Saint Louis University

Norma A. Metheny, Associate Dean, Nursing Research

PhD, RN, FAAN, Professor and Dorothy A. Votsmier Endowed Chair in Nursing

 Saint Louis University
 School of Nursing
 
 Room 318
 314-977-8941 (office)
 314-977-8949 (fax)
 
methenna@slu.edu

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Teaching: Dr. Metheny joined the Saint Louis University School of Nursing in 1979 and currently teaches an elective course in fluid and electrolyte balance.

Practice: Dr. Metheny's background is in adult medical-surgical nursing. She has authored multiple textbooks on fluid and electrolyte balance and is considered a content expert in this area of nursing practice.

Research and Scholarly Activites: Dr. Metheny's research focus is reducing risk associated with tube feedings. Please see sections below for a list of funded studies and examples of publications from her program of research.

Education:

  • PhD: Education, Saint Louis University 
  • MSN: Medical-Surgical Nursing, Washington University 
  • BSN: Nursing, Southern Illinois University
  • Diploma: Alton Memorial Hospital School of Nursing

Selected National/International Awards:

  • Sigma Theta Tau International Nurse Researcher Hall of Fame
  • GE Healthcare-American Association of Critical Care Nurses Pioneering Spirit Award
  • Distinguished Research Lecturer, American Association of Critical Care Nurses
  • Distinguished Nutrition Support Nurse, American Society for Parenteral & Enteral Nutrition

Publications (31 from 110):

  • Metheny NA & Meert KL: Efficacy of an electromagnetic feeding tube placement device in detecting inadvertent respiratory placement: A review of the evidence. American Journal of Critical Care. 23(3): 240-8, 2014 May
  • Metheny NA & Meert KL: A review of published case reports of inadvertent pulmonary placement of nasogastric tubes in children. Journal of Pediatric Nursing. 29(1):e7-e12, 2014 
  • Metheny NA & Frantz RA: Head-of-bed elevation in critically ill patients: A review. Critical Care Nurse. 33(3):53-67, 2013 
  • Metheny NA, Mills AC, Stewart BJ: Monitoring for intolerance to gastric tube feedings: a national survey. American Journal of Critical Care. 21(2):e33-40, 2012 
  • Metheny NA, Stewart BJ, McClave SA: Relationship between feeding tube site and respiratory outcomes. Journal of Parenteral & Enteral Nutrition. 35(3):346-55, 2011
  • Metheny NA, Jackson J, Stewart BJ: Effectiveness of an aspiration risk-reduction protocol. Nursing Research. 59(1)18-25, 2010
  • Bankhead R, Boullata J, Brantley S, Corkins M, Guenter P, Krenitsky J, Lyman B, Metheny NA, Muller C, Robbins S, Wessel J & A.S.P.E.N. Board of Directors: ASPEN Enteral Nutrition Practice Recommendations. Journal of Parenteral & Enteral Nutrition. Vol 33, No. 2, 122-166, 2009
  • Metheny NA, Schallom L, Oliver DA, Clouse RE: Gastric residual volume and aspiration in critically ill patients receiving gastric feedings. American Journal of Critical Care. 17:512-519, 2008
  • Metheny NA, Meert KL, Clouse RE: Complications related to feeding tube placement. Current Opinion in Gastroenterology. 23(2)178-182, 2007
  • Metheny NA: Strategies to prevent aspiration pneumonia in tube-fed patients. Respiratory Care Clinics of North America. 12:603-617, 2006
  • Metheny NA, Clouse RE, Chang YH, Stewart BJ, Oliver DA & Kollef M: Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: Frequency, outcomes and risk factors. Critical Care Medicine. 34(4)1007-1015, 2006
  • Meert KL, Daphtary K, Metheny NA: Gastric versus small bowel feeding in mechanically ventilated critically ill children: a randomized controlled trial. CHEST. 126(3) 872-8, 2004
  • Metheny NA, Dahms T, Chang Y, Stewart BJ, Frank P, Clouse RE: Detection of pepsin in tracheal secretions following three forced small-volume aspirations of gastric juice. Journal of Parenteral & Enteral Nutrition. 28(2):79-84, 2004 
  • Metheny NA: Risk factors for aspiration. Journal of Parenteral & Enteral Nutrition. 26(6)S26-33, 2002 
  • McClave S, DeMeo M, DeLegge M, DiSario J, Heyland D, Maloney J, Metheny NA, Moore F, Scolapio J, Spain D, Zaloga G: North American Summit on Aspiration in the Critically Ill Patient. Consensus conference on aspiration. Journal of Parenteral & Enteral Nutrition 26(6)S80-85, 2002
  • Metheny NA: Inadvertent intracranial placement of a nasogastric tube following transnasal transsphenoidal surgery: A case report. American Journal of Nursing. 102(8)25-27, 2002
  • Metheny NA, Dahms T, Stewart B, Stone K, Edwards S, Defer J, Clouse RE: Efficacy of dye-stained enteral formula in detecting pulmonary aspiration. CHEST 122:276-281, 2002 
  • Meert K, Daphtary K, Metheny NA: Detection of pepsin and glucose in tracheal secretions as indicators of aspiration in mechanically ventilated children. Pediatric Critical Care Medicine 3(1)19-22, 2002
  • Metheny NA, Smith L, Stewart BJ: Development of a reliable and valid bedside test for bilirubin and its utility in predicting feeding tube location. Nursing Research 49(6)302-309, 2000
  • Gharpure V, Meert KL, Sarnaik A, Metheny NA: Indicators of post-pyloric feeding tube placement Critical Care Medicine 28(8)2962-2966, 2000 
  • Metheny NA, Stewart B, Smith L, Yan H, Diebold M, Clouse R: pH and concentration of bilirubin in feeding tube aspirates as predictors of tube placement. Nursing Research 48(4)189-197, 1999
  • Metheny NA, Wehrle M, Wiersema L, Clark J: Testing feeding tube placement: auscultation vs. pH method. American Journal of Nursing 98(5)37-43, 1998
  • Metheny NA, Smith L, Wehrle M, Wiersema L, Clark J: pH, color, and feeding tubes. RN 61(1)25-7, 1998 
  • Metheny NA, Stewart B, Smith L, Yan H, Diebold M, & Clouse R. pH and concentrations of pepsin and trypsin in feeding tube aspirates as predictors of tube placement. Journal of Parenteral & Enteral Nutrition 21(5)279-285, 1997 
  • Metheny NA & Clouse RE: Bedside methods for detecting aspiration in tube-fed patients: A review. CHEST 111(3)724-731, 1997
  • Metheny NA, Clouse RE, Clark J, Reed L, Wehrle M, Wiersema L: Use of the pH method to predict feeding tube placement. Nutrition in Clinical Practice 19(5)185-190, 1994
  • Metheny NA, Reed L, Berglund B, Wehrle M: Visual characteristics of aspirates from feeding tubes as a method for predicting tube location. Nursing Research 43(5)282-287, 1994
  • Metheny NA, McSweeney M, Wiersema L, Wehrle M: Effectivness of the auscultatory method is predicting feeding tube placement. Nursing Research 39(5):252-267, 1990
  • Metheny NA, Williams P, Wiersema L, Wehrle M, Eisenberg P, McSweeney M: Effectiveness of pH measurements in predicting feeding tube placement. Nursing Research 38(5)280-285, 1989
  • Metheny N: Measures to test feeding tube placement: A review. Nursing Research 37(6)324-329, 1988
  • Metheny N, Eisenberg P, McSweeney M: Effect of feeding tube properties and three irrigants on clogging rates. 37(1):165-9, 1988

