Drug Administration From Enteral Nutrition Tube

Intensive Care Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05790291
• Other study ID #: 2021/29
• Status: Completed
• Phase: N/A
• Start date: March 15, 2022
• Est. completion date: June 15, 2022

Study information

• Verified date: March 2023
• Source: Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 69
• Est. completion date: June 15, 2022
• Est. primary completion date: May 15, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Being an intensive care nurse

• Have experience in administering enteral medication

• Administering enteral medication to an adult patient

• Agree to participate in the research

Exclusion Criteria:

• Administering enteral medication to a patient with fluid restriction

• Change of position

• Wanting to leave research

Related Conditions & MeSH terms

• Intensive Care

Intervention

Other:
• Checklist
the experimental group will practice using the checklist

Locations

Country	Name	City	State
Turkey	Saglik Bilimleri Üniversitesi	Ankara	Keçiören

Sponsors (1)

Lead Sponsor	Collaborator
Emel Külekçi

Country where clinical trial is conducted

Turkey, 

References & Publications (11)

Abu Hdaib N, Albsoul-Younes A, Wazaify M. Oral medications administration through enteral feeding tube: Clinical pharmacist-led educational intervention to improve knowledge of Intensive care units' nurses at Jordan University Hospital. Saudi Pharm J. 2021 Feb;29(2):134-142. doi: 10.1016/j.jsps.2020.12.015. Epub 2021 Jan 7. — View Citation

Bankhead R, Boullata J, Brantley S, Corkins M, Guenter P, Krenitsky J, Lyman B, Metheny NA, Mueller C, Robbins S, Wessel J; A.S.P.E.N. Board of Directors. Enteral nutrition practice recommendations. JPEN J Parenter Enteral Nutr. 2009 Mar-Apr;33(2):122-67. doi: 10.1177/0148607108330314. Epub 2009 Jan 26. No abstract available. — View Citation

Bischoff SC, Austin P, Boeykens K, Chourdakis M, Cuerda C, Jonkers-Schuitema C, Lichota M, Nyulasi I, Schneider SM, Stanga Z, Pironi L. ESPEN guideline on home enteral nutrition. Clin Nutr. 2020 Jan;39(1):5-22. doi: 10.1016/j.clnu.2019.04.022. Epub 2019 May 30. — View Citation

Boullata JI, Carrera AL, Harvey L, Escuro AA, Hudson L, Mays A, McGinnis C, Wessel JJ, Bajpai S, Beebe ML, Kinn TJ, Klang MG, Lord L, Martin K, Pompeii-Wolfe C, Sullivan J, Wood A, Malone A, Guenter P; ASPEN Safe Practices for Enteral Nutrition Therapy Task Force, American Society for Parenteral and Enteral Nutrition. ASPEN Safe Practices for Enteral Nutrition Therapy [Formula: see text]. JPEN J Parenter Enteral Nutr. 2017 Jan;41(1):15-103. doi: 10.1177/0148607116673053. Epub 2016 Nov 5. — View Citation

Çelik S, Demiray Y, Tugrul A, Köymen H, Coskun Y, Dogru Ö, et al. Yogun bakim hemsirelerinin enteral tüp araciligiyla ilaç uygulamalarinin degerlendirilmesi. Çagdas Tip Dergisi. 2014;4(1):18-25.

Demirkan K, Ekincioglu AB. Enteral Beslenme Tüpünden Ilaç Uygulanmasinda Ilaç Dozaj Sekillerinin Önemi. Journal of the Turkish Society of Intensive Care/Türk Yogun Bakim Dernegi Dergisi. 2016;14(1):1-8.

Ekincioglu AB, Demirkan K. Clinical nutrition and drug interactions. Ulus Cerrahi Derg. 2013 Nov 14;29(4):177-86. doi: 10.5152/UCD.2013.112013. eCollection 2013. — View Citation

Emami S, Hamishehkar H, Mahmoodpoor A, Mashayekhi S, Asgharian P. Errors of oral medication administration in a patient with enteral feeding tube. J Res Pharm Pract. 2012 Jul;1(1):37-40. doi: 10.4103/2279-042X.99677. — View Citation

Özkan D, Yavuz Van Giersbergen M. Güvenli Cerrahi Kontrol Listesi Konusunda Ameliyathane Ekibinin Düsüncelerinin Incelenmesi. Turkiye Klinikleri J Surg Nurs-Special Topics Türkiye Klinikleri Cerrahi Hastaliklari Hemsireligi-Güvenli Cerrahi Uygulamalari Özel Sayisi. 2016;2(3):22-8

Sari D, Kadifeli D, Akbiyik A, Taskiran N. Intensive care unit nurses' knowledge of medication administration via enteral tubes. Nurs Crit Care. 2018 May;23(3):141-146. doi: 10.1111/nicc.12335. Epub 2018 Feb 8. — View Citation

Winters BD, Gurses AP, Lehmann H, Sexton JB, Rampersad CJ, Pronovost PJ. Clinical review: checklists - translating evidence into practice. Crit Care. 2009;13(6):210. doi: 10.1186/cc7792. Epub 2009 Dec 31. — View Citation

* Note: There are 11 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in enteral drug administration error rates of nurses with an interval of 2 months	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%.	baseline and month 2
Secondary	Change in enteral drug administration knowledge of nurses with an interval of 2 months	First, the knowledge levels of 69 nurses on enteral drug administration were calculated.; Then the intervention group (n=34) administered enteral medication for approximately one month along with the checklist. Finally, the knowledge levels of 69 nurses on enteral drug administration were recalculated.; Knowledge levels were determined with a 20-item information form. Name of the form; It is an Information Evaluation Form for Drug Administrations from Enteral Feeding Tube.; The lowest score is 0, the highest score is 100.	baseline and month 2

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