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

journal contribution
posted on 2012-10-01, 00:00 authored by Debra KerrDebra Kerr, S Lu, D Mill, L McKinlay
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.

History

Journal

Nursing forum

Volume

47

Pagination

203-209

Location

Hoboken, N.J.

ISSN

0029-6473

eISSN

1744-6198

Language

eng

Publication classification

C Journal article, C1.1 Refereed article in a scholarly journal

Copyright notice

2012, Wiley Periodicals

Issue

4

Publisher

Wiley-Blackwell