Funding:

  • 2014-2016: Testing feeding tube placement in infants. Impact Grant funded by the American Association of Critical Care Nurses. Principal Investigator. $50,000 
  • 2009-2011: Development of a ‘Nurse-Friendly' Bedside Test for Aspiration. Funded by the National Institute of Nursing Research, 1 R21 NR011228-01. Principal Investigator. $181,913 
  • 2009: Supplement to ‘Development of a Nurse-Friendly Bedside Test for Aspiration.' Funded by the National Institute of Nursing Research. 3R21NR011228-01S1, Principal Investigator. $32,140 
  • 2006-2008: Detecting Aspiration Associated with Tube Feedings. Funded by the National Institute of Nursing Research, RO1NR05007. Principal Investigator. $939,749 
  • 2002-2005: Detecting Aspiration Associated with Tube Feedings. Funded by the National Institute of Nursing Research, RO1NR05007. Principal Investigator. $1,452,444 
  • 1999-2002: Detecting Aspiration Associated with Tube Feedings. Funded by the National Institute of Nursing Research. RO1NR05007. Principal Investigator. $1,026,453 
  • 1995-1998: Measures to Test Feeding Tube Placement. Funded by the National Institute of Nursing Research, RO1NRO1669, Principal Investigator. $1,074,825 
  • 1991-1994: Measures to Test Feeding Tube Placement. Funded by the National Institute of Nursing Research, R01NRO1669, Principal Investigator. $699.565 
  • 1987-1989: Measures to Test Feeding Tube Placement. Funded by the National Institute of Nursing Research, Principal Investigator. $265,650 
  • 1986: Relationship of Feeding Tube Properties to Nursing Management. Funded by Sigma Theta Tau International, Principal Investigator. $3000 
  • 1985: Monitoring Patients with Nasally Placed Feeding Tubes. Funded by the American Nurses' Foundation, Principal Investigator. $2100
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