Conocimiento de enfermeras en la administración y regulación de fármacos de alta vigilancia en oncología

Pierobon, Natielen; Batista, Josemar; Marcondes, Larissa; Silva, Danieli Parreira da

doi:10.6018/eglobal.511881

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…El conocimiento general del personal en enfermería en esta investigación coincide con el estudio aplicado por Pierobon (14), el cual menciona que el conocimiento general del personal en enfermería es bueno de acuerdo con el reglamento, la administración y la regulación, ya que se obtuvo un resultado del 79,4%. Con relación a las normativas de la OMS, Buquet (15), indica que el 80,8% correspondiente a 42 licenciadas conocen que el uso adecuado de los electrolitos concentrados puede ser una práctica asistencial segura para el paciente y así disminuir su estancia hospitalaria brindando una atención de calidad.…”

Section: Discussionunclassified

Calidad Y Seguridad Del Paciente en El Uso De Electrolitos Concentrados

Santo De la Cruz,

Cantuñi Carpio

2023

Enferm. investig.

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Introducción: Los electrolitos concentrados son medicamentos de alto riego para el paciente que puede provocar la muerte por un fallo al momento de su administración, por ello el personal de enfermería debe estar capacitado para proporcionar una atención segura y de calidad. Objetivo: Determinar el nivel de conocimiento clínico en el manejo de los electrolitos concentrados por parte del personal de enfermería, en el Hospital General Latacunga como parte de la calidad y seguridad del paciente. Métodos: La investigación fue cuantitativa, transversal descriptivo. Se aplicó una encuesta denominada “Conocimiento clínico de enfermería en el manejo de electrolitos concentrados.” La población y la muestra son la misma, por lo que se trata de una muestra Censal, que se encuentra constituida por 91 enfermeros asistenciales que laboran en el Hospital General Latacunga, los cuales cumplieron los criterios de inclusión, como que sean personal de terapia intensiva, medicina interna y cirugía, que deseen participar en la investigación. Resultados: De los resultados obtenidos en base al “Conocimiento general de los electrolitos concentrados”, se consiguió una media de 62,6 con un nivel de conocimiento alto, en el “Conocimiento del proceso de uso de los electrolitos concentrados”, se obtuvo una media de 65,24 con un nivel de conocimiento alto. En cuanto al “Conocimiento de la seguridad de la administración de los electrolitos concentrados”, la media fue del 61,94 expresando un nivel de conocimiento alto. Finalmente, en el “Conocimiento de la conservación de los electrolitos concentrados”, con 64,4 poseen un nivel de conocimiento medio de acuerdo a la media obtenida. Conclusiones: El nivel de conocimiento del personal de enfermería sobre el manejo de los electrolitos es medio, puesto que se afirma la calidad y seguridad del paciente al momento de la administración de estos fármacos de alto riesgo, sin embargo, el personal requiere ampliar sus conocimientos sobre la conservación de los electrolitos concentrados. Palabras clave: calidad de la atención de salud, seguridad del paciente, personal de enfermería, electrólitos. ABSTRACT Introduction: Concentrated electrolytes are high risk drugs for the patient that can cause death due to failure at the time of administration, therefore nursing staff is trained to provide safe and quality care. Objective: To determine the level of clinical knowledge in the management of concentrated electrolytes in the General Hospital Latacunga. Methods: The research was quantitative, descriptive cross-sectional. A survey entitled "Nursing clinical knowledge in the management of concentrated electrolytes". Sample and population are same, so, it is a Census sample, it consists of 91 care workers at the Hospital General Latacunga, who meet the following criteria, such as being intensive care, internal medicine and surgery, who wish to participate in the research. Results: From the results obtained based on the "General knowledge of concentrated electrolytes", it was obtained that 62.6% have a high level of knowledge, in the "Knowledge of the process of use of concentrated electrolytes", it was obtained that 65.24% have a high level of knowledge, as for the "Knowledge of the safety of the administration of concentrated electrolytes", 61.94% have a high level of knowledge. Finally, in the "Knowledge of the conservation of concentrated electrolytes", 64.4% possess a medium level of knowledge. Conclusions: The level of knowledge of the nursing staff on the management of electrolytes is medium, since the quality and safety of the patient is affirmed at the time of administration of these high-risk drugs, however, the staff requires expanding their knowledge on the conservation of concentrated electrolytes. Keywords: quality of health care, patient safety, nursing staff, electrolytes.

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Section: Discussionunclassified

Calidad Y Seguridad Del Paciente en El Uso De Electrolitos Concentrados

Santo De la Cruz,

Cantuñi Carpio

2023

Enferm. investig.

