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Year 2014, Volume: 4 Issue: 1, 18 - 25, 27.07.2014

Sevim Çelik , Yaşar Demiray Tuğrul Acar Hediye Köymen Yağmur Coşkun Özlem Doğru Selda Keskin Seher Kaya

Abstract

Aim: The aim of this study was to analyze drug administrations via enteral tube of nurses working intensive care unit Material and Method: Cross-sectional descriptive study was realized with 91 intensive care nurses between 19 March and 9 April, 2012. Data were collected by a survey form. Data were evaluated by number, mean, standart deviation, percentages, chi-square and Fisher’s exact tests. Results: Before drug administration via enteral tube, it was determined that 70.3% of nurses were always checked the location of enteral tube, provided clarity of the tube with tap water (58.2%), washed their hands (96.6%), wore of gloves (95.5%). During drug administration, it was found that the nurses were controlled pharmaceutic form of drug (94.5%), applied as a bolus of drug (87.9%), immediately passed nutritional after applying medication (56%). It was determined that there was statistical significant difference between applications of nurses and nurses’s work years, education, training (p<0.05) Conclusion: It was determined that nurses were made errors on the drug applications via enteral tube.

Keywords

Enteral drug administration nurse nursing intensive care patient

References

  • Phillips NM, Endacott R. Medication administration via enteral tubes: a survey of nurses’ practices. Journal of Advanced Nursing 2011; 67:2586–2592.
  • Phillips NM, Nay R. A systematic review of nursing administration of medication via enteral tubes in adults. Journal of Clinical Nursing September 2008;17:2257-65.
  • Heydrich J,Heineck I, Bueno D. Observation of preparation and administration of drugs by nursing assistants in patients with enteral feeding tube. Brazilian Journal of Pharmaceutical Sciences 2009;45: 117-120.
  • Heineck I, Bueno D, Heydrich J. Study on the use of drugs in patients with enteral feding tubes. Pharm World Sci 2009; 31: 145-148.
  • Pickering K. The administration of drugs via enteral feeding tubes. Nurs Times 2003;99:46-9.
  • Boullata JI. Drug administration through an enteral feeding tube. American Journal of Nursing 2009; 109:34-42.
  • Ellet MLC. Important facts about intestinal feding tube placement. Gastroenterology Nursing 2006; 29(2): 112-114.
  • Metheny NA. Preventing respiratory complications of tube feedings:evidence-based practice. American Journal of Critical Care 2006; 360-369.
  • Thomson FC, Naysmith MR, Lindsay A. Managing drug therapy in patients receiving enteral and parenteral nutrition. Hops Pharm 2000; 7(6): 155-64.
  • Bankhead R, Boullata J, Brantley S, Corkins M, Guenter P, Krenitsky J, et al. Enteral nutrition practice recommendations. JPEN J Parenter Enteral Nutr 2009; 33(2): 122-67.
  • Wilson N, Best C. Administration of medicines via an enteral feeding tube. Nurs Times 2011; 107: 18-20.
  • Beckwith MC, Feddema SS, Barton RG, et al. A guide to drug therapy in patients with enteral feeding tubes: dosage form selection and administration methods. Hospital Pharmacy 2004; 39:225-237.
  • Bryson E. Drug administration via a nasogastric tube. Nurs Times 2001;97:51.
  • Williams TA, Leslie GD. A review of the nursing care of enteral feeding tubes in critically ill adults: part 1. Intensive and Ciritical Care Nursing 2004; 20: 330-343.
  • Van den Bemt PM, Cusell MB, Overbeeke PW, et al. Quality improvement of oral medication administration in patients with enteral feeding tubes. Qual Saf Health Care. 2006; 15: 44–47.
  • Akıncı SB. Enteral nutrisyon uygulama yöntemleri. Klinik Gelişim 2011; 24: 20-25.
  • Mota MLS, Barbosa IV, Studart RMB, et al. Evaluation of intensivist-nurses knowledge concerning medication administration through nasogastric and enteral tubes. Rew Latino- Am. Enfermagem 2010; 18:888-894.
  • Balcı D, Genç V, Demirer S, ve ark. Total nütrisyon tedavisinde farmakolojik etkileşmeler. Yoğun Bakım Dergisi 2005; 5:42-49.
  • Fulbrook P, Bongers A, Albarran JW. A European survey of enteral nutrition practices and procedures in adult intensive care units. Journal of Clinical Nursing 2007; 16: 2132-2141.
  • Taylor SJ, Clemente R. Confirming of nasogastric tube position by pH testing. J Hum Nutr Dietet 2005;18: 371-75.
  • Simons RS, Abdallah LM. Bedside assessment of enteral tube placement. AJN 2012; 112: 40-46.
  • Dandeles LM, Lodolce AE. Efficacy of agents to prevent and treat enteral feding tube clogs. Ann Pharmacother 2011; 45: 676-80.
  • Williams TA, Leslie GD. A review of the nursing care of enteral feeding tubes in critically ill adults: part II. Intensive and Ciritical Care Nursing 2005; 21: 5-15.
  • Bankhead R, Boullata J, Brantley S, et al. Enteral nutrition practice recommendations. JPEN J Parenter Enteral Nutr 2009; 33: 122-67.
  • Mateo MA. Nursing management of enteral tube feedings Heart& Lung 1996;25:318-23.
  • Gilbar PJ. A guide to enteral drug administration in palliative care. Journal of pain and Symptom Management 1999; 17: 197-207.
  • Demirkan K. İlaç uygulamaları. Yoğun Bakım Dergisi 2007;7:343-346.
  • Mitchell FJ. Oral dosage form that should not be crushed or chewed. Hosp Pharm 2002; 37: 213-14.

Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi

Year 2014, Volume: 4 Issue: 1, 18 - 25, 27.07.2014

Sevim Çelik , Yaşar Demiray Tuğrul Acar Hediye Köymen Yağmur Coşkun Özlem Doğru Selda Keskin Seher Kaya

Abstract

Amaç: Bu araştırmanın amacı, erişkin yoğun bakım ünitelerinde çalışan hemşirelerin enteral tüp aracılığıyla ilaç uygulamalarını değerlendirmektir.

Gereç ve Yöntem: Kesitsel tipte tanımlayıcı araştırma, 19 Mart- 9 Nisan 2012 tarihleri arasında, 91 yoğun bakım hemşiresi ile gerçekleştirildi. Veriler veri toplama formu ile toplandı. Veriler sayı, yüzde, ortalama, standart sapma, ki kare ve Fisher’s kesin testi ile değerlendirildi.

Bulgular:  Enteral tüp aracılığıyla ilaç verme işlemi öncesi hemşirelerin %70.3’ünün enteral tüpün yerini her zaman kontrol ettikleri, musluk suyu ile tüp açıklığını sağladıkları (%58.2), ellerini yıkadıkları (%96.6) ve eldiven giydikleri (%95.5) belirlendi. Hemşirelerin (%94.5) ilacı uygularken ilacın farmasötik şeklini kontrol ettikleri, ilacı bolüs olarak uyguladıkları (%87.9) ve ilacı uyguladıktan sonra hemen beslenmeye geçtikleri (%56) bulundu. Uygulamalar ile hemşirelerin çalışma yılı, eğitimi ve kurs alma durumları arasında anlamlı farklılık saptandı (p<0.05).

Sonuç: Hemşirelerin enteral tüp aracılığı ile ilaç uygulamalarında hatalar yaptıkları saptandı.

 

 

