Intensive Care
Conditions
Keywords
Enteral Tube, Enteral Drug Administration, Nurse, Medication Errors, Checklist
Brief summary
Enteral nutrition protocols are applied in patients who do not have gastrointestinal dysfunction but in whom oral feeding is contraindicated. In these patients, where drug use is also necessary but alternative drug administration routes are not possible, drugs can be given to the patient through enteral nutrition tubes. However, there are studies reporting errors and complications during drug administration from the enteral nutrition tube. With the planned thesis study, it is aimed to develop an evidence-based checklist and to reduce the rate of errors and complications in drug administration through enteral feeding tube with this checklist.
Detailed description
Enteral nutrition protocols are applied in patients who do not have gastrointestinal dysfunction but in whom oral feeding is contraindicated. In these patients, where drug use is also necessary but alternative drug administration routes are not possible, drugs can be given to the patient through enteral nutrition tubes. When adding drugs to parenteral nutrition admixtures or using concomitant drugs from the same catheter, it has become a general rule to check for drug incompatibility. The same level of care is not taken in drug administration from the enteral nutrition tube. There are studies reporting errors and complications in enteral drug administration in the literature Today, one of the most important parts of corporate culture in healthcare is patient safety. Patient safety is all of the measures taken by health institutions and employees in these institutions in order to prevent the harm that health care services may cause to individuals. The main goal here is; It is the establishment of a system that will protect the patient from possible harm and eliminate the possibility of error due to errors that will prevent the occurrence of errors during care delivery. The checklists used in recent years are also an evidence-based practice list and have become one of the effective methods used to prevent errors and reduce complications. A checklist standardizes the process, streamlines maintenance delivery, and improves performance to ensure all actions are covered. The checklist allows cross-checking what was done and in what order. These reassurances are important in situations where time is short and distractions. With this study, it is aimed to develop an evidence-based checklist and to reduce the rate of errors and complications in drug administration through enteral feeding tube with this checklist.
Interventions
OTHERChecklist
the experimental group will practice using the checklist
Sponsors
Emel Külekçi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
First, the participants were blinded. Participants were randomized after the pretest and divided into two groups. No explanation was given to the participants about how many groups there were and which group they belonged to. Second, the observer was blinded. Video recording was taken by the researcher during the administration in calculating the error rates. The video recordings were watched one by one by an assistant researcher who did not know the groups, and the administration steps were marked on the observation form as true/false. Third, the statistician was blinded.
Intervention model description
randomized control
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Being an intensive care nurse * Have experience in administering enteral medication * Administering enteral medication to an adult patient * Agree to participate in the research
Exclusion criteria
* Administering enteral medication to a patient with fluid restriction * Change of position * Wanting to leave research
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in enteral drug administration error rates of nurses with an interval of 2 months | baseline and month 2 | First, the error rates of 69 nurses during enteral drug administration were calculated. Enteral medication was administered for approximately one month with the next intervention group (n=34) checklist. Finally, the error rates of 69 nurses during enteral drug administration were recalculated. Error rates were determined with a 19-item observation formula. Name of the form; Medication from Enteral Feeding Tube Observation Form for Applications The lowest error rate is 0%, the highest error rate is 100%. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in enteral drug administration knowledge of nurses with an interval of 2 months | baseline and month 2 | First, the knowledge levels of 69 nurses on enteral drug administration were calculated. Then the intervention group (n=34) administered enteral medication for approximately one month along with the checklist. Finally, the knowledge levels of 69 nurses on enteral drug administration were recalculated. Knowledge levels were determined with a 20-item information form. Name of the form; It is an Information Evaluation Form for Drug Administrations from Enteral Feeding Tube. The lowest score is 0, the highest score is 100. |
Countries
Turkey (Türkiye)
Outcome results
None listed