Drug Administration From Enteral Nutrition Tube

Not Applicable

Completed

• Conditions: Intensive Care
• Interventions: Other: Checklist

• Registration Number: NCT05790291
• Lead Sponsor: Emel Külekçi

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.

Study Timeline

• Study Start: 2022-03-15
• Primary Completion: 2022-05-15
• Study Completion: 2022-06-15
• Study First Submitted: 2023-02-16
• Status Verified: 2023-03
• Study First Submitted QC: 2023-03-29
• Last Update Submitted: 2023-03-29
• Study First Posted: 2023-03-30
• Last Update Posted: 2023-03-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 69

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
checklist	Checklist	checklist

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (1)

Sağlık Bilimleri Üniversitesi; 🇹🇷 Ankara, Keçiören, Turkey