An investigation on nurses’ competencies and practices regarding enteral tube medication administration: a cross-sectional study
https://doi.org/10.4081/wpph.2024.9980
Accepted: 5 April 2024
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Background: understanding how healthcare professionals correctly administer medications through enteral routes is necessary to reduce patient morbidity and mortality. The study’s objective is to evaluate nurses’ competencies and management methods in administering oral medications to hospitalized patients who have enteral feeding tubes. Materials and Methods: an observational cross-sectional study involving nurses employed at the University Hospital for at least six months. A survey consisting of 16 questions related to medication dilution, pharmaceutical form management, and enteral medication administration techniques was administered. Results: a total of 218 nurses were recruited, with a mean age of 30.95 years (SD 6.15), of whom 132 (60.5%) were female, and 173 (78.9%) held a bachelor’s degree. Approximately half of the responses (49.3%) were incorrect. Conclusions: nurses should improve their knowledge regarding enteral medication administration. Nurses are responsible for pharmacological management, and their level of knowledge directly impacts the health and safety of these patients. Therefore, specific training addressing the identified gaps would be appropriate.
Romero Jiménez RM, Ortega Navarro C, Cuerda Compés C. Polypharmacy and enteral nutrition in patients with complex chronic diseases. Nutr Hosp. 2017;34:57-76. DOI: https://doi.org/10.20960/nh.1240
Sohrevardi SM, Jarahzadeh MH, Mirzaei E, et al. Medication errors in patients with enteral feeding tubes in the Intensive Care Unit. J Res Pharm Pract. 2017;6:100-5. DOI: https://doi.org/10.4103/jrpp.JRPP_17_9
Emami S, Hamishehkar H, Mahmoodpoor A, et al. Errors of oral medication administration in a patient with enteral feeding tube. J Res Pharm Pract. 2012;1:37-40. DOI: https://doi.org/10.4103/2279-042X.99677
Phillips NM, Nay R. A systematic review of nursing administration of medication via enteral tubes in adults. J Clin Nurs. 2008;17:2257-65. DOI: https://doi.org/10.1111/j.1365-2702.2008.02407.x
Zeind CS, Carvalho MG. Applied therapeutics: the clinical use of drugs. 2018. Available from: https://pharmacy.lwwhealthlibrary.com/book.aspx?bookid=2324
Hens B, Corsetti M, Bermejo M, et al. "Development of fixed dose combination products" Workshop Report: considerations of gastrointestinal physiology and overall development strategy. AAPS J. 2019;21:75. DOI: https://doi.org/10.1208/s12248-019-0346-6
Uysal N, Sari HY, Gok DD, Maslak OO. Evaluating nurses’ practices for medication administration via enteral feeding tube. International Journal of Caring Sciences. 2016;9:1058
Gimenes FRE, Pareira RA, Horak ACP, et al. Medication incidents related to feeding tube: A cross-sectional study. Afr J Pharm Pharmacol. 2017;11:305-13. DOI: https://doi.org/10.5897/AJPP2017.4799
Grissinger M. Preventing errors when drugs are given via enteral feeding tubes. P T Peer-Rev J Formul Manag. 2013;38:575-6.
Khani J, Vazin A, Shafiekhani M. Evaluation knowledge, attitude and practice of intensive care unit nurses in administering medications via enteral tubes. Trends in Pharmaceutical Sciences. 2016;2:195-204.
Seifert CF, Johnston BA. A nationwide survey of long‐term care facilities to determine the characteristics of medication administration through enteral feeding catheters. Nutr Clin Pract. 2005;20:354-62. DOI: https://doi.org/10.1177/0115426505020003354
Tillott H, Barrett D, Ruan J, et al. Survey of nurses’ knowledge and practice regarding medication administration using enteral tubes. J Clin Nurs. 2020;29:4614-22. DOI: https://doi.org/10.1111/jocn.15498
Sari D, Kadifeli D, Akbiyik A, Taşkiran N. Intensive care unit nurses’ knowledge of medication administration via enteral tubes. Nurs Crit Care. 2018;23:141-6. DOI: https://doi.org/10.1111/nicc.12335
Guenter P, Boullata J. Nursing2013 survey results: Drug administration by enteral feeding tube. Nursing (Lond). 2013;43:26-33. DOI: https://doi.org/10.1097/01.NURSE.0000437469.13218.7b
Compher C, Bingham AL, McCall M, et al. Guidelines for the provision of nutrition support therapy in the adult critically ill patient: the American Society for Parenteral and Enteral Nutrition. J Parenter Enter Nutr. 2022;46:12-41. DOI: https://doi.org/10.1002/jpen.2267
Klang MG. Developing guidance for feeding tube administration of oral medications. J Parenter Enter Nutr. 2023;47:519-40. DOI: https://doi.org/10.1002/jpen.2490
Castel C, Lescure P, Le Soudier S, et al. Crushing or opening medication: what practices, what risks? Rev Infirm. 2018;67:35-7. DOI: https://doi.org/10.1016/j.revinf.2018.01.009
Gracia-Vásquez SL, González-Barranco P, Camacho-Mora IA, et al. Medications that should not be crushed. Med Univ. 2017;19:50-63. DOI: https://doi.org/10.1016/j.rmu.2017.03.001
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