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临床试验/NCT05790291
NCT05790291已完成不适用

The Effect Of The Check List Developed For Drug Administration From Enteral Nutrition Tube On Administration Errors

Emel Külekçi1 个研究点 分布在 1 个国家目标入组 69 人开始时间: 2022年3月15日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
69
试验地点
1
主要终点
Change in enteral drug administration error rates of nurses with an interval of 2 months

研究概览

简要总结

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.

详细描述

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.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Triple (Participant, Investigator, Outcomes Assessor)

盲法说明

First, the participants were blinded. Participants were randomized after the pretest and divided into two groups. No explanation was given to the participants about how many groups there were and which group they belonged to.

Second, the observer was blinded. Video recording was taken by the researcher during the administration in calculating the error rates.

The video recordings were watched one by one by an assistant researcher who did not know the groups, and the administration steps were marked on the observation form as true/false.

Third, the statistician was blinded.

入排标准

性别
All
接受健康志愿者
是

入选标准

  • •Being an intensive care nurse
  • •Have experience in administering enteral medication
  • •Administering enteral medication to an adult patient
  • •Agree to participate in the research

排除标准

  • •Administering enteral medication to a patient with fluid restriction
  • •Change of position
  • •Wanting to leave research

研究组 & 干预措施

checklist

Experimental

checklist

干预措施: Checklist (Other)

no intervention

No Intervention

no intervention

结局指标

主要结局

Change in enteral drug administration error rates of nurses with an interval of 2 months

时间窗: 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%.

次要结局

  • Change in enteral drug administration knowledge of nurses with an interval of 2 months(baseline and month 2)

研究者

发起方
Emel Külekçi
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Emel Külekçi

Lecturer

Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

研究点 (1)

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