive observational study was conducted in September 2025 among nurses working in hospitals, community services, and accredited private facilities of AUSL Piacenza.Data were collected using a structured questionnaire specifically developed and validated by a panel of experts.

The tool included three sections: (1) general information, (2) theoretical knowledge and perceived competencies, and (3) training needs.

The survey was distributed through the REDCap platform to ensure anonymity and confidentiality. Descriptive statistics were used to analyze the data.

A total of 112 complete responses were analyzed.

Most participants worked in hospital settings (96.4%) and had over 10 years of professional experience.Although nearly all respondents had managed PEG patients (96.4%), only 27.7% did so more than three times per month.

Knowledge levels were heterogeneous, with only 10.7% of participants answering all theoretical questions correctly.

Perceived competence was high in site hygiene and patient positioning, but lower in emergency management and caregiver education.

Overall, 79.5% of nurses had never received specific training on PEG management, yet 83% expressed the need for a shared protocol and 65% were willing to participate in future educational programs.Key findings indicate a gap between theoretical knowledge and clinical practice, particularly in emergency procedures and educational communication.

Nursing clinical competence in PEG management within AUSL Piacenza is generally adequate but uneven across care settings.

The findings emphasize the importance of continuous professional development, interprofessional collaboration, and the adoption of standardized care pathways.

Structured and targeted training programs could enhance nurses’ theoretical and practical skills, strengthen their educational role with patients and caregivers, and ultimately improve the quality, safety, and continuity of PEG care in both hospital and community contexts.