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Medication administration by enrolled nurses: opinions of nurses in an Australian healthcare organization

Kerr, Debra, Lu, Sai, Mill, Douglas and McKinlay, Louise 2012, Medication administration by enrolled nurses: opinions of nurses in an Australian healthcare organization, Nursing forum, vol. 47, no. 4, pp. 203-209, doi: 10.1111/j.1744-6198.2012.00281.x.

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Title Medication administration by enrolled nurses: opinions of nurses in an Australian healthcare organization
Author(s) Kerr, DebraORCID iD for Kerr, Debra
Lu, Sai
Mill, Douglas
McKinlay, Louise
Journal name Nursing forum
Volume number 47
Issue number 4
Start page 203
End page 209
Total pages 7
Publisher Wiley-Blackwell
Place of publication Hoboken, N.J.
Publication date 2012-10
ISSN 0029-6473
Keyword(s) enrolled nurse
medication administration
medication endorsement
medication error
registered nurse
Summary OBJECTIVE: This study examined the opinions of nurses about the introduction of enrolled nurse medication administration and analyzed its impact on the medication error rate.

METHODS: Data were collected using a survey and examination of incident reports regarding nursing medication errors. Nurses (registered nurse, enrolled nurse with medication endorsement, enrolled nurse) responded to survey items regarding the introduction of enrolled nurse medication administration. Data analysis included descriptive statistics, Fischer's exact test, and chi-square analysis where appropriate.

RESULTS: The majority of nurses (75.2%) supported enrolled nurse medication administration. However, differences in opinion were observed between registered nurse (RN) and enrolled nurse with medication endorsement (ENME) regarding clear understanding of responsibility and accountability (RN: 47.2% vs. ENME: 77.8%; p =.033), and whether suitable education was provided (RN: 34.7% vs. ENME: 73.7%; p =.012). Moreover, less than one-third of RNs agreed that the assessment process for EN medication endorsement clearly identified the competence of the ENME to administer medications. Nonetheless, nursing medication errors did not increase in the 12-month period after the introduction of enrolled nurse medication administration (pre: 314, post: 302).

CONCLUSIONS: The findings of this study suggest areas that should be addressed in the future, including assessment of competence and focused education about accountability and responsibility.
Language eng
DOI 10.1111/j.1744-6198.2012.00281.x
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, Wiley Periodicals
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Document type: Journal Article
Collection: School of Nursing and Midwifery
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