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“…Gaps in nurses' competencies can lead to significant patient morbidity. Therefore, it is imperative that nurses not only possess the requisite knowledge and skills but also the intrinsic personality traits suitable for each setting (8). Despite previous research on various aspects of nursing competencies within the Pakistani context, there remains a notable gap in studies focusing on the knowledge and handling of HAMs, which are among the most critical and life-threatening medications (9).…”

Section: Introductionmentioning

confidence: 99%

Knowledge about Administration and Regulation of High Alert Medication among Nurses in Oncology Department

Aziz,

Saddique,

Tasneem

2024

JHRR

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Background: High alert medications (HAMs) are associated with a higher risk of causing significant patient harm when used in error. Understanding the administration and regulation of these medications within oncology settings is critical due to the complex nature of cancer treatment regimens and the severity of potential medication errors. Objective: To assess the knowledge of nurses regarding the administration and regulation of high alert medications in an oncology department of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted among 133 registered nurses in the oncology department of Jinnah Hospital, Lahore. Data were collected using a structured questionnaire designed to evaluate nurses' knowledge of HAMs. Participants included both male (29.3%) and female (70.7%) nurses, with varying educational backgrounds and work experiences. Statistical analysis was performed using SPSS version 25, focusing on descriptive statistics such as frequencies, percentages, means, and standard deviations. Results: The results revealed moderate knowledge levels among nurses with significant gaps in critical areas. Only 20.3% correctly identified the protocol for fast IV push of 1:1000 epinephrine in mild allergic reactions, and 33.8% mistakenly believed that 10% calcium gluconate and 10% calcium chloride were interchangeable. Additionally, 44.4% incorrectly used 'Amp' or 'Vial' for dose expression instead of 'mg' or 'gm', and 53.4% failed to recognize the importance of distinctive labeling on look-alike drugs. Conclusion: The study highlights the need for enhanced educational programs and standardized protocols to improve the safe administration and regulation of HAMs in oncology settings. Strengthening nurses' knowledge and practices regarding HAMs is essential to reduce medication errors and improve patient outcomes.

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Evaluation of nursing administration records of high‐risk medications at a hospital network: a retrospective audit

Rashed,

Maleki,

Alkinany

et al. 2024

Pharmacy Practice and Res

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Within our hospital network, the PINCH acronym (Potassium, Insulin, Narcotics, Chemotherapeutics, Heparin) designates high‐risk medications. As per local guidelines, double‐checking is mandated at the point of administration. This retrospective audit aimed to assess nursing and midwifery staff's ability to recognise PINCH medications by examining their adherence to double‐signing protocols, serving as an indicator of double‐checking. The analysis included overall compliance proportions, categorised by PINCH class and further stratified based on location, specialty, and staffs' level of training. An analysis of the first thousand PINCH medication administrations from 1 January 2023 was conducted, spanning four sites within our hospital network. Data sourced from the Electronic Medication Record system were refined to include one medication per patient per day, totalling 200 administrations per PINCH category. The results revealed that 896 (89.6%) out of 1000 medication administrations were co‐signed, with narcotics showing a co‐signature rate of 100%, followed by potassium at 99%, heparin at 98%, insulin at 97.5%, and chemotherapeutics at 53.5%. Among the orders lacking co‐signature, 90% pertained to chemotherapeutics and the remaining 10% were distributed across other categories. Stratifying by location showed 28 (17.6%) out of 159 administrations in a subacute setting lack co‐signature, compared to 76 (6%) from 841 in an acute setting. Compliance rates were highest in specialty medicine at 94.3%, followed by surgical at 86.2%, general medicine 84.5%, women and children's and mental health units at 83.3% each, and continuing care at 82.2%. Notably, enrolled nurses exhibited the highest level of compliance with co‐signatures. Future research could explore the impact of educational strategies on the administration of high‐risk medications. Ethical approval was granted by the Eastern Health Office of Research and Ethics (Reference no: QA23‐075‐101 386) and the study conforms to the Australian Statement on Ethical Conduct in Human Research.

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Conocimiento de enfermeras en la administración y regulación de fármacos de alta vigilancia en oncología

Cited by 4 publications

References 11 publications

Calidad Y Seguridad Del Paciente en El Uso De Electrolitos Concentrados

Calidad Y Seguridad Del Paciente en El Uso De Electrolitos Concentrados

Knowledge about Administration and Regulation of High Alert Medication among Nurses in Oncology Department

Evaluation of nursing administration records of high‐risk medications at a hospital network: a retrospective audit

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