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

Phillips, Nicole Margaret and Endacott, Ruth 2011, Medication administration via enteral tubes : a survey of nurses' practices, Journal of advanced nursing, vol. 67, no. 12, pp. 2586-2592, doi: 10.1111/j.1365-2648.2011.05688.x.

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Title Medication administration via enteral tubes : a survey of nurses' practices
Author(s) Phillips, Nicole MargaretORCID iD for Phillips, Nicole Margaret orcid.org/0000-0002-6821-4983
Endacott, Ruth
Journal name Journal of advanced nursing
Volume number 67
Issue number 12
Start page 2586
End page 2592
Total pages 7
Publisher Wiley - Blackwell Publishing
Place of publication Oxford, United Kingdom
Publication date 2011-12
ISSN 0309-2402
1365-2648
Keyword(s) enteral medication administration
nurse
patient safety
questionnaire survey
Summary Aim: This article is a report of a study examining the practices of acute care nurses when administering medication via enteral tubes. Background. Administering medication via enteral tubes is predominantly a nursing responsibility across countries. It is important to establish what nurses actually do when giving enteral medication to inform policy and continuing education development.

Method:
In 2007, a survey was conducted using a random sample of acute care nurses at two large metropolitan hospitals in Melbourne, Australia. There were 181 Registered Nurses who participated in the study; 92 (50Æ8%) practised in intensive care units, 52 (28Æ7%) in surgical areas, 30 (16Æ6%) in medical areas and 7 (3Æ9%) were from combined medical–surgical areas. The questionnaire was developed by the researchers and a pilot study was conducted in August 2006 to test reliability, face validity and user-friendliness of the tool.

Results: Nurses reported using a range of methods to verify enteral tube position prior to administering enteral medication; some were unreliable methods. A majority reported administering enteric-coated and slow or extended release forms of medication, and giving solid forms of medication when liquid form was available. Nearly all (96%) reported flushing a tube after giving medication, 28% before, and 12% always flushed between each medication.

Conclusion: Enteral medication administration practices are inconsistent. Some nurses are using unsafe practices and may therefore compromise patient care.
Language eng
DOI 10.1111/j.1365-2648.2011.05688.x
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2011, Blackwell Publishing Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30041182

Document type: Journal Article
Collections: School of Nursing and Midwifery
Higher Education Research Group
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Created: Tue, 03 Jan 2012, 14:16:39 EST by Jane Moschetti

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