Keywords

Enteral ilaç uygulama; hemşire; hemşirelik; yoğun bakım

References

  • Phillips NM, Endacott R. Medication administration via enteral tubes: a survey of nurses’ practices. Journal of Advanced Nursing 2011; 67:2586–2592.
  • Phillips NM, Nay R. A systematic review of nursing administration of medication via enteral tubes in adults. Journal of Clinical Nursing September 2008;17:2257-65.
  • Heydrich J,Heineck I, Bueno D. Observation of preparation and administration of drugs by nursing assistants in patients with enteral feeding tube. Brazilian Journal of Pharmaceutical Sciences 2009;45: 117-120.
  • Heineck I, Bueno D, Heydrich J. Study on the use of drugs in patients with enteral feding tubes. Pharm World Sci 2009; 31: 145-148.
  • Pickering K. The administration of drugs via enteral feeding tubes. Nurs Times 2003;99:46-9.
  • Boullata JI. Drug administration through an enteral feeding tube. American Journal of Nursing 2009; 109:34-42.
  • Ellet MLC. Important facts about intestinal feding tube placement. Gastroenterology Nursing 2006; 29(2): 112-114.
  • Metheny NA. Preventing respiratory complications of tube feedings:evidence-based practice. American Journal of Critical Care 2006; 360-369.
  • Thomson FC, Naysmith MR, Lindsay A. Managing drug therapy in patients receiving enteral and parenteral nutrition. Hops Pharm 2000; 7(6): 155-64.
  • Bankhead R, Boullata J, Brantley S, Corkins M, Guenter P, Krenitsky J, et al. Enteral nutrition practice recommendations. JPEN J Parenter Enteral Nutr 2009; 33(2): 122-67.
  • Wilson N, Best C. Administration of medicines via an enteral feeding tube. Nurs Times 2011; 107: 18-20.
  • Beckwith MC, Feddema SS, Barton RG, et al. A guide to drug therapy in patients with enteral feeding tubes: dosage form selection and administration methods. Hospital Pharmacy 2004; 39:225-237.
  • Bryson E. Drug administration via a nasogastric tube. Nurs Times 2001;97:51.
  • Williams TA, Leslie GD. A review of the nursing care of enteral feeding tubes in critically ill adults: part 1. Intensive and Ciritical Care Nursing 2004; 20: 330-343.
  • Van den Bemt PM, Cusell MB, Overbeeke PW, et al. Quality improvement of oral medication administration in patients with enteral feeding tubes. Qual Saf Health Care. 2006; 15: 44–47.
  • Akıncı SB. Enteral nutrisyon uygulama yöntemleri. Klinik Gelişim 2011; 24: 20-25.
  • Mota MLS, Barbosa IV, Studart RMB, et al. Evaluation of intensivist-nurses knowledge concerning medication administration through nasogastric and enteral tubes. Rew Latino- Am. Enfermagem 2010; 18:888-894.
  • Balcı D, Genç V, Demirer S, ve ark. Total nütrisyon tedavisinde farmakolojik etkileşmeler. Yoğun Bakım Dergisi 2005; 5:42-49.
  • Fulbrook P, Bongers A, Albarran JW. A European survey of enteral nutrition practices and procedures in adult intensive care units. Journal of Clinical Nursing 2007; 16: 2132-2141.
  • Taylor SJ, Clemente R. Confirming of nasogastric tube position by pH testing. J Hum Nutr Dietet 2005;18: 371-75.
  • Simons RS, Abdallah LM. Bedside assessment of enteral tube placement. AJN 2012; 112: 40-46.
  • Dandeles LM, Lodolce AE. Efficacy of agents to prevent and treat enteral feding tube clogs. Ann Pharmacother 2011; 45: 676-80.
  • Williams TA, Leslie GD. A review of the nursing care of enteral feeding tubes in critically ill adults: part II. Intensive and Ciritical Care Nursing 2005; 21: 5-15.
  • Bankhead R, Boullata J, Brantley S, et al. Enteral nutrition practice recommendations. JPEN J Parenter Enteral Nutr 2009; 33: 122-67.
  • Mateo MA. Nursing management of enteral tube feedings Heart& Lung 1996;25:318-23.
  • Gilbar PJ. A guide to enteral drug administration in palliative care. Journal of pain and Symptom Management 1999; 17: 197-207.
  • Demirkan K. İlaç uygulamaları. Yoğun Bakım Dergisi 2007;7:343-346.
  • Mitchell FJ. Oral dosage form that should not be crushed or chewed. Hosp Pharm 2002; 37: 213-14.
There are 28 citations in total.

Details

Primary Language Turkish
Journal Section Original Research
Authors

Sevim Çelik

Yaşar Demiray This is me

Tuğrul Acar This is me

Hediye Köymen This is me

Yağmur Coşkun This is me

Özlem Doğru This is me

Selda Keskin This is me

Seher Kaya This is me

Publication Date July 27, 2014
Published in Issue Year 2014 Volume: 4 Issue: 1

Cite

APA Çelik, S., Demiray, Y., Acar, T., Köymen, H., et al. (2014). Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi. Çağdaş Tıp Dergisi, 4(1), 18-25.
AMA Çelik S, Demiray Y, Acar T, Köymen H, Coşkun Y, Doğru Ö, Keskin S, Kaya S. Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi. J Contemp Med. July 2014;4(1):18-25.
Chicago Çelik, Sevim, Yaşar Demiray, Tuğrul Acar, Hediye Köymen, Yağmur Coşkun, Özlem Doğru, Selda Keskin, and Seher Kaya. “Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi”. Çağdaş Tıp Dergisi 4, no. 1 (July 2014): 18-25.
EndNote Çelik S, Demiray Y, Acar T, Köymen H, Coşkun Y, Doğru Ö, Keskin S, Kaya S (July 1, 2014) Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi. Çağdaş Tıp Dergisi 4 1 18–25.
IEEE S. Çelik, Y. Demiray, T. Acar, H. Köymen, Y. Coşkun, Ö. Doğru, S. Keskin, and S. Kaya, “Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi”, J Contemp Med, vol. 4, no. 1, pp. 18–25, 2014.
ISNAD Çelik, Sevim et al. “Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi”. Çağdaş Tıp Dergisi 4/1 (July 2014), 18-25.
JAMA Çelik S, Demiray Y, Acar T, Köymen H, Coşkun Y, Doğru Ö, Keskin S, Kaya S. Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi. J Contemp Med. 2014;4:18–25.
MLA Çelik, Sevim et al. “Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi”. Çağdaş Tıp Dergisi, vol. 4, no. 1, 2014, pp. 18-25.
Vancouver Çelik S, Demiray Y, Acar T, Köymen H, Coşkun Y, Doğru Ö, Keskin S, Kaya S. Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi. J Contemp Med. 2014;4(1):18-25.