Golestan University of Medical Sciences Repository

The role of clinical pharmacist to improve medication administration through enteral feeding tubes by nurses

Dashti-Khavidaki, S. and Badri, S. and Eftekharzadeh, S.-Z. and Keshtkar, A. and Khalili, H. (2012) The role of clinical pharmacist to improve medication administration through enteral feeding tubes by nurses. International Journal of Clinical Pharmacy, 34 (5). pp. 757-764. ISSN 22107703 (ISSN)

Full text not available from this repository.

Abstract

Background: As a common practice, medications are given in addition to nutrients through enteral catheters especially in critically ill patients. Nurses are primarily responsible to administer medications in this manner. The correct drug delivery via enteral tubes requires special skills. Objective: This study was designed to evaluate effectiveness of clinical pharmacist-led educational program in progressing nurses' knowledge and practice regarding medications delivery via enteral catheters. Setting: This study has been performed in two teaching hospital affiliated to Tehran University of Medical Sciences. Methods: This is a case-control, interventional study. At first, a knowledge and practice questionnaire regarding drug administration trough enteral feeding tube by intensivist nurses was prepared. This questionnaire was filled by each nurse at pre-intervention phase of the study. Then, the clinical pharmacists provided educational programs including preparing evidence-based booklet and classes for case group nurses. Nurses in case and control groups were evaluated again after 3 months. At pre- and post-intervention phases nurses were observed regarding their practice to administer drugs via enteral tubes as well. Main outcomes: Mean scores of knowledge and practice questions as well as percent of nurses with correct answers were compared between pre- and post-intervention phases in case and control groups. Results: The mean scores of knowledge and practice questions significantly increased in the case group but decreased or remained unchanged in the control group. In contrast to control group, the percent of nurses with correct answers to each domain of knowledge and practice questions increased significantly in the case group. Conclusion: This study showed that nurses did not have sufficient baseline knowledge about rules of drug administration via enteral feeding tubes; however, integrated educational program by clinical pharmacists that focus on promoting correct administration of drugs via enteral feeding catheters significantly improved knowledge and practice of nurses. A theory-practice gap was found in this study that may be related to the authority of physicians not nurses in ordering rules for medication administration through enteral catheters. © Springer Science+Business Media B.V. 2012.

Item Type: Article
Additional Information: Unmapped bibliographic data: LA - English [Field not mapped to EPrints] J2 - Int. J. Clin. Pharm. [Field not mapped to EPrints] C2 - 22790463 [Field not mapped to EPrints] AD - Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, P.O. Box: 14155/6451, 1417614411 Tehran, Iran [Field not mapped to EPrints] AD - Nephrology Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Clinical Pharmacist, School of Pharmacy, Isfahan University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Department of Epidemiology, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran [Field not mapped to EPrints] AD - Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gorgan, Iran [Field not mapped to EPrints] DB - Scopus [Field not mapped to EPrints]
Uncontrolled Keywords: Clinical pharmacy, Drug administration, Enteral feeding tube, Iran, Knowledge, Nurse, adult, article, case control study, catheter, clinical practice, controlled study, drug administration route, drug delivery system, education program, enteral catheter, enteral drug administration, enteric feeding, evidence based medicine, female, human, intervention study, Iran, male, normal human, nurse training, nursing knowledge, pharmacist, physician, priority journal, questionnaire, teaching hospital, theory-practice relationship, university hospital, Adult, Case-Control Studies, Clinical Competence, Drug Administration Routes, Enteral Nutrition, Female, Humans, Intensive Care Units, Male, Nurses, Pharmaceutical Preparations, Pharmacists, Pilot Projects, Questionnaires
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 18 Apr 2015 05:09
Last Modified: 15 Jun 2015 06:37
URI: http://eprints.goums.ac.ir/id/eprint/1969

Actions (login required)

View Item View Item