Medication administration via enteral tubes: a survey of nurses’ practices

Phillips, Nicole M.; Endacott, Ruth

doi:10.1111/j.1365-2648.2011.05688.x

Cited by 33 publications

(74 citation statements)

References 10 publications

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“…39 Our results are in agreement with other studies that reported auscultation was used by 73% to 93% of critical care nurses to verify initial feeding tube placement. 2,40,41 Of the practices examined in our survey, auscultation required the least amount of specialized equipment or supplies, which may be one of the reasons this practice continues to be widely used. 2 It is disconcerting that auscultation continues to be one of the most commonly used methods for feeding tube verification.…”

Section: Discussionmentioning

confidence: 99%

Methods Used by Critical Care Nurses to Verify Feeding Tube Placement in Clinical Practice

Bourgault

Heath

Hooper

et al. 2015

Critical Care Nurse

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Section: Discussionmentioning

confidence: 99%

Methods Used by Critical Care Nurses to Verify Feeding Tube Placement in Clinical Practice

Bourgault

Heath

Hooper

et al. 2015

Critical Care Nurse

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“…Pese a lo anterior, en nuestro estudio, al igual que en otros, el personal en su mayoría conoce los fármacos más adecuados que deben administrarse por sonda 5,17 , así como el momento en el que deben lavar la sonda al administrar un medicamento 18 , sin embargo, no fue suficiente para obtener un conocimiento adecuado, puesto que los errores muestran falta de conocimiento y desempeño en la práctica.…”

Section: Resultsunclassified

Calidad en la administración de medicamentos por sondas enterales de una unidad de cuidados intensivos de México

Méndez-Jiménez

García

Álvarez

2017

Revenf

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RESUMENEl objetivo principal de este trabajo es evaluar la calidad en la administración de medicamentos por sondas enterales por el personal de enfermería de una unidad de cuidados intensivos. Metodología: Estudio observacional, transversal y descriptivo. Se consideró el total de profesionales en enfermería (N=30) de un hospital de alta especialidad. Se estudió las variables conocimiento y cumplimiento. Para evaluar el conocimiento en la administración de fármacos por sondas enterales, se utilizó el instrumento de Amuriza "encuesta de administración de fármacos por sonda". Para evaluar el cumplimiento, se empleó la cédula oficial de administración de medicamentos vía oral del Sistema Nacional de Indicadores de Calidad en Salud. Para obtener del nivel de calidad, se creó un índice ponderado general (IPG) a partir de la suma de los valores estimados obtenidos del porcentaje y la puntuación media del nivel de conocimiento y nivel de cumplimiento. Se analizó los datos a través del programa estadístico SSPS V.21.0. Resultados: El nivel de conocimiento promedio fue deficiente en los participantes, el nivel de cumplimiento fue intermedio en el 77%, el nivel de calidad ponderado fue de 5 puntos estimado como deficiente. Conclusiones: El resultado es contrario a lo establecido en los lineamientos de administración de fármacos por sondas, se sugiere adiestramiento y evaluación constante para la mejora continua. Es indispensable el bien saber y el bien hacer en las intervenciones de enfermería.

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“…According to Phillips and Endacott (2011), one third of nurses studied stated that enteric-coated medication could be administered when no other form was available, revealing that nurses have insufficient knowledge about the safety risks associated with destroying the enteric coating (Lohmann et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, errors related to this route of administration happen more often than reported or recognized (Institute for Safe Medication Practice, 2010). The issues raised are pertinent across countries (Phillips and Endacott, 2011), but there is a knowledge gap regarding the safe handling of feeding tubes especially in developing healthcare institutions. Studies that aim to identify evidence-based interventions targeting safe oral medication preparation and administration through feeding tubes can reduce that gap and the risks of complications, and decrease the overall costs of care.…”

Section: Introductionmentioning

confidence: 99%

Medication incidents related to feeding tube: A cross-sectional study

Gimenes¹,

Pareira²,

Horak³

et al. 2017

Afr. J. Pharm. Pharmacol.

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The aim is to evaluate the medication incidents relating to incorrect oral medication preparation and administration through enteral feeding tubes in hospitalized patients. A cross-sectional design was used to observe 374 doses of medications at three Brazilian hospitals. The patients consisted mostly of females (48.6%), elderly (65.71%), using polyurethane tubes (82.9%), with jejunal access (82.9%), and circulatory system diseases (45.71%). The most common medication incidents identified were: mixing tablets with other drug(s) (43.5%) and not labelling the prepared medication (60.4%). With regards to incorrect medication administration, not flushing the tube between medications (86.5%) and administering medications together (65.6%) were the most common errors. Tube obstruction was identified in 36.5% of doses administered. There was an association between tube obstruction and mixing tablet with other drug(s); tablet incorrectly reconstituted; tube not flushed prior to medication administration; tube not properly flushed between medications; concurrent administration of a medication and enteral formula; and enteral feeding not interrupted prior to medication administration. The results contribute to the development of knowledge in order to improve hospital nursing practice, especially in developing countries. Future studies should be conducted in order to access patients' outcomes related to incorrect oral medication preparation and administration through feeding tubes.

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Medication administration via enteral tubes: a survey of nurses’ practices

Abstract: Enteral medication administration practices are inconsistent. Some nurses are using unsafe practices and may therefore compromise patient care.

Cited by 33 publications

References 10 publications

Methods Used by Critical Care Nurses to Verify Feeding Tube Placement in Clinical Practice

Methods Used by Critical Care Nurses to Verify Feeding Tube Placement in Clinical Practice

Calidad en la administración de medicamentos por sondas enterales de una unidad de cuidados intensivos de México

Medication incidents related to feeding tube: A cross-sectional study

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